2018/08/01 The Fishel Company Certificate of Liability InsuranceI UP
ACOR" CERTIFICATE OF LIABILITY INSURANCE
`�
DATE(MM/DD/YYYY)
07/02/2018
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 endorsement(s).
PRODUCER
MCGRIFF, SEIBELS & WILLIAMS, INC.
P.O. BOX 10265
Birmingham, AL 35202
City Of Meniie�'
City Clerk
CONTACT
NAME:
PHONEo Ext : A800-476-2211 FAX
No
E-MAIL
ADDRESS:
INSURERS) AFFORDING COVERAGE
NAIC #
INSURER A :Arch Insurance Company
11150
INSURED :2016
JUL Fishel Company
INSURER B :Travelers Property Casualty Company of America
25674
INSURER C :Navigators Insurance Company
42307
1366 Dublin Road
Columbus, OH 43215
INSURER D
Received
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER:N8RE49UV REVISION All IMRCD•
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
ADDL
INSD
SUBR
WVD
POLICY NUMBER
MM DIDY/YYYY
EXP
MMIDCDYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
31PKG8940602
08/01/2018
08/01/2019
EACH OCCURRENCE
$ 2,000,000
DAMAGE O RENTED
PREMISES Ea occurrence
S 1,000,000
MED EXP (Any one person)
S 10,000
PERSONAL & ADV INJURY
$ 1,000.000
AGGREGATE LIMIT APPLIES PER:
POLICY 7X JE� LOC
GENERAL AGGREGATE
$ 4,000,000
GEN'L
PRODUCTS -COMP/OP AGG
S 4,000,000
I
I S
OTHER:
A
AUTOMOBILE
LIABILITY
ANY AUTO
31PKG8940602
08/01/2018
08/01/2019
COMBINED SINGLE LIMIT
Ea accident
S 2,000,000
BODILY INJURY (Per person)
S
Ix
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
S
HIRED N NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
S
S
C
X
UMBRELLA LIAB
X
OCCUR
GA18EXC8792211V
08/01/2018
08/01/2019
EACH OCCURRENCE
S 5,000,000
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
S 5,000,000
DED I X I RETENTION $
Is
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE �I
OFFICER/MEMBER EXCLUDED? IIt�!
(7.4,nd.to,y in NH)
If yes, describe under
NIA
I
I
31 WC18940402 (Stop Gap is
included for Ohio)
08/01/2018
08/01/2019
PER OTH-
X STATUTE ER
E.L. EACH ACCIDENT
S 1,000,000
E.L. DISEASE - EA EMPLOYEE
S 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS below
B
Equipment/Installation Floater
Equip. Deductible - $25,000
Install. Deductible - $5,000
QT-630-3H553725-TIL-18
08/01/2018
08/01/2019
Sched. Equip. on file w/ co
Leased/Rented Equipment
Installation Floater
S
S 2,000,000
S 1.000,000
Temporary Location
Transit
S 1,000,000
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be 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.
v�n�Iry �.r�� nv�u�rc GANGELLAI IUN
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 Menifee AUTHORIZED REPRESENTATIVE /
29714 Haun Road
Menifee, CA 92586
Page 1 of 1 U 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD