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Home My WebLink About144217 CANNON COCHRAN MGMT SERVICES CCMSI - INSURANCE CERTIFICATE (6)CCMSHOL Client#: 67967 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 11/16/2010 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 cc NAME: PHONE 312 595-6200 A/C No Ext : AIC, No): -M IL ADDRESS: Chicago, IL 60654 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC If INSURED INSURER A: Charter Oak Fire Insurance Comp 25615 CCMSI Holdings, Inc INSURER B : Travelers Property/Casualty 25674 2 East Main Street, Suite 208 Towne Centre Building Farmington asua tCasualty INSURER C: g ty Company 41483 INSURER D : Navigators Navi atSpecialty ecial Insurance 36056 Danville, IL 61832 Lexington Insurance Company INSURER E : g P Y 19437 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 LT TYPE OF INSURANCE DDL NSR SUBR wVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY x P6301918P719COF10 11/17/2010 11/17/2011 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXOCCUR DAMAGE RENTD PREM SESOEa occw ence $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY PRO X LOC $ A AUTOMOBILE X LIABILITY ANY AUTO P8101918P719COF10 11/17/2010 11/17/2011 COMBINED SINGLE LIMIT (Ea accident) $1000000 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 LAB X OCCUR PSMCUP1918P71909TI 11/17/2010 11/17/2011 EACH OCCURRENCE $10000000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE IX DEDUCTIBLE $ $ RETENTION $ 10000 - C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE-/ N OFFICERIMEMBER EXCLUDED? N] (Mandatory in NH) N/A PFUB191SP71910 11/17/2010 11/17/2011 X TWC ORYLI IT OTH- ER 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 E&O - Primary $5M 7 NYlOMPL0007121C i07131/2010 07131/2011 $5MM Per Occ/$5MM Agg E E&O - $5M XS $5M �006761856 07/31/2010 07/31/2011 $5MM Excess DESCRIPTION OF OPERATIONS / LOCATIONS / 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. Tor 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 Id 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S841138/M841093 LZC