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HomeMy WebLinkAboutCORRESPONDENCE - RFP - CLAIMS ADMINISTRATOR SERVICES (2)Client#- 67967 CCMSHOt ACORD. CERTIFICATE OF LIABILITY INSURANCE 11/14/ 09 ' PRODUCER Mackey Team .^Iiesirow Insurance Services, Inc. i0 N. Clark Street Chicago, IL G0654 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 9 INSURED Cannon Cochran Management Services, Inc. 2 East Main Street, Suite 208 Towne Centre Building Danville, IL 61832 INSURER A: Charter Oak Fire Insurance Comp 25615 INSURER e: Travelers Property Casualty Co. 25674 INSURERc: Farmington Casualty Company 41483 INSURERD: Indian Harbor Insurance Company 36940 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER FOLIC CT1VE bAT MMIDDIYY POLICY EXPIRATION DATE MM1b0 LIMITS A GENERALLIABILITY P6301918P719 11117/09 11/17/10 EACH OCCURRENCE S1.000.000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED ea„ a s300 000 CLAIMS MADE a OCCUR P MED EXP (Ary one person) $10000 PERSONAL & ADV INJURY S j 00Q 000 GENERAL AGGREGATE s2,000,000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPICPAGG S1 000000 POLICY PROT X LOC A AUTOMOBILE LIABILITY X ANY AUTO P810191BP719 11/17109 11117/10 COMBINED SINGLE OMIT (Eaamidenl] s1,000,000 BODILY INJURY (PC Persan) S ALL OWNED AUTOS SCHEDULED AUTOS X HIREDAUTOS X NCH-OW&DAUTOS BODILY INJURY (Per acciderd( S PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC S ANY AUTO S AUTO ONLY: AGG B EXCESS)UMBRELLALIABILITY CUP1918P71909 11/17109 11117110 CACHOCCURRE14CE $10 000 000 X OCCUR CLA161S MADE AGGREGATE S1 0,000,000 S S DEDUCTIBLE S X RETENTION $10000 C WORKERS COMPENSATION AND FMPLOYERS' LIAIMUTY ANY PROPRIETORIPARTNERIEXECUTIVE PFUB191BP719 11117/09 11117110 X nC� TAB OTH- FR E.L. EACH ACCIDENT Si 000,000 E.L. DISEASE -EA EMPLOYEE S1,000,000 OFFiCERIMEMBER EXCLUDED? 11 yes, describe under SPECIAL PROVISIONS aolow E.L. DISEASE -POLICY LIMIT I S1 000000 D OTHER Errors & MPP002378602 07/31/09 07/31110 $10MM Per Occ1S10MM Agg 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 80522.0000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 113 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 AUTHOR IZgD R/EjPRESENTA71VE Q P AcoRD 25 Iz001108i 1 of 2 #S657104IM657054 LZC 0 ACORD CORPORATION 1988