ACORO� CERTIFICATE OF LIABILITY INSURANCE
<br />DATE (MM/DD/YYYY)
<br />7/18/2023
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />VTC Insurance Group
<br />1175 W. Long Lake Rd.
<br />Suite 200
<br />Troy MI 48098
<br />CONTACT LeAnne Bushon
<br />NAME: g
<br />A/CNNo Ext: (248)373-5343 FAX,(AIC NU: (298)828-3791
<br />AIL
<br />ADDRESS: lbushong@vtcins.com
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />INSURER A: Nautilus Insurance Company
<br />17370
<br />INSURED
<br />Adamo Demolition Company
<br />dba Adamo Group, Inc.
<br />320 East Seven Mile Road
<br />Detroit MI 48203-2022
<br />INSURER B : Great Divide Insurance Company
<br />25224
<br />INSURERC:LM Insurance Corporation
<br />33600
<br />INSURER D: Charter Oak Fire Insurance Co m an
<br />25615
<br />INSURER E:Vantage Risk Specialty Ins Co
<br />16275
<br />INSURERF:Axis Surplus Insurance Companv
<br />126620
<br />COVERAGES CERTIFICATE NUMBER:23-24 Master REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DD/YYYY
<br />POLICY EXP
<br />MM/DD/YYYY
<br />LIMITS
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,000
<br />A
<br />CLAIMS -MADE OCCUR
<br />DAMAGE TO RENTED
<br />PREMISES Ea occurrence
<br />$ 100,000
<br />X
<br />MED EXP (Any one person)
<br />$ 10,000
<br />XCU
<br />X
<br />Y
<br />ECP2029386-14
<br />6/30/2023
<br />6/30/2024
<br />X
<br />Incl poll/prof
<br />PERSONAL &ADV INJURY
<br />$ 1,000,000
<br />GEN'LAGGREGATE LIMIT APPLIES PER:
<br />GENERAL AGGREGATE
<br />$ 2,000,000
<br />POLICY � PEA ❑ LOC
<br />PRODUCTS-COMP/OPAGG
<br />$ 2,000,000
<br />Employee Benefits
<br />$ 1,000,000
<br />OTHER:
<br />AUTOMOBILE
<br />LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea accident
<br />$ 1,000,000
<br />X
<br />BODILY INJURY (Per person)
<br />$
<br />B
<br />ANYAUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />X
<br />y
<br />BAP2032392-13
<br />6/30/2023
<br />6/30/2024
<br />BODILY INJURY (Per accident)
<br />$
<br />X
<br />PROPERTY DAMAGE
<br />Per accident)$
<br />NON -OWNED
<br />HIRED AUTOS X AUTOS
<br />Uninsured motorist BI-single limit
<br />$ 1,000,000
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 15,000,000
<br />X
<br />AGGREGATE
<br />$ 15, 000, 000
<br />A
<br />EXCESS LAB
<br />CLAIMS -MADE
<br />DED I I RETENTION $
<br />$
<br />FFX202938714
<br />6/30/2023
<br />6/30/2024
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />X PER OTH-
<br />STATUTE ER
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />C
<br />OFFICER/MEMBER EXCLUDED? ❑
<br />(Mandatory in NH)
<br />N / A
<br />WC534S542505
<br />6/30/2023
<br />6/30/2024
<br />E.L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE- POLICY LIMIT
<br />$ 1,000,000
<br />D
<br />Inland Marine - Leased/Rented
<br />6603K988077
<br />6/30/2023
<br />6/30/2024
<br />$1,000,000 limit,$5,000 deductible
<br />Excess Liability -see attached
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Where required by written contract, City of Detroit & the Detroit Building Authority are add'l insureds
<br />for General Liability (GL) as respects ongoing & completed operations on a primary & non-contributory
<br />basis and add'1 insured with respects to Automobile liability on a primary & non-contributory basis. GL
<br />& Auto policies include waiver of subrogation on behalf of additional insureds as required by written
<br />contract and where allowed by law. Umbrella/Excess liability coverage follows form over GL, Auto &
<br />Employers Liability. Contractual liability is provided subject to the terms, conditions and exclusions
<br />of the policy. Insurer will endeavor to mail 30 days written notice of cancellation to the certificate
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Detroit
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Office Of Contracting and Procurement
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />Coleman A. Young Municipal Cntr
<br />AUTHORIZED REPRESENTATIVE
<br />2 Woodward Ave Ste 1008
<br />Detroit, MI 48226
<br />Alan Chandler/V27
<br />ACORD 25 (2014/01)
<br />INS025 (201401)
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<br />The ACORD name and logo are registered marks of ACORD
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