Opening of Bids - Demo 1000 W. Sample St. (Former Fun FX Bldg.) Proj No. 123-014 - Dore & Assoc.

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AR"r CERTIFICATE OF LIABILITY INSURANCE - DATE(MMIDD'YYY") 9/6/2023 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(ies) 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 Meadowbrook Insurance Agency of Saginaw g y g 5311 Hampton Place Saginaw MI 48604 License#: PC779 10 CONTACT NAME: Lisa Stoner PHONE Fqx • 989-921-5308 ac No:non -607-6802 E-MAIL ADDRESS: Istoner rreadowbrook.com INSURERS AFFORDING COVERAGE NAIC k INSURER A: Nautilus Insurance Com an 17370 INSURED DOREBAS-02 Dore &Associates Inc. P.O.Box 338 Bay City, Mi 48707 INSURER B : Michigan Millers Mutual Insurance Com an 14508 INSURERC: Travelers IndemnityCompany25658 INSURERD: Continental Insurance Com an 35289 INSURER E : INSURER F : 1 VIJIVIV IVVIVIDGR. 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 CONTRACT OR 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. IN SR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DDrYYYY) POLICY EXP (MMIDDIYYYYI LIMITS A I X I COMMERCIAL GENERAL LIABILITY ECP2035829 9/16/2023 9/16/2024 EACH OCCURRENCE $2,000,000 DAMAGE R tTT�D PREMISES Ea occurrence S 100,000 CLAIMS -MADE a OCCUR X 10,000 MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 2,000,000 AGGREGATE LIMIT APPLIES PER: ❑ PRO. GENERAL AGGREGATE $ 2,000,000 GEN'L X PRODUCTS •COMP/OP AGG $2,000,000 POLICY JECT LOC ❑ OTHER: $ B AUTOMOBILE LIABILITY V0513225 12/7/2022 12/7/2023 CEOMaBIc aEeDISINGLE LIMIT S 1,000,000 X ANY AUTO BODILY INJURY (Per person) S OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE S Per accident $ A X UMBRELLA LIAB X OCCUR FFX2035830 9/16/2023 9/16/2024 EACH OCCURRENCE S 5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE S 5,000,000 DED RETENTION S S C AND EMPS YERS' LI COMPENSATION AND EMPLOYERS' LIABILITY 6KU6-4N93460-1-23 5/13/2023 5/13/2024 X PER OTH- STATUTE ER YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? [NI E.L. EACH ACCIDENT $1,000,000 (Mandatory In If yes, describe under under E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below D Leased 8 Rented Equip C7039508524 5/26/2023 5/26/2024 $380.000 Limit $1,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) nePfTef-n wr� ran. r�� BIDDING PURPOSE ONLY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V 198tS-ZU1b AGURU CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD