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HomeMy WebLinkAboutLAMAR ADVERTISING COMPANY & ALL SUBSIDIARIES - INSURANCE CERTIFICATE (3)10 ACCORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 12/13/2016 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 Marsh USA Inc. 701 Poydras Street, Suite 4125 NewOrleans.CertRequest@marsh.com New Orleans, LA 70139 CONTACT _NAME: _...._ PHONE FAX _ tuC No : E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Insurance Company of the State of Pennsylvania 19429 INSURED Lamar Advertising Company & all subsidiaries INSURER B : New Hampshire Insurance Company 23841 -- INSURER C: National Union Fire Insurance Co. of Pittsburgh, PA 19445 INSURER D : Post Office Box 66338 Baton Rouge, LA 70896 INSURER E INSURER F : rnVP0Ar_9c rFRTIFIreTF NIIMRFP- HOU-002816942-02 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 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 ICY EFF MOE 0/YYYY POLICY EXP MM DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XJ OCCUR GL2039105 (AOS) 01/01/2017 01/01/2018 EACH OCCURRENCE $ 2,000,000 PREM SO ESEa oNcu ante $ 1,000,000 MED EXP (Any one person) $ 100,000 PERSONAL & ADV INJURY $ 2,000,000 GENE AGGREGATE LIMIT APPLIES PER: X POLICY PRO ❑ LOC JECT 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 X NON -OWNED HIRED AUTOS AUTOS X PIP FL & MI CA9734201 (AOS) CA9734202 (MA) 01/01/2017 01/01/2017 01/01/2018 01/01/2018 COMBINED SINGLE LIMIT Ea accident ___ $ 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYDAMAGE r a --- $ $ C X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE 19452256 01101/2017 01/01/2018 EACH OCCURRENCE $ 1,000,000 N AGGREGATE $ 1.000,000 DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IN ANY PROPRIETOR/PARTNER/EXECUTIVE Y� OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC068022338(AOS) 01/01/2017 01/01/2018 X STA LITEOERH EL EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 See Additional Information for Other WC Policies DESCRIPTION OF OPERATIONS / 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. rCOTICIrATC LJnI 11711170 rAPJrFI 1 ATION 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 U 1988-2014 AGOKD GOKPUKA I IUN. All rlgnts reservea. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: Lamar LOC #: New Orleans .vc VKu AUUI I IUNAL KtnnAKt%Z0 ZourycuuL� AGENCY NAMEDINSURED Marsh USA Inc. Lamar Advertising Company & all subsidiaries POLICY NUMBER Post Office Box 66338 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, INC, UT) New Hampshire Insurance Company Eff: 01-01-2017 Exp: 01-01-2018 WC068022340 (NJ, PA) New Hampshire Insurance Company Eff: 01-01-2017 Exp: 01-01-2018 WC068022341 (AZ, VA) New Hampshire Insurance Company Eff: 01-01-2017 Exp: 01-01-2018 WC068022337 (CA) National Union Fire Insurance Company Eff: 01-01-2017 Exp: 01-01-2018 WC068022335 (FL) Illinois National Insurance Company Eff: 01-01-2017 Exp: 01-01-2018 WC068022343 (ME) New Hampshire Insurance Company Eff: 01-01-2017 Exp: 01-01-2018 WC068022342 (MA, WI, ND, OH, WA, WY) New Hampshire Insurance Company Eff: 01-01-2017 Exp: 01-01-2018 4CORD 101 (2008/01) to Luva A%-UrtU %'U1%r1%jMM I rUrv. r+n I Iwovi.c. The ACORD name and logo are registered marks of ACORD