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Navigators Specialty Insurance Company 36056-001
Hartford Underwriters Insurance Company 30104-001
Liberty Mutual Fire Insurance Company 23035-002
877-945-7378 [email protected]
Willis of Illinois, Inc.c/o 26 Century Blvd.P. O. Box 305191Nashville, TN 37230-5191
600 W. Van Buren, Suite 500Chicago, IL 60607
X
X
Professional &X
Pollution LiabilityX
X
1,000,000
300,000
10,000
1,000,000
2,000,000
2,000,000
A CH13NP4030263NC 7/31/2013 7/31/2014
X X$500. CompDed.X $500. Coll
Ded.
1,000,000
X
B 83UECVO6154 7/31/2013 7/31/2014
X
X 5,000,000
5,000,000
A CH13NP4030263NC 7/31/2013 7/31/2014
X
1,000,000
1,000,000
1,000,000
C WC2-Z91-457459-013 7/31/2013 7/31/2014
Re: Contract Award, Contract #11420
The Professional and Pollution Liability Coverages covered on Navigators policy are also coveredunder the Excess policy.
Chicago Housing Authority is included as an Additional Insured as respects to General Liabilityand Auto Liability, where required by contract
Carnow, Conibear & Associates, Ltd.
04/07/2014Page 1 of 2
Y
Y
21480353
Chicago, IL 6060560 E. Van Buren, 13th FloorChicago Housing Authority
Coll:4382990 Tpl:1684239 Cert:21480353
DATE (MM/DD/YYYY)
PRODUCER
INSURED
INSR ADD’L SUBR POLICY EFF POLICY EXPTYPE OF INSURANCE POLICY NUMBER LIMITSLTR INSRD WVD (MM/DD/YYYY) (MM/DD/YYYY)
GENERAL LIABILITY
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATIONAND EMPLOYERS’ LIABILITY Y / N
N / A
(Mandatory in NH)
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required)
AUTHORIZED REPRESENTATIVE
CONTACTNAME:PHONE FAX(A/C, NO, EXT): (A/C, NO):E−MAILADDRESS:
INSURER(S)AFFORDING COVERAGE NAIC #
INSURER A:
INSURER B:
INSURER C:
INSURER D:
INSURER E:
INSURER F:
EACH OCCURRENCEDAMAGE TO RENTED
$
COMMERCIAL GENERAL LIABILITY $PREMISES (Ea occurence)
CLAIMS−MADE OCCUR MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GEN’L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $PRO-
POLICY LOCJECT $COMBINED SINGLE LIMIT
$(Ea accident)
ANY AUTO
ALL OWNEDAUTOS
BODILY INJURY(Per person) $
SCHEDULEDAUTOS
HIRED AUTOS
BODILY INJURY(Per accident) $
NON-OWNEDAUTOS
PROPERTY DAMAGE$(Per accident)
$
EACH OCCURRENCEOCCUR
CLAIMS−MADE AGGREGATE
$
$
DED $RETENTION $WC STATU- OTH-
TORY LIMITS ER
E.L. EACH ACCIDENT $ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?
If yes, describe underDESCRIPTION OF OPERATIONS below
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE 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.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. 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 be endorsed. If SUBROGATION IS WAIVED, subject tothe terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to thecertificate holder in lieu of such endorsement(s).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
ACORD 25 (2010/05)© 1988−2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
CERTIFICATE OF LIABILITY INSURANCE
ADDITIONAL REMARKS SCHEDULE
AGENCY CUSTOMER ID:
LOC#:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,FORM NUMBER: FORM TITLE:
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD
AGENCY NAMED INSURED
POLICY NUMBER
CARRIER NAIC CODE
EFFECTIVE DATE:
125916
Page 2 of 2
Willis of Illinois, Inc.
See First Page
See First Page See First Page
Carnow, Conibear & Associates, Ltd.600 W. Van Buren, Suite 500Chicago, IL 60607
25 CERTIFICATE OF LIABILITY INSURANCE
General Liability and Auto Liability policies shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by Additional Insured.
Umbrella follows form of the General Liability coverage.
Coll:4382990 Tpl:1684239 Cert:21480353