Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2021/01/01 Lamar Advertising Company and All Subsidiaries Certificate of Liability Insurance
Page 1 of 2 A� « CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/ 12/28/2020 ��- 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(les) 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(s). PRODUCER CONTACT NAME:- _ _ Willis Towers Watson Certificate Center Willis Towers Watson Southeast, Inc. PHONE , 1-877-945-7378 116N . 1-888-467-2378 c/o 26 Century Blvd Etc. No P.O. Box 305191 ApDR a estifEicstas@willie.com Nashville, TN 372305191 USA INSURER S AFFORDING COVERAGE C INSURED Lamar Advertising Company A all subsidiaries PO Box 66338 Baton Rouge, LA 70896 NAl # INSURERA: National Union Fire Insurance Company of P 19445 INSURERS: AIU Insurance Company 19399 INSURERC: New Hampshire Insurance Company 23841 E: COVERAGES CERTIFIrATF NIIIMRFR- W19548271 RFVICIAN NI IRARCR- 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 r - , %(116A, . I -- LTR TYPE OF INSURANCE POLICY NU Ef! PAOULQIy r M LI�YV LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000, 000 CLAIMS MOCCUR 1,000,000 -MADE PFiElu415E$ {a_orrrgnla�_ $ _ A MED EXP (Any one person) $ 100,000 PERSONAL& ADV INJURY $ 2,00D,000 GL3980288 01/01/2021 01/01/2022 GEN'LAGOREGATE LIMIT APPLIES PER AGGREGATE $ 2,000,000 POLICY L X JEC XLOC _GENERAL _ PRODUCTS -COMP/OPAGG $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGtE LIMIT _LEa Jcodonl), I $ 3,000,000 X ANY AUTO BODILY INJURY (Per person) I $ A OWNED SCHEDULED AUTOS ONLY AUTOS CA4888814 01/01/2021 01/01/2022 BODILY INJURY (Per accident) $ HIRED NON -OWNED PROPERTYDAMAISE $ AUTOS ONLY AUTOS ONLY {per _VcId4n0). EACH OCCURRENCE $ UMBRELLA LIAB H OCCUR $ EXCESS LIAR CLAMS -MADE � j -AGGREGATE DED 1 RETENTIONS I $ WORKERS COMPENSATION -PER CTH_ AND EMPLOYERS' LIABILITY Y / N T 7 T R EL. EACH ACCIDENT $ 1,000,000 B ANYPROPRiETORmARTNEFV�EXECUTiVE ❑FFICEMMEMBEREXCLUDED7 �IIN/A WC058240121 01/01/2021 01/01/2022 (Mandatary In NH) E.L, DISEASE - EA EMPLOYEES 1,000,000 IIyes, describe wider DESCRIPTION Oe OPERATIONS below 1, Coo, 000 E.L. DISEASE - POLICY LIMIT B Workers Compensation/ `f WC058240119 01/01/2021 01/01/2022 E.L. Each Accident $1,000,000 Employers Liability - (FL) E.L. Disease -Ea Empl $1,000,000 Per Statute E.L.. Disease-Pol Lint $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace is required) This Voids and Replaces Previously Issued Certificate Dated 12/24/2020 WITH ID: W19512707. SEE ATTACHED k,r-m I Irtt A i t MULLrtil City of Meenifee Attn: Margarita Cornejo, Finance Services Manager 29844 Haun Road Menifee, CA 92586 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 01988.2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD OR rD: 20518529 BATCH: 1927812 2 of 2 38117 AGENCY CUSTOMER ID: LOC #: ��� ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Lamar Advertising Company a all subsidiaries Willis Towers Watson Southeast, Inc. PO Box 66338 Baton Rouge, LA 70896 _ POLICY NUMBER See Page 1 CARRIER NAIC CODE See Page 1 See Page l EFFECTIVE DATE: See Page I MnITIONAL REMARKq THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE.• Certificate of Liability Insurance INSURER AFFORDING COVERAGE: AIU Insurance Company NAIC#: 19399 POLICY NUMBER: WCOSS240120 EFF DATE: 01/01/2021 EXP DATE: 01/01/2022 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation/ E.L. Each Accident $1,000,000 Employers Liability - (CA) E.L. Disease -Ea Empl $1,000,000 Per Statute E.L. Disease-Pol Lmt $1,000,000 INSURER AFFORDING COVERAGE: New Hampshire Insurance Company NAIC#: 23841 POLICY NUMBER: WCOSS240122 EFF DATE: 01/01/2021 EXP DATE: 01/01/2022 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation/ E.L, Each Accident $1,000,000 Employers Liability-(MA,ND,OH,WA,WI, E.L. Disease -Ea Empl $1,000,000 WY)Per Statute E.L. Disease-Pol Lmt $1,000,000 INSURER AFFORDING COVERAGE: National Union Fire Insurance Company of Pittsburgh NAIC#: 19445 POLICY NUMBER: CA4888815 EFF DATE: 01/01/2021 EXP DATE: 01/01/2022 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Automobile Liability - (VA) Any Auto - CSL $3,000,000 ACORD 101 (2008)01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 20518529 BATCH: 1927812 CERT: W19548171