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