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HomeMy WebLinkAboutCOI - Clear Channel Outdoor, LLC - Expires 2023-03-31ACCRCf CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 04/05/2022 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 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 MARSH USA Inc. 4400 Comerica Bank Center 1717 Main Street Dallas, TX 75201 CN101851261-GAWU-GAWU-22-23 GAW INSURED Clear Channel Outdoor, LLC & its subsidiaries 4830 North Loop 1604 W, #111 San Antonio, TX 78249 CONTACT NAME: PHONE INC, No. Extl: E-MAIL ADDRESS: Cathy Crown (210) 691-4173 Cathy.Crown@marsh.com INSURER(S) AFFORDING COVERAGE 71072 71072 INSURER A : National Union Fire Insurance Co INSURER B : AIU Insurance Company INSURER C : N/A INSURER D : Insurance Company of the State of Pennsylvania INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: HOU-003499002-14 I FAX No): (210) 737 3584 REVISION NUMBER: 8 NAIC 19445 119399 I N/A 119429 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. INSRLTYPE OF INSURANCE ADDNSD SWVD POLICY NUMBER IMMIDD/YYYY) (R POLICY EFF POLICY M/L DIYYYY) A X COMMERCIAL GENERAL LIABILITY GL6547077 03/31/2022 03/31/2023 CLAIMS -MADE OCCUR X GENII AGGREGATE LIMIT APPLIES PER: PRO- JECT POLICY OTHER: A AUTOMOBILE LIABILITY A D X X B B X ANY AUTO OWNED AUTOS ONLY HIRED AUTOS ONLY UMBRELLA LIAB X LOC riSCHEDULED AUTOS NON -OWNED AUTOS ONLY EXCESS LIAB DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below OCCUR CLAIMS -MADE Y/N N N/A CA7030897 (AOS) CA7030899 (MA) CA7030898 (VA) 03/31/2022 03/31/2022 03/31/2022 03/31/2023 03/31/2023 03/31/2023 WC035901737 (California) 03/31/2022 03/31/2023 WC035901738 (Wisconsin) 03/31/2022 03/31/2023 Continued On Next Page LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) EACH OCCURRENCE AGGREGATE X I STATUTE I I FOR E.L. EACH ACCIDENT I E.L. DISEASE - EA EMPLOYEE I E.L. DISEASE - POLICY LIMIT $ 1,000,000 1,000,000 Excluded 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) RE: CCO-OAKLAND, CA - TRANSIT SHELTERS AT VARIOUS LOCATIONS IN THE CITY OF GILROY City of Gilroy, its City Council, comissions, officers, employees, agents and volunteers are additional Insured for General Liability and Auto Liability, and such insurance is primary and non-contributory, but only to the extent of the liability assumed under written contract, Workers' Compensation coverage is evidenced for employees of the Named Insured only. Workers Compensation is evidenced for employees of the Named Insured Only. CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 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 ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101851261 LOC #: San Antonio ACORD AGENCY MARSH USA Inc. POLICY NUMBER CARRIER ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE NAIC CODE NAMED INSURED Clear Channel Outdoor, LLC & its subsidiaries 4830 North Loop 1604 W, #111 San Antonio, TX 78249 EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers' Compensation Continued: Policy Number: WC035901736 Arizona (AZ), Colorado (CO), Delaware (DE), Georgia (GA), Illinois (IL), Indiana (IN), Kentucky (KY), Maryland (MD), Michigan (MI), Minnesota (MN), Nebraska (NE), New Mexico (NM), Nevada (NV), New Hampshire (NH), New Jersey (NJ), New York (NY), North Carolina (NC), Oregon (OR), Pennsylvania (PA), South Carolina (SC),Tennessee (TN), Texas (TX), Virginia (VA), Florida (FL) Effective Date (MM/DD/YYYY)*: 03/31/2022 Expiration Date (MM/DD/YYYY)*: 03/31/2023 Carrier: AIU Insurance Company Workers Compensation is evidenced for employees of the Named Insured Only. Certificate Bolder included as additional insured on General Liability and Auto Liability, but only with respect to liability that arises out of the acts or omissions of the Named Insured; or, to the extent of the liability assumed by the Named Insured under written contract. The Auto Liability policy is primary, but only with respect to liability that arises out of the acts or omissions of the Named Insured; or, to the extent of the liability assumed by the Named Insured under written contract. The General Liability policy is primary and non-contributory, but only with respect to liability that arises out of the acts or omissions of the Named Insured; or, to the extent of the liability assumed by the Named Insured under written contract. Waiver of subrogation is applicable with respect to General Liability, Auto Liability, and Workers' Compensation policies where required by written contract and subject to policy terms and conditions. In the event coverage is cancelled for any statutorily permitted reason, other than nonpayment of premium, advanced written notice will be mailed or delivered to person(s) or entity (ies) according to the notification schedule shown below. Per the most current schedule maintained by Marsh USA, Inc. and furnished to AIG no less than 45 days prior to the effective date of cancellation. Number of Days Notice of Cancellation: 30. In the event coverage is cancelled for any statutorily permitted reason, other than nonpayment of premium, advanced written notice will be mailed or delivered to person(s) or entity (ies) according to the notification schedule shown below: Per the most current schedule maintained by Marsh USA, Inc. and furnished to XL Catlin Insurance no less than 45 days prior to the effective date of cancellation. Number of Days Notice of Cancellation: 30. Page 2 of 2 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights 1 The ACORD name and logo are registered marks of ACORD 0115-01-00.0001458-0002-0003159