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HomeMy WebLinkAbout144217 CCMSI HOLDINGS INC - INSURANCE CERTIFICATE (11)CERTIFICATE CCMSHOL-01 LIABILITY INSURANCE I DATE(IA1911YYYY) ��mron10 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 CgNSITITUTE 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, subject to the to... and conditions of the policy, certain policies may req ilre an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endoreement(s). PRODUCER Mesirow Insurance Services, Inc. 353 N Clark St IIth Floor Chicago, IL 60654 INSURED CCMSI Holdings, Inc 2 East Main Street, Suite 208 Towne Centre Building Danville, IL 61832 F: 595-6200 ......�e.n�� recVICIrAV= MY1a1191e0• I REVISION NUMBER: YWvs MVW J THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXOLUSIONS AND CONDITIONS OFSUCHPOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD INS SUBIR POLICY I NUMBER .POLICY EFF .POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS -MADE ❑X OCCUR X 6079556217 11/17/2019 11/17/2020 DAMAGE TO RENTED - $ 100,000 MED EXP. An one rson 15,000 PERSONAL & ADV.INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PRO ❑ LOC JECT . GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 EE Benefits 1,000,000 OTHER : B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I,000,000 - BODILY INJURY Per arson _ X ANYAUTO X 6079556220 11117/2019 '11Y17/2020 BODILY INJURY Per acddeM OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NONOWNED AUTOSONLY AUTOS ONLY PROPERTY DAMAGE _ UMBRELLA LIAB OCCUR EACH OCCURRENCE. .AGGREGATE EXCESS LIAB CLAIMS -MADE DED RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORMARTNERIEXECUTIVE STERTUTE OTH- A ER EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYE OFFICERlMEMBER EXCLUDED? El (Mandatory in NH) NIA N/A E.L. DISEASE -POLICY LIMIT __ $ If yes. describe under DESCRIPTION OF OPERATIONS below C ProfessionalLiabili TER2859945 I 7/31/2019 7/31/2020 SIR $150,000 10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Certificate holder is named as additional Insured under the automobilie Schedule, msy be sUmchad a more spew Is required) liability andgeneralliability for work performed by the insured, only as required by Written contract CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, _ NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 Fort Collins, CO 80522-0000 AUTHORIZED REPRESENTATIVE .. ACORD 25 (201B%03) op 1933-2015 ACORD GOKYOKA I IUn. All ngma reserveo. The ACORD name anlogo are registered marks of ACORD