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HomeMy WebLinkAboutLamar Advertising Company - Insurance Certificate 2024 Page 1 of 2 ACORU1 DATE(MMIDDIYYYY) � CERTIFICATE OF LIABILITY INSURANCE F12/19/2023 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 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 CONTACT Willis Topers Watson Certificate Center NAME: Willis Topers Watson Southeast, Inc. c/o 26 Century Blvd fA,CPHONEExtIo 1-877-945-7378 NC No: 1-888-467-2378 P.O. Box 305191 AIL ADDRESS: certificates@pillie.com Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAIC# INSURER A: National Union Fire Insurance Company of P, 19445 INSURED INSURERB: AIU Insurance Company 19399 Lamar Advertising Company -- 5321 Corporate Blvd INSURERC: American Home Assurance Company 19380 Baton Rouge, LA 70808 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W31634786 REVISION NUMBER: 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. -- - - . ILTR TYPE OF INSURANCE 'AODI SUER POLICY NUMBER POLICY M DDYYYYY POLICY LDI DIYYYY? LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 CLAIMS-MADE X OCCUR PREMISES Ea_ocwrrence $ 1,000,000 A MED EXP(Any one person) $ 100,000 Y GL 3980288 101/01/2024 01/01/2025 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 11000,000 -7 ,-- PRO. � f�—_._� --- ---- - ---- POLICY X JECT X!! LOC PRODUCTS-COMPIOP AGO $ 1,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5,000,000 _L c 1__ X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED Y AL 4888814 !01/01/2024 01/01/2025! BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (_fPeL_a en!?_-_ --- -- $ UMBRELLALIAB Hoccu­ R EACHOCCURRENCE s EXCESS LIAB LMS-MADE AGGREGATE t$ - - -- - I _ __.. DED RETENTION$ i Is WORKERS COMPENSATION E O YIN X - AND EMPLOYERS'LIABILITY STATUTE ER B ANYPROPRIETOR/PARTNER!EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBEREXCLUDED? N/A ! WC080772144 01/01/2024 01/01/2025 No (Mandatory in NH) j E.L.DISEASE-EA EMPLoYr=E1$ 1,000,000 II yes,describe wider 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE PA OLICY LIMIT $ A Automobile Liability - INA) AL 7031041 101/01/2024 01/01/2025 Any Auto - CSL i$5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) SEE ATTACHED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Collins AUTHORIZED REPRESENTATIVE PO BOX 580 �i(Gf / %/r�7iL(�lJf/Illt. Fort Collins,li CO 80522 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD sR YD: 25116435 SATM 3252246 52147: 2 of 2 i AGENCY CUSTOMER ID: LOC#: AC V ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Willis Towers Watson Southeast, Inc. Lamar Advertising Company 5321 Corporate Blvd POLICY NUMBER Baton Rouge, LA 70808 See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE:See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance City of Fort Collins is included as an Additional Insured as respects to General Liability and Auto Liability. INSURER AFFORDING COVERAGE: AIU Insurance Company NAIC#: 19399 POLICY NUMBER: WC080772145 EFF DATE: 01/01/2024 EXP DATE: 01/01/2025 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation/ E.L. Each Accident $1,000,000 Employers Liability - (CA) E.L. Disease-Ea Empl $1,000,000 Per Statute E.L. Disease-Pol Lmt $1,000,000 INSURER AFFORDING COVERAGE: AIU Insurance Company NAIC#: 19399 POLICY NUMBER: WC080772147 EFF DATE: 01/01/2024 EXP DATE: 01/01/2025 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation/ E.L. Each Accident $1,000,000 Employers Liab-(WI) E.L. Disease-Ea Empl $1,000,000 Per Statute E.L. Disease-Pol Lmt $1,000,000 INSURER AFFORDING COVERAGE: American Home Assurance Company NAIC#: 19380 POLICY NUMBER: WC080772146 EFF DATE: 01/01/2024 EXP DATE: 01/01/2025 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation/ E.L. Each Accident $1,000,000 Employers Liiab-(OR) E.L. Disease-Ea Empl $1,000,000 Per Statute E.L. Disease-Pol Lmt $1,000,000 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 25116435 BATCH: 3252246 CERT: W31634786 52147: 2 0(2