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LAMAR ADVERTISING COMPANY & ALL SUBSIDIARIES - INSURANCE CERTIFICATE (2)
-71 ® CERTIFICATE OF LIABILITY INSURANCE ACORO kk.i. DATE 12014 YYYY) 1v122014 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 terns 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 endomement(s). PRODUCER Marsh USA, Inc. (504) 522-8541 701 Poydras, Suite 412$ CONTACT NAME: PHONE F" C, ac No : EMAIL ADDRESS: New Odeans, LA 70139 Art: NewOdems.ceraequesl@marsh.cem INSURERS AFFORDING COVERAGE NAIC Is INSURER A : Insurance Company Of The State Of PA 19429 INSURED Lamar Advertising Company 8 all su6sidiades INSURER B : INSURER c :New Hampshire Insurance Company 23841 INSURER D Post Office Box 66338 Baton Rouge, LA 70896 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: HOU-002194602-09 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 ADDL SUBR POLICY NUMBER EFF MMA1D/YYYY MMIDDPOLICY Y EXP /YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE O OCCUR GL9645403 01101/2015 01101/2016 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED PREMISES Ea occunance $ 1,000,000 MED EXP (Any cne person) $ 100,000 PERSONAL B ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GENT, AGGREGATE X POLICY LIMIT APPLIES PER: PRO- LOC JECT PRODUCTS - COMPIOP AGO $ 2,000,000 $ A A AUTOMOBILE LUMHUTY JX ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X AUTOS ED PIP MI8 FL CA4875679 (ADS) CA4875680(MA) 01/0112015 01/0112015 01/01/2016 01101/2016 COMBINED SINGLE LIMIT Ea accident 2,000,000 BODILY INJURY(Per person) $ BDILY INJURY (Per amiden) $ Perr acudenPROPERTYtAMAGE $ PIP MI8 FL $ UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED I I RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYYIN ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If es. describe u DESCRIPTION OF OPERATIONS belmv NIA WC24508396(ADS) 01/012015 01/01/2016 WI IQCSTATdU om- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYE $ 1000 000 E.L. DISEASE- POLICY LIMIT $ 1,000,000 See Additional Information for Other WC Policies DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) City of Fort Collins - Transfort 6570 Porter 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 R.4..*t c. ,4441 ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: Lamar LOC #: New Orleans AGENCY Marsh USA, Inc. (504) 522-8541 POLICY NUMBER CARRIER ADDITIONAL REMARKS SCHEDULE Page 2 of 2 NAIC CODE NAMED INSURED Lamar Advertising Company 8 all subsidiaries Post Office Box 66338 Baton Rouge, LA 70896 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Other Policies: Workers Compensation Policies. WC24508397 (IL, KY, NC, UT) New Hampshire Insurance Company Efl: 01-01-2015 Exp: 01-01-2016 WC24508398 (NJ, PA) New Hampshire Insurance Company Ef. 01-01-2015 Exp: 01-01-2016 WC24508399 (AZ, VA) New Hampshire Insurance Company E0: 01-01-2015 Fxp: 01-01-2016 WC24508400 (CA) National Union Fire Insurance Company Eff: 01-01-2015 Exp: 01 01-2016 WC24508401 (FL) Illinois National Insurance Company Eff:01-01-2015 Exp: 01-01-2016 WC24508403 (ME) New Hampshire Insurance Company E0: 01-01-2015 Exp: 01-01-2016 WC24508404 (MA, WI, ND, OH, WA, WY) New Hampshire Insurance Company EB: 01-01-2015 Exp: 01-01-2016 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD