Opening of Bids - 2025 Guardrail Improvments Proj No124-026 - C-Tech Corp Inc

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A� EP CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDDYYYY 5/21 /2025 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 AssuredPartners of Indiana LLC 10 E. Main St. Suite 400 CONTACT NAME: Nick Bragg s�HON o . 317-595-7358 PAXNo: E-MAIL ADOREss: nick.bra assured artners.com INSURERS AFFORDING COVERAGE NAICq Carmel IN 46032 INSURER A: Phoenix Insurance Company 25623 INSURED CTECHCORP INSURER B: Travelers Property Casualty Co America 25674 Corporation, Inc, 5300 W 100 N 5300 INSURERC: Charter Oak Fire Insurance Co 25615 INSURER D: Homesite Insurance Company of Florida 11156 Boggstown IN 46110-9706 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 2096755243 - 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. INSR Lm TYPE OF INSURANCE ADDLSUBR I POLICYNUMSER POLICY EFF MMIDD/YYYV POLICY EXP MM/DDIYYVY LIMITS A X COMMERCIAL GENERAL LIABILITY Y DTC06EO14122PHX25 6/12/2025 6/12/2026 EACHOCCURRENCE $11000000 CLAIMS -MADE IA OCCUR DAMAGE TO R PREMISES EaoacurrDence $300,000 MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY $1,D00,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY � JECT E LOG PRODUCTS - COMP/OP AGG $2,D00,000 _ $ OTHER: 8 AUTOMOBILE LIABILITY Y 810ON6560602526G 6/12/2025 6/12/2026 COMBINEDSINGLE LIMIT Ea accident) $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SACHTOSEDULED AUTOS ONLY U BODILY INJURY (Per accltlenQ $ PROPERTY DAMAGE Per mcldenll ., $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY $ B X UMBRELLA UAB X OCCUR Y CUP3J7671212526 6/12/2025 6/12/2026 EACH OCCURRENCE $5,000,000 _ _ AGGREGATE $5,000,000 EXCESS LIAG CLAIMS -MADE DED X RETENTION$ ._._.._.-_. $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTN ER/EXECUTIVE N UB6K5793182526G 6112/2025 6l1212026 X STATUTE ER __. L E.EACH ACCIDENT $1000000 OFFICERIMEMBEREXCLUDED9 NIA —'— (Mandatory lnNH) E.L. DISEASE - EA EMPLOYEE $1,000,000 fins describe under DES CRIPTIONOFOPERATIONSbelow E.L. DISEASE -POLICY LIMIT $1,000,000 D Excess CXPOI994402 6/12/2025 6/1212026 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) 2025 Guardrail Improvements 124-026; St. Joe County - Various Locations City of South Bend and any other contractually required entities are Additional Insureds on a Primary Non -Contributory basis for General Liability (including ongoing and Completed operations) and Auto Liability; but only where required by written contract, and allowable by law. Umbrella to follow form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of South Bend 227 W Jefferson Blvd. AUTHORIZED REPRESENTATIVE South Bend IN 46601 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD