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HomeMy WebLinkAboutMEYER & NAJEM INC - INSURANCE CERTIFICATEACORD" CERTIFICATE OF LIABILITY INSURANCE �� v1/zo2o DATE(MM/DD/YYYY) 12/20/2018 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 Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 (816) 960-9000 NAME: T PH NE FAX A/C, No, Ext : A/C No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A : National Fire Insurance Co of Hartford 20478 INSURED MEYER & NAJEM, INC. 1419876 11787 LANTERN ROAD, SUITE 100 FISHERS IN 46038 INSURER B : Continental Casualty Com anv 20443 INSURER C : Valle Fore Insurance Com anv 20508 INSURER D : INSURER E INSURER F COVERAGES* CERTIFICATE NUMBER: 14556295 REVISION NUMBER: XXXXXXX 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 INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR N N 6016373868 1/1/2019 1/1/2020 EACH OCCURRENCE 1,000,000 PREMISES (Ea olccur ence) $ 100,000 MED EXP (Any oneperson)15 000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC OTHER. GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO X OWNED AUTOS ONLY AUTOSULED X AUTOS ONLY X NON-OWNED ONLDY N N 6016373854 1/1/2019 1/1/2020 Ea eaadeDtSINGLE LIMIT $ 1,000 000 BODILY INJURY (Per person) $ XXX},}V{X BODILY INJURY (Per accident $ XXXXXXX PerOacclden'DAMAGE $ XXXXXXX $XXXXXXX B X UMBRELLA LIAB EXCESS LIAB OCCUR N N CUE6016373840 1/1/2019 1/1/2020 EACH OCCURRENCE $ 15,000,000 NCLAIMS-MADE AGGREGATE $ 15,000 000 DED I X I RETENTION $10,000 $ XXXXXXX C WORKERS ANDEMPLO ERS'LIABILITY COMPENSATIN YIN ANY PROPRIETMPARTNEPJFXECUTIVE � OFFICER/MEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N / A N 6016373837 1/1/2019 1/1/2020 X STATUTE °ER E.L. EACH ACCIDENT $ 1,000.000 EL DISEASE - EA EMPLOYEE Is 1 ,000-000 E.L. DISEASE - POLICY LIMIT 1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION 14556295 CITY OF FORT COLLINS 251 N. COLLEGE AVE. FT. COLLINS CO 80526 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 A(_nRrl 25 l2n1 R/n31 `` v (c)1- R-2015 ACnRn CnRPORATION_ All rinhts rpcprvprl The ACORD name and logo are registered marks of ACORD