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2021-213-E-Animal Svc-Lamar Texas Limited Partnership-Billboard
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2021-213-E-Animal Svc-Lamar Texas Limited Partnership-Billboard
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Last modified
5/18/2021 2:56:24 PM
Creation date
5/18/2021 2:56:04 PM
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Contract
Date
4/28/2021
Contract Starting Date
4/28/2021
Contract Ending Date
5/3/2021
Contract Document Type
Contract
Amount
$875.00
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DocuSign Envelope ID:CFAC8B75-13DE-422C-B3F4-DEE7176415C2 Page 1 of 2 <br /> A R�� DATE(MM/DDIYYYY) <br /> �J CERTIFICATE OF LIABILITY INSURANCE 12/2s/2o2o <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Willis Towers Watson Certificate Center <br /> NAME: <br /> Willis Towers Watson Southeast, Inc. <br /> c/o 26 Century Blvd PHONE 1-877-995-7378 FAX 1-888-467-2378 <br /> A/C No Ext: A No <br /> P.O. Box 305191 ADDRESS: certificates@willis.com <br /> Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA: National Union Fire Insurance Company of P 19445 <br /> INSURED INSURERB: AIU Insurance Company 19399 <br /> Lamar Advertising Company & all subsidiaries <br /> PO Box 66338 INSURERC: New Hampshire Insurance Company 23841 <br /> Baton Rouge, LA 70896 INSURERD: <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:W19551627 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> DAMAGE TO CLAIMS-MADE1:1 OCCUR PREMISES <br /> ('a <br /> a RENTED <br /> ) $ 1,000,000 <br /> A MED EXP(Any one person) $ 100,000 <br /> Y GL3980288 01/01/2021 01/01/2022 PERSONAL&ADV INJURY $ 2,000,000 <br /> GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> POLICY jE O LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> L $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> B ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 <br /> OFFICER/MEMBER EXCLUDED? NIA WC058240121 01/01/2021 01/01/2022 <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 <br /> If yes,describe under 1,000,000 <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> B Workers Compensation/ WC058240119 01/01/2021 01/01/2022 E.L. Each Accident $1,000,000 <br /> Employers Liability - (FL) E.L. Disease-Ea Empl $1,000,000 <br /> Per Statute E.L. Disease-Pol Lint $1,000,000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> This Voids and Replaces Previously Issued Certificate Dated 12/24/2020 WITH ID: W19516161. <br /> SEE ATTACHED <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Orange County North Carolina AUTHORIZED REPRESENTATIVE <br /> P.O. Box 8181 <br /> Hillsborough, NC 27278 <br /> ©1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> SR ID: 20518529 BATCH: 1927812 <br />
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