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ABC COLnmr-er_1 r)P In- NI IVA ,d►coR® CERTIFICATE OF LIABILITY INSURANCE 44. / FDATE(MM/DD/YYYY) 08/25/2021 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(les) 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 402466-2800 McCashland Kirby Ins Agency 8231 Northwoods Dr, Ste A Lincoln, NE 68505 DAVE KIRBY CONTACT DAVE KIRBY PHONE 402-466-2800 FAC 402-466-3229 A/C, No, Ext): ac, No ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURERA: Donegal Insurance Group 14389 08/29/2021 INSURED ABC Seamless Siding, Inc. 8032 Maple St. Omaha, NE 68134 INSURER B: PROGRESSIVE CASUALTY CO INSURER C : INSURER D : INSURER E: GEN'L AGGREGATE LIMIT APPLIES PER: PPOLICY FX jE � F LOC OTHER: INSURER F : PRODUCTS - COMP/OP AGG 2,000,000 r+e DTi IPATG KI mnM=I*s RFVISION N"MRFR: VVv"nM­ L-' - 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. INSRTypE I TRA OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS 218 S. 16th Street X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR b,t CPA9138947 08/29/2021 08/29/2022 EACH OCCURRENCE $ 1,000,000 DAEMISAGE TO REocc rr Ce $ 100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PPOLICY FX jE � F LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 B AUTOMOBILE LIABILITY ANY AUTO OWNED X SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY 037443830 05/27/2021 11/27/2021 COMBINED SINGLE LIMIT 2,000,000 a cc e $ BODILY INJURY Perperson) BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident A X UMBRELLA LIABX EXCESS LIAR OCCUR CLAIMS -MADE CWA9138947 08/29/2021 08/29/2022 EACH OCCURRENCE 2'000'000 AGGREGATE $ 2'000'000 DED I I RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFIR/MERDPROPRIETOR/PARTNER/EXECUTIVE (Mandatory in NH) If yes, describe under DESCRIPTION Or' OPERATIONS below N / A 1000002387 08/29/2021 08/29/2022 X PER OTH- 500,000 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE 500'000 500,000 E L. -DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) r�r�r�i+w rc u�� ncn f`AtUL`PI I ATIQN CITYBLA ---- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Blair EXPIRATIONTHE NOTICE WILL BE DELIVERED IN ISIONS. ACCORDA CEW THDTHE POLICY PROVISIONS. Brenda Wheeler, City Clerk AUTHORIZED REPRESENTATIVE 218 S. 16th Street Blair, NE 68008 b,t ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD