HomeMy WebLinkAboutGEORGE K BAUM - INSURANCE CERTIFICATE (2)ACORQe CERTIFICATE OF LIABILITY INSURANCE DATE O1/O1/2005 04/01/2004/O1/
PRODUCER Lockton Companies THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
444 W. 471h Street, Suite 900 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Kansas City Mo 64112-1906 ALTER THE COVERAGE AFFORDED BY TH DAI ICIES BELOW
(816)960.9000
INSURERS AFFORDING COVERAGE
INSURED GEORGE K. BAUM & COMPANY,INC. ETAL
71047 ATTN:JULLEE WINDLE
120 WEST 12TH STREET
12 WYANDOTTE PLAZA
KANSAS CITY MO 64105
COVERAGES (iE0KR0I 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 TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMA)ONY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [j] OCCUR
35284745
01/01/2004
01/01/2005
EACH OCCURRENCE
$ 1,000,000
FIRE DAMAGE (Any one fire
$ 1,000,000
MED EXP (Any oneperson)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
kGEWL
GENERAL AGGREGATE
$ Z 000 000
AGGREGATE LIMIT APPLIES
POLICY JRECOT X
PER:
LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
AUTOMOBILE
LIABILITY
A
ANY AUTO
73131865
01/01/2004
01/01/2005
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
ALLOWNEDAUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$ XXXXXXX
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)PROPERTY
$ XXXXXXX
kx
DAMAGE$
(Per accident)
XXXXXXX
Physical Damage
Rental Car -
GARAGE LIABILITY.
AUTO ONLY - EA ACCIDENT
$ XXXXXXX
ANY AUTO
NOT APPLICABLE
OTHER THAN EA ACC
$ XXXXXXX
$ XXXXXXX
AUTOONLY: AGG
A
EXCESS LIABILITY
X_ OCCUR CLAIMS MADE
7965Z 198
01/01/2004
01/01/2005
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$ 2,000,000
$ XXXXXXX
El
XXXXXXX
DEDUCTIBLE FORM
RETENTION $
$ XXXXXXX
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
7I6I-76-23
01/01/2004
01/01/2005
}( WC STATU- ORTH.
E.L. EACH ACCIDENT
$ 500,000
E.L. DISEASE - EA EMPLOYEE
$ 500,000
E.L. DISEASE - POLICY LIMIT
$ 500,000
A
OTHER
PROPERTY
35284745
01/01/2004
01/01/2005
VARIOUS LIMITS PER LOCATION.
SPECIAL FORM INCL THEFT.
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
***SPECIMAN COPY***
1997723 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
G DATE THEREOF, THE ISSUING INSURER WILL ENOEAVAR—TO-MAIL 10
ATTN: TN: JI K. BAUM
JIM COOK DAYS WRITTEN
120 WEST 12TH STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, OUT FAII URN TO DO So SHA"
12 WYANDOTTE PLAZA
KANSAS CITY MO 64105 REPRESENTATVE&
AUTHORIZED REPRESENTATIVE
ACORD25-S(7/97) For clu"flons regarding this certificets, contect the number listed In the Producer'section above and specity the client once 'GEDIC901'. 0ACORDC PORATION1QRR