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Home My WebLink About144217 CCMSI HOLDINGS INC - INSURANCE CERTIFICATE (8)97097 CCMSHOI ACORD.CERTIFICATE OF LIABILITY INSURANCE DATE1v1a/zota4/20/14 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(les) 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 Mackey Team Mesirow Insurance Services 353 N. Clark Street NAME: Leah Cozad aCN o EaFAX : 312 595.7142 ac, Na : 312 595.7163 E-MAIL ADDRESS: lcozad@mesirowfnancial.com INSURER(S)AFFORDING COVERAGE NAIC0 INSURER A: Charter Oak Fire Insurance Comp 25615 Chicago, IL 60654 INSURED CCMSI Holdings, Inc 2 East Main Street, Suite 208 Towne Centre Building Danville, IL 61832 INSURERS: Travelers Property Casualty Co. 25674 INSURERC: Phoenix Insurance Company 25623 INSURER D: Federal Insurance Company 20281 INSURERE: Underwriters at Lloyds London ( 15792 INSURER F CERTIFICATE NUMBER: I REVISION NUMBER: VWvC GJ CERTIFICATE .�.�.�..�...��... 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 IBY 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. LTRR TYPE OF INSURANCE ADDINSR yt,UVp POLICY NUMBER MM/ODY EFF MM/UDY E%P LIMITS A GENERAL LIABILITY P630191SP719COF14 11/17/2014 11117/2011 EACHOCCURRENCE $1000000 PREMISES EaErErrenca E 1 OO OOO X COMMERCIAL GENERAL LIABILITY MED EXP(Any ane person) $5000 CI -AIMS -MADE a OCCUR PERSONAL S ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 52,000,000 $ POLICY M PROT X LOC A AUTOMOBILE LIABILITY P8101918P719COF14 11/17/201411/171201 O EaacclidEDtBINGLELIMIT 1,000,000' BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) S ALL OWNED SCHEDULED X HREDAUTOS AUTOS AUTOS X NON -OWNED PROPERTY DAMAGE paraccident $ AUTOS X Drive Oth Car $ B X UMBRELLA LIAB X OCCUR CUP1918P719TIL14 11/17/2014 11/17/2015 EACH OCCURRENCE $5000000 AGGREGATE $5 00O 000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$10000 $ C WORKERS COMPENSATION PNUB1918P71914 11/17/201411/17/201 OTH- X WCSTATu- To RYSI IF E.L. EACH ACCIDENT $1 OOO OOO AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN E.L. DISEASE- EA EMPLOYEE $1 00O 000 OFFICER/MEMBER EXCLUDED? N NIA (Mandatory In NH) E.L. DISEASE -POLICY LIMIT E1,000000 It yes, describe under DESCRIPTION OF OPERATIONS below D E&O-Primary $5M 82257026 7/31/2014 07/31/201 $5M Occ/$5M Agg E E&O-$5M XS $5M BB0143000000085 7131/2014 07/31/201 $51M Excess DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, AddlUonal 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. CI f FOR CollinsSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE IY OTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Box 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80522-0000 AUTHORIZED REPRESENTATIVE u ivoo-zui V AVuRU l VRrVR 1 Ium.~'.9n. r.... YOV. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1676898/M1676830 LZC