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HomeMy WebLinkAboutCOI - Clear Channel Outdoor, LLC - Expires 2024-03-31ACOREl CERTIFICATE OF LIABILITY INSURANCE ATE D03/24/2023DnvYY) 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-23-24 CONTACT Cathy Crown NAME: ( ) 210 691-4173 FAX (210) 737 3584 (A/C, No. Ext): (A/C, No): E-MAIL Cath Crown marsh.com ADDRESS: y' INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : National Union Fire Insurance Co 19445 INSURED Clear Channel Outdoor, LLC & its subsidiaries 4830 North Loop 1604 W, #111 San Antonio, TX 78249 INSURER B : AIU Insurance Company 19399 INSURER C : N/A N/A INSURER D : Insurance Company of the State of Pennsylvania 19429 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: HOU-003498622-16 REVISION NUMBER: 7 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 LTR TYPE OF INSURANCE ADDL JNSD SUBR W VD POLICY NUMBER POLICY EFF IMMIDD/YYYYI POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY GL6547077 03/31/2023 03/31/2024 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE S RENTED (Ea occurrence) PREMISES ( $ 1,000,000 MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PRO JECT X PER' LOC GENERAL AGGREGATE $ 1,000,000 PRODUCTS-COMP/OPAGG $ 1,000,000 $ A D AUTOMOBILE X X x LIABILITY ANY AUTO OWNED SCHEDULED AUTOS NON -OWNED AUTOS ONLY CA7030897(AOS) CA7030899(MA) CA7030898(VA) 03/31/2023 03/31/2023 03/31/2023 03/31/2024 03/31/2024 03/31/2024 COMBIINdEeDrSINGLELIMIT (Ea acciA $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB O OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER MEMBEREXCLUDED?ECUTIVE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below y / N N N/A WC015824933(Califomia) WC015824934 IsconSin ) Continued On Next Page 03/31/2023 0313112023 03/31/2024 0313112024 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) REFERENCE: Bus Shelters Certificate Holder is an additional insured for General Liability and Auto Liability, but only to the extent of the liability assumed under written contract. Workers Compensation coverage is evidenced for employees of the Named Insured only. CERTIFICATE HOLDER CANCELLATION City of Gilroy 7351 Rosanna Street Gilroy, CA 95020 RE © W D APR - 3 2C23 GILROY CITY CLERKS OFFICE 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 :z ed 1 S7 'J�cc. ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101851261 LOC #: San Antonio ACCORGP ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY MARSH USA Inc. NAMED INSURED Clear Channel Outdoor, LLC & its subsidiaries 4830 North Loop 1604 W, #111 San Antonio, TX 78249 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER- 25 FORM TITLE• Certificate of Liability Insurance Workers' Compensation Continued: Policy Number: WC015824932 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), Fbrida (FL) Effective Date (MMIDD/YYYY)': 03/31/2023 Expiration Date (MMIDDIYYYY)*: 03/31/2024 Carrier: AIU Insurance Company Workers Compensation is evidenced for employees of the Named Insured Only. Certificate Holder 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 fumished to AIG no less than 45 days prior to the effective date of cancellation. Number of Days Notice of Cancellation: 30. ACORD 101 (2008/01) 0086-01-00-0002279-0002-0005323 © 2008 ACORD CORPORATION. All rights 1 The ACORD name and logo are registered marks of ACORD