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HomeMy WebLinkAboutLAMAR ADVERTISING COMPANY & ALL SUBSIDIARIES - INSURANCE CERTIFICATE (4)® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/13/2017 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($). PRODUCER CONTACT Marsh USA Inc. NAME: 701 Poydras Street, Suite 4125 PHONE (aC, No): New0deans.CertRequest@marsh.com E-MAIL New Orleans, LA 70139 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Insurance Company INSURER B : New Hampshire Insurance Company 23841 INSURED Lamar Advertising Company INSURER C : National Union Fire Insurance Co. of Pittsburgh, PA 19445 & all subsidiaries Post Office Box 66338 Baton Rouge, LA 70896 INSURER D COVERAGES CERTIFICATE NUMBER: HOU-003256485-08 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 POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL2039105(AOS) 01/01/2018 01/01/2019 EACH OCCURRENCE $ 2.000,000 CLAIMS -MADE � OCCUR DAMAGE PREMISES Ea oNED ccurrence)$ 1,000,000 MED EXP (Any one person) $ 100,000 PERSONAL & ADV INJURY $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑ PRO JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY CA9734201 (AOS) 01/01/2018 01/01/2019 COMBINED SINGLE LIMIT $ 2,000:000 A X ANY AUTO CA9734202 (MA) 01/01/2018 01/01/2019 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY $ X PIP FL & MI X UMBRELLA LIAB X OCCUR 028189393 01/01/2018 01101/2019 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? a (Mandatory in NH) N/A WC068022338(AOS) 01/01/2019 X PER I OTH- STATUTE I ER E.L. EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below 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. CERTIFICATE HOLDER CANCELLATION City of Fort Collins & Transfort PO Box 580 Fort Collins, CO 80522 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 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORO® AGENCY Marsh USA Inc. POLICY NUMBER CARRIER AGENCY CUSTOMER ID: Lamar LOC a: New Orleans ADDITIONAL REMARKS SCHEDULE NAIC CODE NAMED INSURED Lamar Advertising Company & all subsidiaries Post Office Box 66338 Baton Rouge, LA 70896 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: 01-01-2018 Exp: 01-01-2019 WC068022340 (NJ, PA) New Hampshire Insurance Company Eff: 01-01-2018 Exp: 01-01-2019 WC068022341 (AZ, VA) New Hampshire Insurance Company Eff: 01-01-2018 Exp: 01-01-2019 WC068022337 (CA) American Home Assurance Eff: 01-01-2018 Exp: 01-01-2019 WC068022335 (FL) Illinois National Insurance Company Eff: 01-01-2018 Exp: 01-01-2019 WC068022342 (MA, WI, ND, OH, WA, WY) New Hampshire Insurance Company Eff: 01-01-2018 Exp: 01-01-2019 Page 2 of 2 ACORD 101 (2008/01) W LUU6 A%IVMU \evRiVRH 11V19. MII IIyIIW IGAGOcu The ACORD name and logo are registered marks of ACORD