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HomeMy WebLinkAbout144217 CANNON COCHRAN MGMT SERVICES CCMSI - INSURANCE CERTIFICATE (2)Client#: 67967
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ACORN,,. CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIODNYYY)
11/13/08
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Mackey Team
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Mesirow Insurance Services, Inc.
350 N. Clark Street
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Chicago, IL 60654
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Cannon Cochran Management Services, Inc
2 East Main Street, Suite 208
Towne Centre Building
Danville, IL 61832
INSURER A: Hartford Casualty Insurance
INSURER B: Twin City Fire Insurance Company
INSURER C: Indian Harbor Insurance Company
--
INSURER2: Hartford Fire
INSURER F.:
COVERAGES
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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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
ADD-
INSRE
TYPE OF INSURANCE
POLICY NUMBER
POLICYEFFECTIVE
DATE MMIDONY
POLICY EXPIRATION
DATE MMIDD/YY
LIMITS
A
GENERAL
LIABILITY
83UUNPL1931
11/17/08
11/17/09
EACH OCCURRENCE
$1000000
X
DAMAGE TO RENTED
IHae
$300 000
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
MED EXP (Any one person)
$10 000
PERSONAL B ADV INJURY
S1000000
GENERAL AGGREGATE
s2,000,000
GEN't.
AGGREGATE LIMIT APPLIES PER
PRODUCTS � COMP/OP AGG
$1 000 000
POLICY PRO-
JECT X LOC
D
AUTOMOBILE
X
LIABILITY
ANY AUTO
83UENPL1899
11/17/08
11/17/09
COMBINED SINGLE LIMIT
F. zccideri
$1,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
HIREDAUTOS
NON -OWNED MII'OS
BODILY INJURY
(Per accident)
$
X
PROPERTY DAMAGE
Per accident)
S
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
S
OTHER EA ACC
$
ANY AUTO
$
AUUTOTO ONLY AGO
A
EXCESS/UMBRELLA LIABILITY
83XHUDM2999
11/17/08
11/17/09
EACH OCCURRENCE
$10000000
AGGREGATE
$10 000 000
OCCUR CIAIMS MADE:
S
S
DEDUCTIBLE
X RETENTION $ 1 O 000
$
B
WORKERS COMPENSATION AND
83WEKE1551
11/17/08
11/17/09
X 1"c srgru- orH-
EMPLOYERS' LIABILITY
ANY PROPRIETOWPARTNER/EXECUI IVE
E.L. EACH ACCIDENT'
SSOO OOO
E.L. DISEASE -EA EMPLOYEE
$500,000
OFFICERIMEMSER EXCLUDED?
er
E.L. DISEASE -POLICY LIMIT
$500,000
SPECIAL PROVISIONS belay
C
OTHER Errors
MPP002378601
07/31/08
07/31/09
$10MM Per Occ/$10MM Agg
8r Omissions
DESCRIPTION OF OPERATIONS I LOCATIONS / 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 as
required by written contract.
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80522
ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
HEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30_ DAYS WRITTEN
TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
AUUKU cD t<UUT/U0) 1 of 2 #M537286 LZC © ACORD CORPORATION 1988
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
AGVKU 25-5 (MUM) 2 of 2 #M537286