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HomeMy WebLinkAbout144217 CANNON COCHRAN MGMT SERVICES CCMSI - INSURANCE CERTIFICATE (5)Client#: 67967
CCMSHOI
ACOR®,,., CERTIFICATE OF LIABILITY
INSURANCE
DATE IMMIDDI
11/1412009YYY)
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-. Charter Oak Fire Insurance Comp
25615
INSURER s: Travelers Property Casualty Co.
25674
INSURER c: Farmington Casualty Company
41483
INSURERD: Indian Harbor Insurance Company
36940
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISPED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR Ol'HER 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.
LTR
INSR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMIDDIYY
POLICY EXPIRATION
DATE MMIDDIYY
LIMITS
A
GENERAL LIABILITY
P6301918P719
11/17/09
11/17/10
EACH OCCURRENCE
$1000000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE a OCCUR
DAMAGE TO RENTED
$300 000
MED EXP (Any one person)
$10 000
PERSONAL &ADV INJURY
$1 OOO 000
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGAI"E LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
_
$1000000
POLfCY PRO-
JECT X LOC
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
P8101918P719
11/17/09
11/17/10
COMBINED SINGL F LIMIT
(Ea accident)
51,000,000
BODILY INJURY
(Per person)
S
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per axidem)
S
HIREDAUTOS
NON-OWNEDAUTOS
X
PROPERTY DAMAGE
(P, accidenU
$
GARAGE
LIABILITY
ALHO ONLY - EAACCIDENI
S
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY. AGO
B
EXCESSIUMBRELLA LIABILITY
CUP1918P71909
11/17/09
11/17/10
EACH OCCURRENCE
$10000000
AlOCCUR 0 CLAIMS MADE
AGGREGATE
$1 O 000 000
_
5
S
DEDUCTIBLE
S
X RETENTION $ 10000
C
WORKERS COMPENSATION AND
PFUB1918P719
11/17/09
11/17/10
X VJCSTATU- Ora TH-
EL. EACH ACCIDENT
$1,000,000
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
I . DISEASE - EA EMPLOYEE
$1,000,000
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIALPROVISIONSbelow
E.L.DISEASE- POLICYLIMrr
_ — --
$1,000,000
D
OTHER Errors &
MPP002378602
07/31/09
07/31/10
$10MM Per OcC/$10MM Agg
Omissions
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I 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.
City of Fort Collins
P.O. Box 680
Fort Collins, CO 80522-0000
LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30_ DAYS WRITTEN
:E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
✓�
ACORD 25 (2001108) 1 of 2 #S657104/M657054 LZC 0 ACORD CORPORATION 1988