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HomeMy WebLinkAbout144217 CANNON COCHRAN MGMT SERVICES CCMSI - INSURANCE CERTIFICATE (4)Client#: 67967 CCMSHOI ACORD,. CERTIFICATE OF LIABILITY INSURANCE D8/03/2010Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER Mackey Team Mesirow Insurance Services, Inc. 353 N. Clark Street CONTACT Leah Cozad NAME: PHONE 312 595-6200 FAX AIC No Ext : AIC, No): E.L ADDRESS: Chicago, IL 60654 CUSTOMER ID#: INSURER(S) AFFORDING COVERAGE NAIC # INSURED A: Charter Oak Fire Insurance Comp 25615 CCMSINSURER Holdings, Inc INSURER B : Travelers Property Casualty Co. 25674 2 East Main Street, Suite 208 2 East Towne Centre Building Danville, IL 61832 INSURERC: Farmington Casualty Company 41483 Navigator Specialty Insurance INSURER D : g P tY 36056 INSURER E : Lexington Insurance Company 19437 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: I THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE D L NSR (;UBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP /Y MM/DDYYY LIMITS A GENERAL LIABILITY X P6301918P719 11/17/2009 11/17/201C EACHOCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY PRO X LOC $ A AUTOMOBILE X LIABILITY ANY AUTO P8101918P719 _ 11/17/2009 11/17/201C COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ X SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ X NON -OWNED AUTOS $ B UMBRELLA LIAB X OCCUR CUP1918P71909 11/17/2009 11/17/2010 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DEDUCTIBLE S $ X RETENTION $ 10000 C -- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY I N OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) N/A PFUB1918P719 11/17/2009 11/17/2010 X I TO Y LIMIT OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below- E.L. DISEASE -POLICY LIMIT $1,000,000 D Errors 8r �006761856 NYIOMPL0007121C i07/31/2010 07/31/2011 $5MM Per Occ/$5MM Agg E Omissions 107/31/2010 07/31/2011 $5MM Excess DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 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. l.tKI lrlt Alt KULILi GANGELLATION iu uays for Non-Navment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Fort Collins ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Fort Collins, CO 80522-0000 AUTHORIZED REPRESENTATIVE -Pr. 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S785045/M784977 LZC This page has been left blank intentionally.