HomeMy WebLinkAbout171337 LAMAR COMPANIES LLC - INSURANCE CERTIFICATE'�111* � ® CERTIFICATE OF LIABILITY INSURANCE DATE /2019 /YYYY)
01I3012019
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 CONTACT
Marsh USA Inc. NAME:;_.
PHONE - FAX
701 Poydras Street, Suite 4125 Lf�,�4, Ext): (A/c No):
NewOrleans.CertRequest@marsh.com E-MAILDDR
New Orleans, LA 70139 —T
INSURED
Lamar Advertising Company
& all subsidiaries
Post Office Box 66338
Baton Rouge, LA 70896
INSURER A : National Union Fire Insular
INSURER B : New Hampshire Insurance
INSURER C: National Union Fire Insular
Company 19445
rnpany 23841
Co. of Pittsburah. PA 19445
COVFRAGFS CERTIFICATE IJI IIU1I ury I nm94Anas 11
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
POLICY EFF
MMIDD/YYYY
POLICY EXP
MM/DDIYYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
GL5425830 (AOS)
01/01/2019
01/01/2020
EACH OCCURRENCE
$ 2,000,000
DAMAGETO PREMISES (Ea orccur ence
$ 1,000,000
MED EXP (Any one person)
$ 100,000
PERSONAL & ADV INJURY
$ 2,000,000
GEN'L
AGGREGATE LIMIT APPLIES PER
PNRO-
POLICY JECT LOC
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER
A
A
AUTOMOBILE
LIABILITY
ANY AUTO
CA9767416 (AOS)
CA9767417 (MA)
01/01/2019
01/01/2019
01/01/2020
01/01/2020
COMBINED SINGLE LIMIT
Ea accdent
$ 3,000,000
X
BODILY INJURY (Per person)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
PIP FL & MI
X
PROPERTYDAMAGE
Per accident
$
X
X
UMBRELLALIAB
X
OCCUR
28295034
01/01/2019
01/01/2020
EACH OCCURRENCE
$ 1,000,000
AGGREGATE
$ 1,000,000
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? NI
NIA
WC046912796(AOS)
1/01/2020
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
(Mandatory in NH)
If yes, describe under RIP )ON OF OPERATIONS below
E L DISEASE - POLICY LIMIT
$ 1,000,000
See Additional Information
for Other WC Policies
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Certificate holder is/are included as Additional Insured under General Liability and Auto Liability as required by written contract.
wr+r r wwa_r� I+AIVI.CLLA I IUIV
City of Fort Collins & Transfort SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
PO Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Fort Collins, CO 80522 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Robert C. Hill 4-_4 C.
U 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD