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HomeMy WebLinkAbouthighway fac contracts-20150709160022.pdf A�DF CERTIFICATE OF LIABILITY INSURANCE OPIDM 04/25/l Y DATE(Ml25/il 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(ies)'must 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). CONTACT PRODUCER PFIONE FM Mang Ins Agy LLC Hamilton �•Ntl ) Duc wo): E-MAIL 50 Utica Street ADURESS: PRODUCER DRILL Hamilton NY 13346 CUSTOMER ID Jh. Phone: 315-824-3210 Fag: 315-824-0675 INSUe(S)AFFORDING COVERAGE 'BAICR INSURED INSURER A: National Grange.Mutual 14788 D. Hillman 6 Sons LLC INSURERB: Continental indemnity Co. 28258 3190 Westland Dr Bouckville NY 13310 INSURER C: INSURER O:' INSURER E: —URERF:- COVERAGES CERTIFICATE NUMBER: 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS - EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS.4- . _ ADDL SUBR 'POLICYEFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POUCYNUMBER (MMn)DNYYYI (MMIDDIYYYV� UMI75 GENERAL LUISDITY EACH OCCURRENCE $ DAMAGETO RENTED s 500000... A COMMERCIAL GENERAL LIABILITY MPZ1223B 04/16/11 04/16/12 PREMISES(Ea omulreenHx) CLAIMS-}MDE FX]OCCUR MEDEXP(A.Y.-Persva) $ 10000 X Business Owners X X 'PERSONAL&ADVINJURY $..2000000 GENERALAGGREGATE $'6000000 GEMLAGGREGATE LIMIT APPLIES PER' PRODUCTS-COMPIOP AGG $'6000000 PRO- CSL $ 2000000 POLICY JECT LOC AUTOMOBILE LMBILIY COMBINED SINGLE LIMIT'. $.-1000000 (Ea acadent) A ANY AUTO Bl Z1223B 04/16/11 04/16/12 BODILY INJURY(Per p—) $ ALL OWNED AUTOS BODILY INJURY IPeracadeat) $ X t SCHEDULED AUTOS PROPERTY:DAMAGE (P.aaident) X HIRED AUTOS X NONaWNED AUTOS $ A X OMBRELLALYRB X OCCUR CrTZ12223B 04/16/11 04/16/12 EACH OCCURRENCE s 5000000 EXCESS LUIB CLAIMS-MADE AGGREGATE s 5000000 $ OEDUCTDLE - X RETENTION $ 10000 $ B mwERSCOMPENSATION 468294420101 07/14/10 07/14/11 X TORRYUMT s DEE AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOWPARTNEWEXECUTIVE ❑ EL EACH ACCIDENT S:100000 OFFICERIMEMBER EXCLUDED? IA EA (Mandatary in NH) EL DISEASE-EA EMPLOYEE $ 100000 Ifyes,d benndzr EL DISEASE-POLICY LIMIT $.'5000005- DESCRIPTION OF OPERATIONS below A Equipment Floater tZ1223B Z1223B 04/16/11 04/16/12 A Builders Risk 04/16/11 04/16/12 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES)AM&I ACORD 101,Add wl HDm Remarks SCh UW it I—M'Pee is required( Project: New Highway Garage, 475 Enfield Main Rd., State Route 327, Ithaca NY 14850. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF IRIE ABOVE DES.CR®ED POLICIES BE.CANCELLED BEFORE... THE EXPIRATION DATE THEREOF,NOTICE VYdL BE DELMERED IN - ACCORDANCE WITH THE.POLICY PROVISIONS. Town of Enfield AUTHORIZED REPRESBUATM - 168 Enfield Main Rd. Ithaca NY 14850 /� • � J ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD