Opening of Bids - Demolition of South Bend Medical Foundation Proj No. 123-076 - Dore & Assoc., Inc.

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ACCMEP CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 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 pollcy(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 5311 Hampton Place Saginaw MI 48604 License#: PC779010 CONTNAME: Lisa Stoner PHONE 989 g21 5308 FAx A/c No): 989-607-6802 E-MAIL ADDRESS: Istoner@meadowbrook.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Nautilus Insurance Company 17370 INSURED DORE&AS-02 Dore & Associates Inc. P.O.Box 338 Bay City, Mi 48707 INSURER B : Michigan Millers Mutual Insurance Com an 14508 INSURERC: Travelers Indemnity Company 25658 INSURERD: Continental Insurance Company 35289 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:724509528 REVISION NUMBER 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. 1 TR TYPE OF INSURANCE ADDL SUER POLICYNUMBER POLICY EFF MM/DD POLICY EXP MM/DD/YYY LIMITS A I X I COMMERCIAL GENERAL LIABILITY ECP2035829 9/16/2023 9/16/2024 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED CLAIMS•MADE OCCUR PREMISES Ea occurrence S 100,000 X MED EXP (Any one person) $ 5,000 10.000 PERSONAL & AOV INJURY _ $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY ❑LOC JECT PRODUCTS -COMP/OP AGG S 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY V0513225 12/7/2022 12/7/2023 COMBINED tSINGLE LIMIT 1,000,000 ANY AUTO X BODILY INJURY (Per person) $ OWNED SCHEDULED JS AUTOS ONLY AUTOS BODILY INJURY (Per accident) S HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X PROPERTY DAMAGE S Per accident A X UMBRELLA LIAB X OCCUR FFX2035830 9/16/2023 9116/2024 EACH OCCURRENCE S 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS MADE DID RETENTIONS S C WORKERS COMPENSATION 6KUB4N93460-1-23 5/13/2023 5/13/2024 X ERH AND EMPLOYERS' LIABILITY Y / N STATUTE E.L.ACHACCIDENT 51,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED7 NIA E.L. DISEASE - EA EMPLOYEE ___ _ S 1,000,000 (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS below D Leased & Rented Equip C7039508524 5/26/2023 5/26/2024 $380,000 Limit $1,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) 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 lytItl•ZU75 AGUKU GUKPUKATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD