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HomeMy WebLinkAbout144217 CANNON COCHRAN MGMT SERVICES CCMSI - INSURANCE CERTIFICATE (7)ACORDM CERTIFICATE OF LIABILITY INSURANCE 10/OS/20o ' PRODUCER (217)442-0640 FAX (217)442-0067 ONB Insurance Group, Inc. 923 North Vermilion P. 0. Box 10 Danville, IL 61834-0010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Cannon Cochran Management Services, Inc. 2 East Main Street Towne Centre Bldg., Suite 208 Danville, IL 61832-5850 INSURERA: HARTFORD INS CO INSURERB: TRAVELERS INSURERC: INSURERD: INSURER E: CnVFRA[:FS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN 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 IkDD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDD(YYI 11/17/2004 POLICY EXPIRATION DATE IMIWDDIM 11/17/2005 LIMITS GENERAL LIABILITY 83UUNPL1931E EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 3,000,000 CLAIMS MADE O OCCUR MED EXP (Any one person) $ 5,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROECT LOC J PRODUCTS - COMP/OP AGG $ 1,000,000 AUTOMOBILE LIABILITY ANY AUTO 83UENPL1899E 11/17/2004 11/17/200S COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X UM/UIM X PROPERTY DAMAGE (Per accident) $ lil GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLALIABILITY 83XHUDN2999E 11/17/2004 11/17/2005 EACH OCCURRENCE $ 5,000,00 X OCCUR ❑ CLAIMS MADE AGGREGATE $ S,000,000 A $ RXDEDUCTIBLE $ RETENTION $ 10,00 $ WORKERS COMPENSATION AND 83WBGK9575 11/17/2004 11/17/2005 X WC STATU- OER A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYE4 $ SOU, OO E.L. DISEASE - POLICY LIMIT 1 $ S00, 00 OTH�R mp oyee Dishonesty 104337699 06/14/2004 06/14/2005 B and LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS ertificate Holder is named as Additional Insured under the Automobile Liability and General Liability for work performed by the Insured, only City of Fort Collins Attn: Jim O'Neill II, CPPO, FNIGP P 0 Box S80 Fort Collins, CO 80522-0580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRE AUTHORIZED REPRESENTATIVE Myrna Poggendorf/MYRNA s" ACORD 25 (2001108) ©ACORD CORPORATION 1988