Opening of Proposals - Building Cleaning Services for the City of SB VPA

Home Browse Search

_ . 1 ® A� ,D CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 10I0212D17 THIS CERTIFICATE IS ISSUED AS 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(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 Laven Insurance Agency Inc. P. O. Box 2379 SOUTH SEND IN 46680 CONTACT Susan Thompson NAME: PHONN EW, (574) 291-5510 FAX No; (574) 291-8505 E-MAIL suet@laveninsurance.com ADDRESS: INSURER(S AFFORDING COVERAGE NAIL ff INSURERA: Society Insurance 15261 INSURED G & € Enterprises, LLC, DBA: ServiceMaster Commercial Cleaning by G & I Enterprises; ServiceMaster Professionals 1920 South Michigan Street South Bend IN 46613 INSURER B : INSURER G: INSURER D : INSURER E : INSURER F : rnVFRAr_FC rFRTIFIr.ATF NIIMRFR- 17-18 Master 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. 1LTR TYPE OF INSURANCE ADDLISUBR INSD WVD POLICYNUMBER EFF MMIDDYNYYY MM1DOnYYv LIMITS A X COMMERCIAL GENERAL LIAB€LITY CLAIMS -MADE OCCUR CBP543183-6 10/01/2017 10101/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO PREM SES EaEoccuMYEr erica g 100,000 MED EXP Any one person $ 5,000 PERSONAL&ADVINJURY S 1,000,000 GEN'LAGGREGATE LiMITAPPLIES PER: X POLICY � JEC ❑ LOG JECT OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMPIOPAGG s 2,000,000 Employment Practices $ 5,000 q AUTOMOBILE LIABILITY X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED �/ NON -OWNED X AUTOS ONLY AUTOS ONLY CAP543184-6 10/01/2017 10/01/2018 C�fi3N€9 .SINGLE LIMIT Ea acciders€ s 1,000,000 BODILY INJURY (Per person) s BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ Uninsured/Underinsured r. 1,000,000 A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE UXL543186-6 10/01/2017 10/01/2018 EACHOCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED X RETENTION S 0 $ p` WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICEWMEMBERLXCLUDEO? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC543185-6 1010112D17 1DID112016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ SDO,DOD E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE- POUCY LIMIT 600.000 $ DESCRIPTION OF OPERATIONS! LOCATIONS rVEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If morespace Is required) n, r, _w unr mem CAr, CE I ATInN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of South Bend Venues, Parks & Arts ACCORDANCE WITH THE POLICY PROVISIONS. 211 N Michigan Street AUTHORIZED REPRESENTATIVE South Bend IN 46601,E V 1tIt55-LU10 AL.UMU UUrcrUMAI IUrY. flu r UHM rijuvivvu. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD -J3