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Home My WebLink AboutCertificate of Liability InsuranceTHE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM /DD /YY) POLICY EXPIRATION DATE (MM /DD/YY) LIMITS B INSURER A. Lexington Insurance Co.- NON ADMITTED GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CPP2053458 04/01/10 04/01/11 EACH OCCURRENCE Si 000 000 X AMAGE PREM SES occur ence) s300,000 CLAIMS MADE X OCCUR MED EXP (Any one person) S10 000 X CONTRACTUAL PERSONAL ADV INJURY Si 000 000 GENERAL AGGREGATE s2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I5 TN F(7 LOC PRODUCTS COMP /OP AGG s2 I B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PHYSICAL DAMAGE CA205847 $1,000 COMP DED $1,000 COLL DED 04/01/10 04/01/11 COMBINED SINGLE LIMIT (Ea accident) S i ,000,000 X BODILY INJURY (Per person) X BODILY INJURY (Per accident) X X PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY EA ACCIDENT OTHER THAN EA ACC S AUTO ONLY: AGG 5 B EXCESS /UMBRELLA LIABILITY CU2053434 04/01/10 04/01/11 EACH OCCURRENCE S5, 000,000 OCCUR CLAIMS MADE AGGREGATE s5,000,000 DEDUCTIBLE RETENTION S 0 S S X S B N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? If SPECIAL AL PR O ISIOr SPECIAL PROVISIONS below WC2052843 3A -IN 3C -OTHER STATES INS EXCEPT ND, OH, WA, WY 04/01/10 04/01/11 X I TORY LIM ER WC LIMIT ITS I IOTH- E.L. EACH ACCIDENT $100,000 E.L. DISEASE EA EMPLOYEE Si 00,000 E.L. DISEASE POLICY LIMIT Si 00 000 A OTHER PROFESSIONAL DESIGN LIABILITY 43925846 12/09/09 12/09/10 $1,000,000 LIMIT $5,000 DEDUCTIBLE DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS *EXCEPT 10 DAYS WRITTEN NOTICE OF CANCELLATION FOR NON PAYMENT OF PREMIUM ACORD„, CERTIFICATE OF LIABILITY INSURANCE DATE( 10 DYYYY) PRODUCER MJ Insurance, Inc. PO Box 50435 Indianapolis, IN 46250 -0435 317 805 -7500 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC INSURED Innovative Engineering Consulting Inc 4937 Fieldstone Drive Whitestown, IN 46075 INSURER A. Lexington Insurance Co.- NON ADMITTED 19437 INSURER B: Amerisure Insurance Co 19488 INSURER C: INSURER D: INSURER E: COVERAGES CERTIFICATE HOLDER City of Carmel One Civic Square Carmel, IN 46032 Client 14189 ACORD 25 (2001/08) 1 of 2 #S202271/M180669 CANCELLATION INNOENG SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE BAL 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 -S (2001/08) 2 of 2 #S202271/M180669