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HomeMy WebLinkAboutGEORGE K BAUM - INSURANCE CERTIFICATEACORQ. CERTIFICATE OF LIABILITY INSURANCE DATE Ol/O1/2005 04/01/2004/Ol/04 PRODUCER Lockton Companies THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION P ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 444 W. 47th Street, Suite 900 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Kansas City MID 64112.1906 ER THECOVERAGEF D T ICIES BELOW, (816) 960-9000 INSURERS AFFORDING COVERAGE INSURED GEORGE K. BAUM & COMPANY,INC. ETAL INSURER A: Federal Ins Co FI Chica o Chubb 71047 ATTN: JULLEE WINDLE INSURER B: 120 WEST 12TH STREET INSURER C : 12 WYANDOTTE PLAZA KANSA.S, CITY MO 64105 INSURER D COVERAGES GEOKBOI VA 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR i TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE (MWDD(YYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 35284745 01/01/2004 01/01/2005 FIRE DAMAGE (Any one fire $ 1,000,000 MED EXP (Any oneperson) $ 10,000 CLAIMS MADE [XI OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY JPERR FXI LOC AUTOMOBILE LIABILITY A ANY AUTO 73131865 01/01/2004 01/01/2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ XXXXXXX X HIREDAUTOS NON-OWNEDAUTOS BODILY INJURY (Per accident) $ XXXXXXX X PROPERTY DAMAGE (Per accident $ XXXXXXX 1 Physical Damage X Rental Car - GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO I NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX $ XXXXXXX AUTOONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 A X OCCUR CLAIMS MADE 79652198 01/01/2004 01/01/2005 $ XXXXXXX OUMBRELLA XXXXXXX DEDUCTIBLE FORM $ XXXXXXX RETENTION $ A WORKERS COMPENSATION AND 7161-76-23 01/01/2004 01/01/2005 X WC STATU- EMPLOYERS'LIABILITY E.L. EACH ACCIDENT $ 5001000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 A OTHER PROPERTY 35284745 01/01/2004 01/01/2001 VARIOUS LIMITS PER LOCATION. i SPECIAL FORM INCL THEFT. DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ***SPECIMAN COPY*** 1997723 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION G K. BAUM ATTN: DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR -TO -MAIL 10 DAYS WRITTEN TN: JI JIM COOK 120 WEST 12TH STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 12 WYANDOTTE PLAZA IMPOSE NO 00"GATIONOR "ABILITItEOF ANY KIND UPON THE INSURER. ITS AGENTS OR KANSAS CITY MO 64105 REPPRESENTauVE& AUTHORIZED REPRESENTATIVE ACORD 25-S (7/97) For questionsMardingthlewrtlllue,contsctthenumberlistedInthe'Profucer'sectlonaboveend.pecltythecllentcoG'GEOKB01'. aACORDC PORATIONI9RA