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HomeMy WebLinkAboutLAMAR ADVERTISING COMPANY & AL SUBSIDIARIES - INSURANCE CERTIFICATE® [__DATE (MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 11119/2015 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 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. (504) 522-8541 PHONE FAX 701 Poydras, Suite 4125 ► lac, No): New Odeans, LA 70139 E-MAIL Attn: NewOrleans.CertRequest@marsh.com Fax: 212-948-0537 ADDRESS: _-.- INSURERISI AFFORDING COVERAGE NAIC # _ INSURER A : Insurance Company of the State of Pennsylvania 19429 INSURED INSURER B : New Hampshire Insurance Company 23841 Lamar Advertising Company & all subsidiaries INSURER C _ Post Office Box 66338 INSURER D : Baton Rouge, LA 70896 INSURER E : _ INSURER F : \111MDCG. Hots-nnminsan-1ri RFVIRIrNJ MIIMRFR- 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/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR GL2039105 (AOS) 01/01/2016 01/01/2017 EACH OCCURRENCE $ 2,000,000 PRTED EM SESDAMAGE � a oNcu ence $ 1,000,000 MED EXP (Any one person) $ 100,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRO JECT ❑ LOC X POLICY D OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS X PIP FL & MI CA9734201 (AOS) CA9734202 (MA) 01/01/2016 01/01/2016 01101/2017 01/01/2017 COMacBINED dentSINGLE LIMIT E ci $ 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC068022338(AOS) 01/01/2016 01/01/2017 X STATUTE OERH E L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEd $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 See Additional Information for Other WC Policies DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) GERTIFIGA 1 t HULUtK t+Hrvl CLLH I IVIv City of Fort Collins - Transfort 6570 Fortner 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 U 1ytRS-LU14 AL.UKU L;UKFUKA 1IUN. All rlgnl:s reserVeo. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: Lamar LOC #: New Orleans A ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA, Inc. (504) 522-8541 Lamar Advertising Company 8 all subsidiaries Post Office Box 66338 POLICY NUMBER Baton Rouge, LA 70896 CARRIER NAIC CODE 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: WC068022339 (IL, KY, NC, UT) New Hampshire Insurance Company Eff: 01-01-2016 Exp: 01-01-2017 WC068022340 (NJ, PA) New Hampshire Insurance Company Eff: 01-01-2016 Exp: 01-01-2017 WC068022341 (AZ, VA) New Hampshire Insurance Company Eff: 01-01-2016 Exp: 01-01-2017 WC068022337 (CA) National Union Fire Insurance Company Eff: 01-01-2016 Exp: 01-01-2017 WC068022335 (FL) Illinois National Insurance Company Eff: 01-01-2016 Exp: 01-01-2017 WC068022343 (ME) New Hampshire Insurance Company Eff: 01-01-2016 Exp: 01-01-2017 WC068022342 (MA, WI, ND, OH, WA, WY) New Hampshire Insurance Company Eff: 01-01-2016 Exp: 01-01-2017 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD