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Home My WebLink AboutAFLAC INCORPORATED - INSURANCE CERTIFICATE (5)Client#: 103008 30AFLACINCOR ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 1 5/15/2018 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER J Smith Lanier & Co. Columbus Marsh & McLennan Agency, LLC CONACT NAME: Connie Whltmer PHONE 706 324-6671 70 A/C No EXt : A/C No : 6 576-5607 E-MAIL cwhitmer smithlanier.com ADDRESS: �J 200 Brookstone Centre Pkwy;118 Columbus, GA 31904 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A neorenGmetN"hemiceA—XV 20303 INSURED Aflac Incorporated Attn: Mary Rogers 1932 Wynnton Road Columbus, GA 31999 INSURER B : Federal Insurance A—XV 20281 INSURER C PacificIndemnity Company A+ XV 26346 INSURER D INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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 INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYW LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 4 OCCUR 35960492 5/16/2018 05/16/2019 EACH $1,000,000 �OCCURRENCE PREMISES Ea occurrence $1 000 000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY [7X JECT 7 LOC OTHER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OPAGG $Included Gen Agg Ca $75,000,000 /!, AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY 73580109 0511612018 05/16/201 (Ea acccdeDISINGLE LIMIT 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 79825301 0511612018 05/16/2019 EACH OCCURRENCE s25,000,000 AGGREGATE s25,000,000 DED I X RETENTION $$O $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE nYIN OFFICER/MEMBER EXCLUDED? FN (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A 71716058 5/16/2018 05/16/201 X PER OTH- TuTE ER E.L. EACH ACCIDENT $500OOO E.L. DISEASE - EA EMPLOYEE s500,000 E.L. DISEASE - POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Fort Collins 215 North Mason, 2nd Floor Fort Collins, CO 80524-0000 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 n 1998-7015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S3898724/M3898323 CWW