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HomeMy WebLinkAbout457775 FARNSWORTH GROUP INC - INSURANCE CERTIFICATE (7)iP52WIe2aW2 $ ® DATE(MM/)DIYYYY) ACORU CERTIFICATE OF LIABILITY INSURANCE oa/os/2o18 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 1-800-527-9049 CONTACT Linda Bomarito / Audrey McNeill NAPE: _ Holmes Murphy and Associates PHONE 309-683-1065 Ma: 888-898-6604 - Peoria FAX -- 311 S.W. Water Street ADDRESS: AMONeillQholmesmnrphy.com Suite 211 INSURE S AFFORDING COVERAGE NAIL / _ Peoria, IL 61602-4108 INSURER A: EL SPECIALTY INS CO 37885 INSURED _ -_--- - INSURER B: Farnsworth Group, Inc. INSURERC: 2709 McGraw Drive INSURER D: INSURER E : _ Bloomington, IL 61704 INSURER F: CAVFRAGFS CFRTIFICATF MIIURFR• 52023021 RFVISInY Idl WRCD• 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. �T�R TYPE OF INSURANCE ADOL SUER POLICY N ER POLICY EFF MPO DY EXP fYYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) f PERSONAL 4 ADV INJURY $ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ GE_N'L _ POLICY n PRO- LOC JECT PRODUCTS - COMP/OP AGG _ i OTHER: f AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO _ _ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) f HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident _ f -- f UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE j EXCESS LIAR CLAIMS -MADE DED RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PE R OTH- TATUTE ERR— RANY E.L. EACH ACCIDENT $ PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED9 F NIA E.L. DISEASE - EA EMPLOYE - $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Profeesionrll Liability DPR9914827 06/15/17 06/15/18 Each Claim 51000,000 (Claims Made) Aggregate 10,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) The professional liability policy contains a 30 day notice of cancellation as required by written contract with the insured, per policy terms and conditions. Farnsworth Group, Inc. Project Manger: Eric Culver l.tK I IrR,A 1 It MULUtK UANULLLA 1 IUM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7cily f Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 580 AUTHORIZED REPRESENTATIVE 215 N. Mason Fort Collins, CO 80524 IQuI?GC �! USA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD amcneillil 52023021