2019/01/01 Lamar Advertising Company and all subsidiaries Certificate of Liability InsuranceA`C>IRf> CERTIFICATE OF LIABILITY INSURANCE
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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(iss) 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 endorsements .
PRODUCER
Marsh USA, Inc. (5M) 522.6941
701 Poydrm, Suite 4125
Haw Orleans, LA 70119E-MAIL
Attn: New0deans.CertRequest®marsh.com Fax: 212.946.0537
NAME:
PHONE A
_ uc No):
ABORE 99:
INSURE S AFFORDING COVERAGE
NAIC II
INSURERA: National Union Fire Insurance Company
19445
_
INSURED
Lerner Advertising Company
INSURERS : New Hampshire Insurance Company
23541
-
a all subSldlades
INSURER C
INSURER D :
PO Box 66338
Baton Rouge, LA 70896
—
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: HOU-003547715-01 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.
r R
TYPE OF INSURANCE
AD
POLICYNUIIBER
M�DY Epp
MWPOLdn Q
LIMA
A
X
COMMERCUILGENERALLUBILITY
CLAIMS -MADE I •- I OCCUR
GL5425830(ADS)
01101/2019
01101/2020
EACH OCCURRENCE
S 2,000,000
TORENTED
PREMIS S Jet
S 1,000,000
MED EXP (Any one n
S 100,000
PERSONAL d ADV INJURY
$ 2,000,000
GEWLAGGREGATELIMIT APPLIES PER:
)( POLICY171 jE - LOC
OTHER:
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS-COMPIOP AGG
S 2,000,000
;
A
A
AUTOMOBILELL48MM
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
X PIP FL 3 MI
CA9767416(AOS)
CA9767411(MA)
01101I1019
01/01/2019
D1101P2020
01/01/2020
ComtilNED SINGIE5 LIMIT
Eo Aceldont
; 3,000.000
BODILY INJURY (Per pawn)
S
BODILY INJURY (Pa eoddeM)
It
PROPERTY DAMAGE
Par 19440411
S
$
UM9RELLALIAS
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
;
DED RETENTION
S
B
WDRKERSCoMPFN"TION
AND EMPLOYERS' LIABILITY7ATUTE
ANYPROPRIFTOFWARTNERIEXECUTNE YIN1,000.000
OFFICERIMEM$EREXCLUDED4 NI
(RartcWM In NH)
Ir yyees, dewibe under
DESCRIPTION OF OPERATIONS below
NIA
W 046912796(ADS)
01 1120
oIYF
1-1- ER
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYEE
S 1,000,001)
E.L. DISEASE - POLICY LIMIT
S 1,000,000
See Additional Information
for Other WC Policies
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORO 101, Additional Remarks Schedule, may be attached If more space Is required)
L;CK I1111LA t t KULUtK I:AtYGCLLA I IUN
City of Menges
Ann: Margarita Comejo, Finance Services Manager
29844 Haim, Road
Menges, CA 92566
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
A-. -,-� c - >,4w
®1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (201W03) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: CN101638795
LOC #: New Orleans
Rom® ADDITIONAL REMARKS SCHEDULE
Page 2 of 2
AGENCY
NAMED INSURED
Marsh USA, Inc. (604) 622-WI
Lamar Adver9sing Company
8 all subafdiades
PO BOX 66338
POLICY NUMBER
Baton Rouge, LA 70896
CARRIER NAIC CODE
EFFECTIVE DATE:
1:4 R, , r_1:1 at7
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance
Workers Compensation Pollclea:
Policy; WC046912799 (MA &WI)
MA, WL ND, OH,WA, WY
New Hampshlm Insurance Company
Eft. 011012019 Exp: 0110112020
Polley; WC046912798 (CA)
CalHomla (CA)
Mi6rttin Ho-i,o Azzourunce
EfT: OU012019 Exp, 0110112020
Palley: WC046912800 (FL)
FWWa (FL)
116nols National Ins. Co.
Efl: 0110112019 Exp. 0110112020
Policy. WC046912797 (Other)
AZ, IL, KY, NC, NJ, PA, UT, VA
New Hampshire Ins. Co.
Eft: 01/012019 &p.011012020
ACORD 101 (2008101) ® 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD