Opening of Bids - Jefferson & Twyckenham Signal Improvements Proj No 116-027 - Hawk Enterprises, Inc

Home Browse Search

.4� IY CERTIFICATE OF LIABILITY INSURANCE 11DATE(M I DIYYYY) 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 endorsements . PRODUCER Arthur J. Gallagher Risk Management Services, Inc. 650 E. Carmel Drive, Suite 400 Carmel IN 46032 : oni Linhart NAAMEJ PHONE 317-587-1330 FAX 317-810-4930 E-MAILADDRESS-jon! linhart@ajg.com INSURERS AFFORDING COVERAGE NAIC # INSURERA;PhoenIX Insurance Company 25623 INSURED INSURER B:Charter Oak Fire Insurance Company 25615 Hawk Enterprises, Inc. 1850 East North Street 307 Crown Point, IN 46307-8566 INSURER c :Travelers Indemnity Company 25658 INSURER D : Travelers Property CasualtyCo of A 25674 INSURER E : INSURER F ; CnVFRAr,FS r.r-RTIFIreTP milimR1=u• 14977479R7 Or-Wi CICtu MI IR1R11�0. 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM1DD YY) POLICY EXP (MMIDDIYYYYJ LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IX-1OCCUR DT-CO.9H818638-PHX-17 2/1/2017 2/1/2018 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $300,000 MED EXP (Any one person) $5,000 GEN'L PERSONAL& ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: � [)�] LOC POLICY JEC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 $ B AUTOMOBILE X LIABILITY A1NY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY DT-810-OJ382147-COF-17 2/1/2017 2/1/2018 Ea aCOMBINEDSINGLE LIMIT ! $1,000,000 BODILY INJURY (Per person) $ Bdent) ODILY INJURY (Per acci $ PROPERTY DAMAGE Per accident $ C UMBRELLA LIAR EXCESS LIAR I X OCCUR CLAIMS -MADE CUP-OJ675073-17-26 2/1/2017 2/1/2018 EACH OCCURRENCE $9.000,000 X rl AGGREGATE $9.000,000 DEO X RETENTION $10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED4 [ (Mandatory in NH) it yes, describe under DESCRIPTION OF OPERATIONS below N f A UB-OJ675602-17-26-G 2/1/2017 2/1/2018 X STATUTE 'ER'- E.L. EACH ACCIDENT $1,OOD,000 E.L. DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE - POUCY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS ! VEHICLES iACORD 101, Additional Remarks Schedule, may be attached If more space Is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE St Joseph County/City of South Bend Building THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN & Permit Department ACCORDANCE WITH THE POLICY PROVISIONS. 125 S Lafayette Blvd, Ste 100 South Bend IN 46601 USA AUTHORIZED REPRESENTATIVE 4D1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD