The URL can be used to link to this page

Insurance Certificate ACORDS CERTIFICATE OF LIABILITY INSURANCE DATE IMWDD Y) 1/4.----- 9/29/2017 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). PRODUCER NAME LT Candy.Dixon BB&T Insurance Services, Inc INC No Enr910-693-2610 I pvc IN ,N0):8$6431-8410 50 Aviemore Dr.2nd Floor EMIL Pinehurst NC 28374 ADDRESS: INSURER(S)AFFORDING COVERAGE I NAIC e INSURERA:Twin City Fire Insurance Company 29459 INSURED 26EVANCOR INSURER El:Lloyds Evan Corporation, Evan Fall Protection Inc INSURER C:SeIe-ctiveJR5ura1]ce Company of SC 49259 Evan Fall Protection Systems Inc INSURER°:Commerce 8 Industry Insurance Cepa 19410 P O Box 2665 Sanford NC 27331 INSURER E: INSURER F: I COVERAGES CERTIFICATE NUMBER:382961280 REVISIONNUMBER:' 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.OLIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILT(>?I TYPE OF INSURANCE I UBRINSR ISWVDI POLICY NUMBER IoYYFI POLICY onaroIYYf �WEIYYl I LIMITS B GENERAL LIABILITY 0002012058017 10/122017 10/12/2018 I.EACH OCCURRENCE S ' COMMERCIAL GENERAL LIABILITY I PRSRENTED PREMISES t a enre7 5 • CLAIMS-MADE OCCUR MED EXP(Any one person) S _ PERSONAL 8 ADV INJURY S I . ' . GENERAL AGGREGATE ' S. GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG I3 In1 POLICY rI.17(9i. n LOC • I 15 C AUTOMOBILE LIABILITY 51995719 10/122017 10/12/2018 COMBINED SINGLE LIMN • (Ea acciaentl 157,000,000 X I ANY AUTO BODILY INJURY(Per person) 15 ALL OWNED SCHEDULED I BODILY INJURY(Per aCOdent)I5 AUTOS AUTOS HIRED AUTOS NON-OWNED UTOS I PROPERTYacDAMAGE I5 HI IIS A UMBRELLA WlBIu' '�OCCUR 22XSON0446. 10/122017 10/122018 I EACH OCCURRENCE 55,000,000 - X I EXCESS UAB ' 1 CLAIMS-MADE I AGGREGATE 55,000,000 I DEO I I RETENTIONS I ' I s D WORKERS COMPENSATION WC005867915 10/12/2017 10/12/2018 X WCSTATIL OTH- AND EMPLOYERS'LIABILITY V I N I TORY UNITS I ER I ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 15i,000.000 __ OFFICER/MEMBER EXCLUDED? n NIA _ " "(Mandatory In NH) - I'E.L.DISEASE EA EMPLOYE 51;000,000 If yes.desaNe under I DESCRIPTION OF OPERATIONS below I I E .DISEASE-POLICY LIMIT $1.000.000 B Professional Lability 0002012058017 10/122017 10/12/2018 52,000,00. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule.If more space Is required) ' Blanket Additional Insured clause is included in general liability and automobile policies as required in written contract with named insured. Coverage is primary and non contributory.Waiver of Subrogation is also provided on workers compensation and general liability policies as required in written contract. Excess policy applies to general liability and automobile liability and workers compensation policies and follows form. • • CERTIFICATE HOLDER CANCELLATION ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Salina THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 736 ACCORDANCE WITH THE POLICY PROVISIONS. Salina KS 67402-0736 AUTHORIZED REPRESENTATIVE ' 4113410.1040 • ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD