Opening of Bids - Martin Luther King Jr. Center Demolition Proj No. 121-066 - Green Demolition Contractors, Inc.

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ACVRd CERTIFICATE OF LIABILITY INSURANCEI DATE(MMIDD/YYYY) 10/1012022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME David S. Parrilli Parrilli, David PHONE(312) 621-5182 FAX AfX NO(312) 621-2288 (WrThe Rockwood Company E-MAIL dparrilli(a)rockwoodce com ADDRESS: 20 N Wacker Drive, Suite 600 INSURER(S) AFFORDING COVERAGE NAIC M Chicago IL 60606 INSURER A : Navigators Specialty Ins Co. 36056 INSURED INSURER 13: Slarstone National Insurance Co. 25496 Green Demolition Contractors, Inc INSURER C: Hallmark Specialty Insurance Co. 26808 4840 S Sl Louis Ave Ste 100 INSURER 0: INSURER E: Chicago IL 60632 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L7 TYPE OF INSURANCE ilNli�+ yry� POLICY NUMBER [Y EFF MMIDDlYYYYI- POLICY EXP (MMI00!►'YYY] LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCURFL EACH OCCURRENCE $ 1,000,000 DAMAGE �� rr 50,000 P I REMISES IE dccunenpa 8 u MED EXP (Any one person] $ 5,000 A X X CE22CGL1326961C 10/01/2022 10/01/2023 PERSONAL a ADV INJURY S 1,000,000 GE111L AGGREDATE LIMIT APPLIES PER: AOLICY © PRO- ❑ LOC2,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ $ OTHER AUTOMOBILE LIABILITY CONGLE LIMIT $ 1,000,000 A0=1 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS X X CE22CGL1326961C 10101/2022 10/01/2023 BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPER lYAM E vnr don $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS -MADE 59095822AALI 10/01/2022 10/01/2023 AGGREGATE $ 5,000,000 DEP I X1 RETENTION 1 10.0()0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N R OTrt- STATUTE FR EL EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? NIA E.L DISEASE - EA EMPLOYEE S (Mandatory In NHI If yes, describe under E.L DISEASE-PQLICYLMT $ DESCRIPTION OF OPERATIONS below C Excess Umbrella Liability 79EX-000708922-00 10/0112022 10/01/2023 Each Occurrence 5,000,000 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 7042 Lanphier High School - Additions and Renovations - 1300 N 11 th St, Springfield, IL 62702 Additional insureds with respect to General Liability and Hired & Non Owned Auto Liability (Umbrella follows form) on a Primary & Non Contributory basis when required by written contract per ISO Forms CG 2010 10/01 and CG 2037 10/01 (attached) for work performed by Green Demolition Contractors, Inc. A Waiver of Subrogation in favor of Additional Insureds with respect to General Liability and Hired & Non Owned Auto Liability (Umbrella follows form) when required by written contract is included per ISO farm CG 2404 (05109): Harold O'Shea Builders, Inc (GC), Springfield Public School District 186 (Owner); and BLDD (Architect) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Harold O'Shea Builders, Inc ACCORDANCE WITH THE POLICY PROVISIONS. General Contractor 3401 Constitution Drive AUTHORIZED REPRESENTATIVE Springfield IL 62711 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD