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HomeMy WebLinkAbout144217 CCSMI HOLDINGS INC - INSURANCE CERTIFICATECCMSHOL-01 LCOZAD ACORO DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE F09/27/2018 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 have ADDITIONAL INSURED provisions or 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 NAMEACT Leah Cozad Mesirow Insurance Services, Inc. PHONE FAX 353 N. Clark St 11th fl (A/C, No, Ext): (312) 595-6000 I (A/C, No): Chicago, IL 60654 E-MAIL Ss• Leah.Cozad@aIIiantcom_ INSURED CCMSI Holdings, Inc 2 East Main Street, Suite 208 Towne Centre Building Danville, IL 61832 INSURER AA\/Cnan��+ ^=nrICINA r a111M1M=Z2. DCVICIfNIJ MI IIIIIRCR• 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 LTRTYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR I6301918P719COF17 11/17/2017 11/17/2018 EACH OCCURRENCE 1'000'000 DAMAGE TORENTED 100,000 MED EXP (Any oneperson) $ 5'000 PERSONAL & ADV INJURY 1'000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 JECT a LOC OTHER. GENERAL AGGREGATE 2,000,000 PRODUCTS -COMPIOPAGG 2,000,000 A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY P8101918P719COF17 11/17/2017 11117/2018 COMBI aED aceent)SINGLE LIMIT 1,000,000 _(Ea BODILY INJURY Perperson) $ BODILY INJURY Per accident PerOP.ER"eV AMAGE $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN A�FFICER/MEIMBER EXCLUDED? ECUTIVE ❑ (Mandatory 1n NH) If yes, describe under DESCRIPTION OF OPERATIONS below N fA PER OTH- T T LITE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT B Errors & Omissions 82257026 07/31/2018 07/31/2019 $150,000 SIR 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD