HomeMy WebLinkAbout07040056 Certificate of Insurance
ACORD. CERTIFICATE OF LIABILITY INSURANCE ~opP ID S9 DATE lMM/DD/'fYYyt
AUARIl 03/26/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Sky Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
P.O. Box 2047 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Indianapolis IN 46206-2047
Phone: 317-269-4786 Fax:317-269-4806 INSURERS AFFORDING COVERAGE NAIC#
INSURED .-- - .--0 -- _...._._.__._--~~_._------_._--- f--.---....-. .
INSURER A' Penn Star Insurance Co. I
-_..-.
~_R B~,__... ..--".,-----.-.--.------- -~----. --
~arian ~e Alternatives,Inc. INSURER c' ,
...----.-.
5 25 Carve Ave INSURER 0
Indianapolis IN 46220 - . ----..
INSURER E
COVERAGES
:if
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWtTHSTANDI~G .
ANY REQUIREMENT, TERM OR CONDITION OF MY CONTRACT OR OTHER OQCUMENT 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS
- - . ~.. ~ ... .'PO' .-..
LTR N.R TYPE OF INSURANCE POLICY NUMBER D~~1MMJDDIYY DATE MMIDONlt'i'" LIMITS
~NERA1.l1A8IUTY EACH OCCURRENCE . 1,000. OQO
A .!. COMMERCIAL GENERAL LIABILITY PAC6175650 09/05/06 09/05/07 PREMISES (ellll occurence , 100, OOCi _
- P ClAIMS MADE ~ OCCUR MED EX? (Ivly one penion) _'5,CiOO
...._-_.--~~~~-_._._-
-- PERSONAL & ADV INJURY $1,000,000
~---~ -
- GENERAL AGGREGATE $ 2 , 000 , 000
---
GEN'L AGGREGATE lIMIT APPLIES PER PRODUCTS. COMPIOP AGO '2 000,000
I ,fuIPRD- n
POlICY JECT LOC
AUTOMOBILE lIABlL.ITY COMBINED SINGLE LIMIT
----.0 ,
ANY AUTO (Eaac:cident)
E f------------- --... ....
ALL OWNED AUTOS BODILY INJURY
,
SCHEDULED AUTOS {Per person)
.._-_..~ ..
1- HIRED AUTOS 80DIL Y INJURY
(Pereccidenl} ,
NON-QWNED AUTOS
-.... 1----.--------- ......- .
- PROPERTY DAMAGE ,
{Per accident) I
GARAGE lIABILITY AUTO ONLY. EA ACCIDENT ,
~ ANY AUTO --- .--.--_...
OTHER THAN EA ACC ,
- ~ .... ..
AUTO ONLY: AGG , I
EXCESS/UMBRELLA LIABIUTY EACH OCCURRENCE , I
] OCCUR D CLAIMS MADE O___.__O'...~____ ----------
AGGREGATE , ,
..
, I
=1 DEDUCT"LE , .~.--
---
RETENTION , , I
WORKERS COMPENSATION AND I To~ill~l-rs 1_ I"ER I
EMPLOYERS' LIABILITY ..-
ANY PROPRIETORJPARTNERlEXECUTlVE E.L. EACH ACCIDENT ,
--.-
OFFICER/MEMBER EXCLUDED? H. DISEASE. EA EMPLOYEE S
Ilyel, delCribeunder _n
SPECIAL PROVISIONS below E.l. DISEASE. POLICY LIMIT ,
OTHER
I
DESCRIPTION OF OPERAnoNS I lOCATIONS I VEHICLES I exCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVl5MJN8 !
Coverage applies to: I
Elizabeth Saulsberry - President and
Janet Cambron - Treasurer
CERnFICA TE HOLDER
CANCELLATION
ONESHOT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIl 10 DAYS WRITTEN
NOTICE TO THE CERTlACATE HOLDER NAilED TO THE LEFT, BUT FAIlURE TO DO so SHALL
City of Carmel IMPOSE NO OBLIGATION OR LlABD.1TY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE i /j""111"~-
"""..J ~i-<\.i'" L...\._
Shanna M. Grizzle - SKY
ACORD 25 (2001/08)
@ACORD CORPORA nON 1988