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HomeMy WebLinkAbout144217 CANNON COCHRAN MGMT SERVICES CCMSI - INSURANCE CERTIFICATE (3)Client#: 67967
CANNCOC
ACORD- CERTIFICATE OF LIABILITY INSURANCE
7/28/2009"YY''
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Mackey Team
Mesirow Insurance Services, Inc.
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
350 N. Clark Street
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
29424
INSURER B: Twin City Fire Insurance Compan
29459
INSURER C: Indian Harbor Insurance Company
36940
INSURER D: Hartford Fire
19682
INSURER E:
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 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
ADDT
NSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MM1DD/YY
POLICY EXPIRATION
DATE MM/DD/YY
LIMITS
A
GENERAL LIABILITY
83UUNPL1931
11/17/08
11/17/09
EACH OCCURRENCE
$1000000
X COMMERCIAL GENERAL LIABILITY
DAMAGE TO RENTEDISE
PR z, (Fa occurrence)
$300 000
CLAIMS MADE 51OCCUR
MED EXP (Any one person)
$10 000
PERSONAL & ADV INJURY
$1 000 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
S1,000,000
POLICYF_j PRO-
JECT X LOC
D
AUTOMOBILE
LIABILITY
ANY AUTO
83UENPL1899
11/17/08
11/17/09
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
S
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESS/UMBRELLA LIABILITY
83XHUDM2999
11/17/08
11/17/09
EACH OCCURRENCE
S10,000,000
X OCCUR ❑ CLAIMS MADE
AGGREGATE
$10 000 000
$
HDEDUCTIBLE
S
X RETENTION $ 10 000
B
WORKERS COMPENSATION AND
83WEKE1551
11/17/08
11/17/09
TATU
X WC LIMIT OTH-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
5500,000
E.L. DISEASE - EA EMPLOYEE
s500,000
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below I
I
I
E.L. DISEASE - POLICY LIMIT
s500,000
C
OTHER Errors &
MPP002378602
07/31/09
07/31/10
$10MM Per OCC/$10MM Agg
Omissions
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I 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.
CERTIFICATE HOLDER CANCELLATION I LIays Tor Non-Navment
City of Fort Collins
P.O. Box 580
Fort Collins, CO 80522-0000
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _I0_ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
Joe.: 'fa b'�^
ACORD 25 (2001/08) 1 of 2 #S602932/M602855 LZC 0 ACORD CORPORATION 1988