Loading...
Rylie Equipment & Contracting Company DEC/11/2020/FRI 12:57 PM FAX No. 3083827109 P. 001/001 A�o CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12/1012020 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 CONTACT Bund y Lawyer Ryder-Rosacker-McCue&Huston A",°NN Exu.(308)382.2330 or 800.658.4200 FA C,Nay•008)382-7109 509 W.Koenig St. E-MAIL blawve darinsurance.com Grand Island NE 68801 PRODUCER 1714 -cuSIOMEQ IDA. ,w. INSURERISI AFFORDING CDYERAGE NAIC.4 INSURED INSURERA,: Continental Insurane Company(CNA Ins Co) 20494 Rylle Equipment&Contracting Company INSURER F: Travelers Prop Casualty of America _ 25674 913 S Boeke,PO Box 5145,Kansas City,KS 66119 INSURER C: The Cincinnati Insurance Company 10677 1521 W Anna St,PO Box 1327,Grand Island,NE 68802 INSURER 0 INSURER E; INSURER F: It COVERAGES CERTIFICATE NUMBER; REVISION NUMBER: THIS 15 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. INSRI TYPE OF INSURANCE ADDL.SUBR POLICY EFF POLICY EXP LTR JNSR WVn POLICY NUMBER IMM/DD/YYYYI IMMIDD/YYY 1, LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X I MMERCIAL GENERAL LIABILITY 6056763960 01-01-2021 01-01-2022 DAMAGE To RENTED 100,000 l�Q PRPMISFSEF,anccE,D,„,) $ CLAIMS-MADE X OCCUR MED EXP(Any cnaseraon) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 7 POLICY([1 J 9 7 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT — A X ANY AUTO 6056582017 01-01.2021 01.01.2022 (Ea accident) $1,000,000 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per acclaim!) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Par accident) NON-OWNED AUTOS $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $20,000,000 AC EXCESS LIAB _ CLAIMS-MADE 6056582034&EXSO470110 01.01.2021 01-01-2022 AGGREGATE $20,000,000 DEDUCTIBLE $ X 1 RETENTION 110,000 $ ^— WORKERS COMPENSATION XWCSTATU- OFR AND EMPLOYERS'LIABILITY YIN A ANY PROPRIETOR/PARTNER/EXECUTIVE6056582020 01-01-2021 01.01.2022 EL,EACH ACCIDENT ,$1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If ye'..,de-.cribe under ' DESCRIPTION QF OPERATIONS helnw E.L.DISEASE-POLICY LIMIT $1,000,000 B Leased/Rented Equip;Install FloaterQT6609D658576C0F20 01.01-2021 01-01.2022 $250K I$2,500 Ded $1M I$2,500 Ded A Pollution Liability l 6050520965 01-01-2021 01-01-2022 $1,0001000 Ea Occ $1,000,000 Agg. DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 151,Additional Remerks Seredule,If mare apace In required) Attn: Jarolyn Geist(jarolyn.geist@salina.org) Project: AT&T(A015ARN)UT ROW Protect-300 W Ash Street CERTIFICATE HOLDER CANCELLATION City of Salina SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Department ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 736 Salina,KS 67402-0736 AUTHORIZED REPRESENTATIVE <KF> Fax:(785)309-5713 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD