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WISSIRR-01 MICHAELTURNER
<br />CERTIFICATE OF LIABILITY INSURANCE 16 DATE(MMlDDlY16
<br />�.�" 12I28120
<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 CONTACT Patricia Mentock
<br />NAME.
<br />The Horton Group, Inc.PHONE
<br />340 Columbia Place _1A1CC.- ,.F t] (574} 334 5500 jnrc, rho] (574) 334 5600
<br />E-MAIL
<br />South Bend, IN 46601 ADDRESS: trlcla.mentock@thehortongroup.com
<br />..............
<br />.__
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />INSURER A: Hanover Insurance Company 122292
<br />INSURED
<br />INSURER e
<br />Wissco Irrigation Inc.
<br />3
<br />ENSURERc , _
<br />1820 South Bend Avenue
<br />INSURER O :
<br />South Bend, IN 46637
<br />INSURER E :
<br />rnvenAr_cc rrcnrtcir•A'rI: KIIIBftr:lr-r?• RFVI.glnM NtIMRER--
<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 />_......._ - - T--. . _
<br />INSR - .ADDLSUBR --_- POE.ICYEFF POL€CYEXP
<br />LTR TYPE OF INSURANCE ' I D wVD ; POLICY NUMBER MMlDDlYYYY - MMrDDtYYYY LIMITS
<br />A
<br />X ' COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE , $ 1,000,000
<br />I_ i---- 1
<br />CLAIMS -MADE ; X OCCUR
<br />%Contractual
<br />...0ArvfAGETO` RENTED _.. _..
<br />!Z7WA811955 01/01/2017 01/0112018 PREMISES (Ea occurrence) S 100,000
<br />10,000
<br />included
<br />F----- --- ---
<br />MED EXP (Any one person) $
<br />- _. __
<br />X XCU.nOt excluded
<br />'.. PERSONAL & ADV INJURY $ 1,000,000
<br />_. ---
<br />III
<br />..._.... ...
<br />1 GENT AGGREGATE LIMIT APPLIES PER:
<br />.... .......- t
<br />!. - GENERAL AGGREGATE $ 2,000 000
<br />..... ....
<br />�l PRO- l
<br />".._-. POLICY 1 "-..I JEGT
<br />PROf3UGTs-_GOMPIOPAGG $ _.. 2,000,000
<br />.._.__ A ..... .._
<br />OTHER:
<br />f COMBINED SINGLE LIMIT
<br />AUTOMOBILE LIABILITY
<br />{Ea accident) $ 1000, 000
<br />...... ......... ...7.
<br />A
<br />- ANY AUTO
<br />_
<br />AWWA81,2051 01/0112017 ; 01101/2018 BODILY INJURY (Per person) $ __.-_-.
<br />ALL OWNED I SCHEDULED
<br />BODILY INJURY (Per accident) $
<br />AUTOS .. TS
<br />X I X EO
<br />U
<br />PROPERTY DAMAGE Y - - --- -
<br />$
<br />HIRED AUTOS AUTOS
<br />I, (t?eracGdeng
<br />X HAPD
<br />!Comp & Coll Oed $ 50
<br />X
<br />UMBRELLA X
<br />EACH OCCURRENCE $ 2,000,000
<br />A
<br />—.
<br />EXC SS LABAB
<br />I CLAIMS MADE'
<br />J '
<br />0110112017 01/01/2018 AGGREGATE $...... 2,000,000
<br />_ ... .. -_.
<br />..
<br />_ - -
<br />DED I X RETENTIONS O
<br />FOLLOW FORM $
<br />WORKERS COMPENSATION
<br />€
<br />X STATUTE [ QRH
<br />A
<br />OR EMPLOYERS'ANDLlAaft.ITY Y1Ni
<br />ANY ECUTIVE
<br />......._ _._ ___.__ ......
<br />W7WA612047 - O1Ifl1I2O17 ! 01/01/2018 E-L, EACH ACCIDENT $ 1,000 000
<br />OFFICERIMEMBHRrEXCLUDED? N
<br />I N 1 A
<br />.......
<br />'l,0OO,000
<br />(Mandatory In
<br />E L, DISEASE - EA EMPLOYEE 8 ......
<br />_, _ E - i $
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E
<br />.
<br />E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000
<br />q
<br />Equipment Floater
<br />1 27WA811955 01/01/2017 10110112018 ;Equipment 100,000
<br />A
<br />Installation Floater
<br />i
<br />IZ7WA811955 0110112017', 01/01/2018 i Install 250,000
<br />DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is requ€red]
<br />Contractor Licensing
<br />r"Akl! =l 1 ATI Ihl
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of South Bend Board of Public Works
<br />Y
<br />1316 County -City Building
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />South Bend, IN 46601
<br />AUTHORIZED REPRESENTATIVE
<br />V lutftf-zu-i4 wuVmu tiVFCYVIKF1 I Illry. 1411 rpyni:5 rt35vFvv d
<br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD
<br />
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