The URL can be used to link to this page

Home My WebLink AboutS. D. MYERS - INSURANCE CERTIFICATEThe ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS PERSTATUTE OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNEDAUTOSAUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 6/29/2021 Marsh &McLennan Agency LLC 11330 Lakefield Drive Suite 100 Johns Creek GA 30097 Jessica Lamar 706-645-2211 706-643-0606 Jessica.E.Lamar@MarshMMA.com Admiral Insurance Company 24856 14SDMYERS Twin City Fire Insurance Co.29459S.D.Myers LLC S.D.Myers Inc. 180 South Avenue Tallmadge OH 44278 Beazley Insurance Company 37540 1591884383 A X 1,000,000 X 50,000 X 50,000 5,000 1,000,000 2,000,000 X Y Y FEIECC2750901 7/1/2021 7/1/2022 2,000,000 B 1,000,000 X Y Y 20UENOL5197 7/1/2021 7/1/2022 A X 6,000,000 X Y FEIEXS1031809 6,000,000 7/1/2021 7/1/2022 A C Cont Pollution Liability Professional Liability Cyber Liability FEIECC2750901 V2F415210101 7/1/2021 7/1/2021 7/1/2022 7/1/2022 $1,000,000 ea occ $1,000,000 ea occ $2,000,000 incident $2,000,000 agg $2,000,000 agg $2,000,000 agg Certificate Holder is named as additional insured as per written contract,but only with respects to the general liability and automobile Liability insurance and subject to the provisions and limitations of the policies.Waiver of Subrogation applies in favor of the certificate holder in regards to for automobile liability and general liability as required by written contract.Coverage is primary and non-contributory as required by written contract.No deductible applies to automobile liability.Excess liability coverage is follows form General Liability policy provides Stop Gap Employers Liability for the state of Ohio Excess is follow form. City of Fort Collins PO Box 580 Fort Collins CO 80522 07/01/2020 FEI-ECC-27509-00 21 01 01 21 01 21 01 21 2021 01 01 21 202007/01/2021 07/01/2021 04 08 09 2021 2022 01 From 07/01/2021 to 07/01/2022 From 07/01/2021 to 07/01/2022 From 07/01/2021 to 07/01/2022 05