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HomeMy WebLinkAbout144217 CANNON COCHRAN MGMT SERVICES CCMSI - INSURANCE CERTIFICATEAC(RDM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 10/05/2004 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 fNSURERA HARTFORD INS CO INSURER TRAVELERS INSURER INSURER INSURER E C( 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 ADD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 83UUNPL1931E 11/17/2004 11/17/2005 EACH OCCURRENCE $ 1 000,00 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE M OCCUR DAMAGE TO RENTED $ 3,000 DD MED EXP (Any one person) $ 5 DD A PERSONAL & ADV INJURY $ 1 000 00 GENERAL AGGREGATE $ 1 000,000 GEN L AGGREGATE LIMIT APPLIES PER POLICY PEO LOC PRODUCTS COMP/OPAGG $ 1 000,00 AUTOMOBILE LIABILITY ANV AUTO 83UENPL1899E 11/17/2004 11/17/2005 COMBINED SINGLE LIMIT (Ea accident $ 1 DDD DD X A ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON OWNED AUTOS BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X UM/UIM X PROPERTY DAMAGE (Per accident $ GARAGE LIABILITY AUTOONLV EAACCIDENT $ ANYAUTO OTHER THAN EA ACC AUTO ONLY AGG $ $ EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE 83XHUDM2999E 11/17/2004 11/17/2005 EACH OCCURRENCE $ 5 000,00 AGGREGATE $ 5 000,000 A $ DEDUCTIBLE X RETENTION $ 10 00 $ WORKERS COMPENSATION AND 83WBGK9575 11/17/2004 11/17/2005 X I TW& STATU OTH EMPLOYERS LIABILITY E L EACH ACCIDENT $ 500,00 A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED'+ If yes describe under SPECIAL PROVISIONS below E L DISEASE EA EMPLOYE $ 500 00 r E L DISEASE POLICY LIMIT $ Soo 00 B LOTH Royee Dishonesty mp and 104337699 06/14/2004 06/14/2005 LIMIT 1 000 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Certificate 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 580 Fort Collins, CO 80522-0580 SHOULD ANY OF 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 REPRESENTATIVES AUTHORIZED REPRESENTATIVE Myrna Poggendorf/MYRNA AL:VKU ZO (ZUUT/UU) ©ACORD CORPORATION 1988