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HomeMy WebLinkAboutLAMAR ADVERTISING COMPANY & ALL SUBSIDIARIES - INSURANCE CERTIFICATE,4coRo® CERTIFICATE OF LIABILITY INSURANCE ��. DATE 12012 YYYY) 127zazBlz 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 endorsements . PRODUCER Marsh USA, Inc. (504) 522-8541 701 Poydras, Suite 4125 CONTACT NAME: IAIC. No. Exit, PHONE FAX Not: EMAIL ADDRESS: New Orleans, LA 70139 Ann: NewOdeans.cenrequest@marsh.corn INSURERS AFFORDING COVERAGE NAIC p INSURER A: Insurance Company Of The State Of PA 19429 INSURED Lamar Advertising Company INSURER B: Commerce & Industry Ins. Co. & all subsidiaries INSURER C : INSURER D: Post Office Box 66338 Baton Rouge, LA 70896 NSURE: NSER URER F COVERAGES CERTIFICATE NUMBER: HOU-002194602-02 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 LTR TYPE OF INSURANCE AORAMDLSUBR POLICY NUMBER MMI ICY EFF /Y1'YY) POLICY EXP IMMDONYYYI LIMITS A GENERAL LIABILITY GL9645258 01/01/2013 0110112014 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE In OCCUR PREMI E (Ealloccurrence)$ 1,000,000 MED EXP (Ariy one person) $ 100,000 PERSONAL &ADV INJURY $ 2,000,500 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 $ X POLICY PRO- JECT LOC A AUTOMOBILE. LIABILITY CA5196232 (ADS) 0110112013 0110112014 COMBINED SINGLE LIMIT IE accident 2,000,000 X BODILY INJURY person) $ B ANY AUTO CA5196233(MA) 01101/2013 01/01/2014 ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY accident) $ X PROPERTYDAMAGE P r n $ HIRED AUTOS % NON -OWNED AUTOS X PIP MI&FL $ PIP MI&FL UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ A WORKERS COMPENSATION WC01 9358769 (ADS) 0110112013 0110112014 % I WC STATUSOTH- ITO I IMIT PH AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNEPEXECUTIVE OFFICER/MEMBER EXC W OEDT (Mandatory in NH) N/A E.L. EACH ACCIDENT 1,000.1300 $ E.L. DISEASE- EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS bebw E.L. DISEASE- POLICY LIMIT 1,000,000 $ See Additional Information for Other WC Policies DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Fort CollinsLJra 6570 Partner Rd. � Fort Collins, CO 80525 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 of Marsh USA Inc. Robert C. Hill 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: Lamar LOC #: New Orleans ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc. (504) 522-8541 Lamar Advertising Company & all subsidiaries Post Office Box 66338 POLICY NUMBER Baton Rouge, LA 70B96 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Other Policies: Workers Compensation Policies: WC019358770 (CA) Nano ill Union Fire Insurance Company E8: 01-01-2013 Exp: 01-01-2014 WC019358771 (FL) Illinois National Insurance Company Eft: 01.01-2013 Exp: 01-01-2014 WC019358772 (ME) Nov, Hampsh a Insurance Company Ell: 01-01-2013 Exp: 01-01-2014 WC019385774 (MA & WI) New Hampshire Insurance Company E8: 01 01-2013 Exp: 01-01-2014 101 © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD