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Home My WebLink About144217 CANNON COCHRAN MANAGEMENT SERVICES INC - INSURANCE CERTIFICATEClientlk R7gR7 CCMSHOL ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE1 v1snot z6120I12 1 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 CONTACT Leah Cozad NAME: Mackey Team Mesirow Insurance Services 353 N. Clark Street Suite 1200 Chicago, IL 60654 1'' 9 �y I Pa"CC Eat: 312 595.7142 1 (INC,No: 312 595-7163 ADDRESS: Icozad@mesirowfinancial.com INSURER(S) AFFORDING COVERAGE NAICO INSURER A: Charter Oak Fire Insurance Comp 25615 INSURED CCMSI Holdings, Inc Cannon Cochran Management Services Inc 2 East Main Street, Suite 208 Danville, IL 61832 INSURER B: Travelers Property Casualty Co. 25674 Phoenix Insurance Company INSURER L: P Y 25623 Federal Insurance Company INSURER D: P Y 20281 INSURER E: Navigators Specialty Insurance 36056 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 CONTRACTOR 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. ILTR TYPE OF INSURANCE ADDLSUBR NSR WVO POLICY NUMBER MMIO�Y/YYVY MMIODffrEVYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 5XIOCCUR P6301918P719COF12 11117/2012 11/17/2013 EACH OCCURRENCE $1000000 PREMISES Ea oicarrance $100,000 MED EXP(Any one Person) $5,000 PERSONAL It ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGRLIMIT APPLIES PER: POLICY EGATE PECT X LOC PRODUCTS - COMPIOP AGG $2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS X HRTEDSAUTOS X NON -OWNED AUTOS P8101918P719COF12 11/17/2012 11117/2013 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per Person) $ BODILY INJURY (Per amdenl) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE PSMCUP1918P71909TI 11117/2012 11117/2013 EACH OCCURRENCE s10000000 AGGREGATE $1 O 00O 000 DID FX1 RETENTION$10000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOWPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? � (Mandatory in NH) If es, descnbe under DESCRIPTION OF OPERATIONS below NIA PNUB1918P71912 1111712012 1111712013 X WO STATU- OTH- T-�Y Ll E.L. EACH ACCIDENT $1,000,000 ET. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 D E E&O - Primary $514 E&O - $5M XS $5M 08225699 NY12MPL0007121C 7/31/2012 7131/2012 07/311201 07/311201 $5M Occ/$5M Agg $5M 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. , 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, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE E ACORD 25 (2010/05) 1 of 1 #S12358661M1235806 @ 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Lri`