1998 002 Ordinance - Laserfiche WebLink

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Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. This is to Certify that - THE WHITING-TURNER CONTRACTING COMPANY 300 EAST JOPPA ROAD Name and LIBERIA BALTIMORE, MD 21286 / address of ~~TU~L© ATTN: JENNIFERTRONE Insured. Is, at th~ ue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which thls certificate maybe ICC~ icy EXP. DATE . ^ CONTINUOUS TYPE OF POLICY ^ EXTENDED POLICY NUMBER LIMIT OF LIABILITY POLICY TERM WORKERS COVERAGE AFFORDED UNDER WC EMPLOYERS LIABILITY COMPENSATION LAW OF THE FOLLOWING STATES: Bodily Injury BV Accident AZ CA CO CT DC DE FL $1,000,000 Each Accident 8-1-98 WA2-63D-004070-017 GA IL KS LA MA MD MO Bodily Injury By Disease NH IVJ NY OR PA TN TX Policy ~ $1.000,000 Limit ~ Bodily Injury By Disease 000 Each 000 $1 , , Person I General Aggregate-OtherthanProducts/CompletedOperations GENERAL 8-1-98 RG2-631-004070-047 LIABILITY $2,000,000 ® OCCURRENCE Products/Completed Operations Contractor Protective ProductslCompleted Operations Aggregate Independent Contractual Liability $2,000,000 Contractors/ ^ CLAIMS MADE xcu Coverage Bodily Injury and Property Damage Liability Per ~ $1,000,000 Occurrence Personal Injury ~ Per Person/ i _ RETRO DATE i $1,000,000 Organization i Other $500000 Other $5,000 ~ Fire Legal Liability Medical Payments i AUTOMOBILE Each Accident-Single Limit LIABILITY $1,000,000 B.I. and P.D. Combined i ® OWNED Each Person 8-1-98 AS2-631-004070-057 Each Accident or Occurrence ® NON-OWNED ® HIRED Each Accident or Occurrence OTHER RE: 320 S.O.M. MAYFIELD VILLA ~E, OHIO ~ ADDITIONAL COMMENTS ADDITIONAL INSURED: VILLAGE OF HAYFIELD I ' If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. SPECIAL NOTICE-OHIO: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED Liberty Mutual Group UNDER THE ABOVE POLICIES UNTIL AT LEAST 34 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: ~ ~~ CERTIFlCATE VILLAGE OF HAYFIELD HOLDER 6621 WILSON MILLS ROAD HAYFIELD VILLAGE, OHIO 44143 AUTHORIZED REPRESENTATIVE ROCKVILLE (301) 881-9300 1~2]~9$ OFFICE PHONE NUMBER DATE ISSUED This certificate is executed by LIBERTY MUTUAL GROUP as respects such insurance as is afforded by Those Companies BS 772E R_