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7/18/2023
<br />VTC Insurance Group
<br />1175 W. Long Lake Rd.
<br />Suite 200
<br />Troy MI 48098
<br />LeAnne Bushong
<br />(248)373-5343 (248)828-3741
<br />lbushong@vtcins.com
<br />Adamo Demolition Company
<br />dba Adamo Group, Inc.
<br />320 East Seven Mile Road
<br />Detroit MI 48203-2022
<br />Nautilus Insurance Company 17370
<br />Great Divide Insurance Company 25224
<br />LM Insurance Corporation 33600
<br />Charter Oak Fire Insurance Company 25615
<br />Vantage Risk Specialty Ins Co 16275
<br />Axis Surplus Insurance Company 26620
<br />23-24 Master
<br />A
<br />X
<br />X
<br />X XCU
<br />X Incl poll/prof
<br />X
<br />X Y ECP2029386-14 6/30/2023 6/30/2024
<br />1,000,000
<br />100,000
<br />10,000
<br />1,000,000
<br />2,000,000
<br />2,000,000
<br />Employee Benefits 1,000,000
<br />B X
<br />X X
<br />X Y BAP2032392-13 6/30/2023 6/30/2024
<br />1,000,000
<br />Uninsured motorist BI-single limit 1,000,000
<br />A X
<br />x
<br />FFX202938714 6/30/2023 6/30/2024
<br />15,000,000
<br />15,000,000
<br />C WC534S542505 6/30/2023 6/30/2024
<br />X
<br />1,000,000
<br />1,000,000
<br />1,000,000
<br />D Inland Marine - Leased/Rented 6603K988077 6/30/2023 6/30/2024 $1,000,000 limit, $5,000 deductible
<br />Excess Liability-see attached
<br />Where required by written contract, City of Detroit & the Detroit Building Authority are add'l insureds
<br />for General Liability (GL) as respects ongoing & completed operations on a primary & non-contributory
<br />basis and add'l insured with respects to Automobile liability on a primary & non-contributory basis. GL
<br />& Auto policies include waiver of subrogation on behalf of additional insureds as required by written
<br />contract and where allowed by law. Umbrella/Excess liability coverage follows form over GL, Auto &
<br />Employers Liability. Contractual liability is provided subject to the terms, conditions and exclusions
<br />of the policy. Insurer will endeavor to mail 30 days written notice of cancellation to the certificate
<br />City of Detroit
<br />Office of Contracting and Procurement
<br />Coleman A. Young Municipal Cntr
<br />2 Woodward Ave Ste 1008
<br />Detroit, MI 48226 Alan Chandler/V27
<br />The ACORD name and logo are registered marks of ACORD
<br />CERTIFICATE HOLDER
<br />©1988-2014 ACORD CORPORATION.All rights reserved.
<br />ACORD 25 (2014/01)
<br />AUTHORIZED REPRESENTATIVE
<br />CANCELLATION
<br />DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE
<br />LOCJECTPRO-POLICY
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />OCCURCLAIMS-MADE
<br />COMMERCIAL GENERAL LIABILITY
<br />PREMISES (Ea occurrence)$DAMAGE TO RENTED
<br />EACH OCCURRENCE $
<br />MED EXP (Any one person)$
<br />PERSONAL &ADV INJURY $
<br />GENERAL AGGREGATE $
<br />PRODUCTS - COMP/OP AGG $
<br />$RETENTIONDED
<br />CLAIMS-MADE
<br />OCCUR
<br />$
<br />AGGREGATE $
<br />EACH OCCURRENCE $UMBRELLA LIAB
<br />EXCESS LIAB
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS
<br />PERSTATUTE OTH-ER
<br />E.L.EACH ACCIDENT
<br />E.L. DISEASE - EA EMPLOYEE
<br />E.L. DISEASE - POLICY LIMIT
<br />$
<br />$
<br />$
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />If yes,describe underDESCRIPTION OF OPERATIONS below
<br />(Mandatory in NH)
<br />OFFICER/MEMBER EXCLUDED?
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />AUTOMOBILE LIABILITY
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />HIRED AUTOS NON-OWNEDAUTOSAUTOS
<br />AUTOS
<br />COMBINED SINGLE LIMIT
<br />BODILY INJURY (Per person)
<br />BODILY INJURY (Per accident)
<br />PROPERTY DAMAGE $
<br />$
<br />$
<br />$
<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 />INSD
<br />ADDL
<br />WVD
<br />SUBR
<br />N / A
<br />$
<br />$
<br />(Ea accident)
<br />(Per accident)
<br />OTHER:
<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 />COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:
<br />INSURED
<br />PHONE(A/C, No, Ext):
<br />PRODUCER
<br />ADDRESS:
<br />E-MAIL
<br />FAX
<br />(A/C, No):
<br />CONTACTNAME:
<br />NAIC #
<br />INSURER A :
<br />INSURER B :
<br />INSURER C :
<br />INSURER D :
<br />INSURER E :
<br />INSURER F :
<br />INSURER(S)AFFORDING COVERAGE
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />INS025 (201401)
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