2019/08/01 The Fishel Company Certificate of Liability InsuranceaRbr CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
07/11 /2019
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 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 CONTACT ME Bridget Watson
MCGRIFF, SEIBELS & WILLIAMS, INC
P.O. Box 10265 PHO pE E rill 800-476-2211 FJkX Nn
Birmingham, AL 35202 AODRF&s- BWatson@McGriff.com
INSURED
The Fishel Company
1366 Dublin Road
Columbus, OH 43215
INSURER A :Arch Insurance Com
INSURER B :Travelers PropertyC
INSURER C :Navi ators Insurance
INSURER D .
COVERAGES CFRTIFICATF NIIMRFR•YRnnrvrTRV GC1nCln41 ki"Ra-.
NAIC 4
11150
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.
LTR
TYPE OF INSURANCE
A L'
INSD
I WVD
POLICY NUMBER
POLTCY EFF
MM/DDIYYYY
POLL EXP
MMIDO/YY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FX] OCCUR
31PKG8940603
08/01/2019
08/01/2020
EACH OCCURRENCE
$ 2,000,000
PREMISES EanGC,-rcenoe
$ 1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY E] PRO -
JECT ❑ LOC
GENERAL AGGREGATE
$ 4,000,000
PRODUCTS - COMP/OP AGG
$ 4,000,000
I OTHER
A
AUTOMOBILE LIABILITY
X ANY AUTO
31 PKG8940663
Phys. Damage applies to Hired Autos
only
08/01/2019
08/01/2020
COM 81 N ED El NGLE LIMIT
1EYE acod rd
2.000.000
BODILY INJURY (Per person)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
�( HIRED N NON -OWNED
AUTOS ONLY AUTOS ONLY
P ERTYDAMAGE
perapntlent
$
C
X
UMBRELLA LIAB
X
OCCUR
GA19EXC8792211V
08/01/2019
08/01/2020
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
4EXCESS
LIAB
CLAIMS -MADE
)aD I X I RETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/ N
ANY PROPRIETORMARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
N / A,
31 WCI8940403 (Stop Gap is
Included for Ohio)
08/01/2019
08/01/2020
PER OTH-
XSTATUTE
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
_
$ 1,000,000
(Mandatory in NH)
If yes, describe under
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS below
EquipmentAnstallation Floater
Equip. Deductible - $25,000
Install. Deductible - $5,000
QT-630-3H553725-TTL-19
08/01/2019
08/01/2020
Sched. Equip. on fee w/ co
Leased/Rented Equipment
Installation Floater
$ 2,000,000
$ 1,000.000
Temporary Location
$ 1,000,OU0
Transit
$ 1.000.000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
The City of Memphis is named as an Additional Insured with respects to General Liabiity when required by written contract.
-- - _ liMl\L. in LLHIIVfY
City Clerk
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 Menefee AUTHORIZED REPRESENTATIVE
29714 Haun Road
Menif
Menifee, CA 92586
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