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Home My WebLink About144217 CCMSI HOLDINGS INC - INSURANCE CERTIFICATE (6)Client#: 67967 CCMSHOL ACORDTE .CERTIFICATE OF LIABILITY INSURANCE D 07129/7/2snDD/YYYY) ola 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). If Waiver of Subrogation is applicable, it only applies to the extent allowed by law. PRODUCER ONTA CAME: Leah Cozad N Mackey Team PHONE FAX ac Ne Eat : 312 595-7142 (AIC, No): 312 595-7163 Mesirow Insurance Services EWAIL -ADDRESS: Icozad@mesirowfinancial.com 353 N. Clark Street Chicago, IL 60654 INSURER(S) AFFORDING COVERAGE NAICe INSURER A: Charter Oak Fire Insurance Comp 25615 INSURED B: Travelers Property Casualty Co. 25674 CCMSINSURER Holdings, Inc INSURERC: Phoenix Insurance Company 25623 2 East 2 East Main Street, Suite 208 Federal Insurance Com an INSURER D: P Y 20281 Towne Centre Building INSURER E: Underwriters at Lloyds London 15792 Danville, IL 61832 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 THEPOLICYPERIOD 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 ADDLSUBR INSR MD POLICY NUMBER POLICY EFF MMIDD/YYY) POLICY UP MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR P6301918P719COF13 11117/2013 11117/2014 EACH $1000000 �OCCURRENCE PREMISES EeoocuEnence $100,000 MED EXP (My one person) $5 000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 1-1 POLICY JET LOG PRODUCTS - COMP/OPAGG $2,000,000 $ A AUTOMOBILE LIABILITY ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS rive Oth Car P8101918P719COF13 11117/2013 11117/2014 COMBINED SINGLE LIMIT Ea accident 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE Per acdtlenl $ $ B X UMBRELLALUIB EXCESS LIAR X OCCUR CLAIMS -MADE CUP1918P719TIL13 1117/2013 11/17/2014 EACH OCCURRENCE $10000000 AGGREGATE $1 O 000 000 DED X RETENTION S 10000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I NER ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED'/ N (Mandatory in NH) If yes, descnbe under DESCRIPTION OF OPERATIONS below N/A PNUB1918P71913 11/17/2013 11/17/201 X INCSTATU- OTH. E.L. EACH ACCIDENT $1000000 E.L. DISEASE - EA EMPLOYEE $1000000 E.L. DISEASE -POLICY LIMIT $1,000,000 D E E&O-Primary $5M E&O- $5M XS $5M 82257026 BB0143000000085 7/31/2014 7/31/2014 071311201 07/31/201 $51111 Occl$5M Agg $5M Excess DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule. If more apace 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 ACORD 25 (2010105) 1 of 1 #S16092711M1609204 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LZC