HomeMy WebLinkAbout07060115 Certificate of Insurance
A COROm CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/ODNYVY)
12/19/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMATION
Compass Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Dallas Division #972-889-6000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND'OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
9101 LBJ Freeway Suite 300
Dallas, TX 75243 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Scottsdale Insurance Company
LangSmith Enterprises, LLC INSURER B: Twin City Fire Insurance Company
dba: The Woodhouse Day Spa _ Carmel INSURER G: Hartford Underwriters Insurance Co.
14154 Wicksworth Way INSURER 0:
Carmel, IN 46032 INSURER E:
","efll".; J~"'''',J
22WOODDAY12
COVERAGES
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 CERTIFrCA TE MAYBE 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.
'L;~R ~s~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECT~IE POLICY EXPIRATION
DATE fMMfDDjYY DATE f.!MLQQlYYL 1--- LIMITS
-
A GENERAL LIABILITY CLS1268598 09/08/06 09/08/07 EACH OCCURRENCE .1 000 000
r:- DAMAGE TO RENTED .50 000
X COMMERCIAL GENERAL LIABILITY
J CLAIMS MADE [XJ OCCUR MED EXP (Anyone person) '5000
PERSONAL & ADV INJURY .1 000000
GENERAL AGGREGATE .2 000000
GEN'L AGG~nE LIMIT nSIPER: PRODUCTS. COMPIOP AGG .1 000 '000
I POLlcy~[}8T LOC
C ~TOMOBILE LIABILITY 46UECIY8275 09/08/06 09/08/07 COMBINED SINGLE LIMIT '1,000,000
ANY AUTO (Ea accident)
-
ALL OWNED AUTOS BODtL Y INJURY
- {Per person) .
X SCHEDULED AUTOS
HtRED AUTOS BODilY INJURY
X (Peraccidenl) .
- NON-OWNED AUTOS
PROPERTY DAMAGE .
(Peraccidenl)
~rGE LIABILITY AUTO ONLY. EA ACCIDENT .
ANY AUTO OTHER THAN EA ACC .
AUTO ONLY; AGG ,
r.. EXCESS/UMBRELLA LIABILITY XLS0036962 09/08/06 09/08/07 EACH OCCURRENCE .1 000 000
~ OCCUR D CLAIMS MADE AGGREGATE .1 000 000
.
g_~EDUCTIBLE .
RETENTION . ,
3 WORKERS COMPENSATION AND 46WECNW4161 09/06/06. 09/08/07 X I T~C S['~~S I IO,W
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT .1 000 000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE ,1 000,000
Ilyes, tlescribeunder .1 000 000
SPECIAL PROVISIONS below E.L. DISEASE. POLICY LIMIT
OTHER
ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
:e: Health & Fitness Fair January 21, 2007 at Fashion Mall. The following
re included as additional insured under the General Liability for the one
ay event at the Fashion Mall on January 21,2007. Weiss Communications, ,
IC. and their respective officers, directors, and related and affiliated I
lee Attached Descriptions) ,
ERTIFICA TE HOLDER
CANCELLATION
Weiss Communications, Inc.
Attn: Michael Butt
6610 N. Shadeland Ave, Ste 100
South Bend, IN 46620
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHALL
I
IMPOSE NO OBLIGATION OR lIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
I
REPRESENTATIVES.
A~!'lq~IZED..REPRESENTATIVE
.~~~W~
;ORD 25 (2001/08) 1 of 3
#M263270
22PZK
@ ACORD CORPORATION 1988