CERTIFICATE OF LIABILITY INSURANCE

PRODUCER

OP ID

TI NATIO14

DATE (MM/DD/YYYY)

12/07/09

Schiff, Kreidler-Shell, Inc. 1 West Fourth St. Suite 1300 Cincinnati OH 45202 Phone: 513-977-3100
INSURED

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE
INSURER A:

NAIC #

Chubb Insurance Group

12777

National Underground Railroad Freedom Center 50 East Freedom Way Cincinnati OH 45202
COVERAGES

INSURER B: INSURER C: INSURER D: INSURER E:

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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER LIMITS LTR INSRD TYPE OF INSURANCE DATE (MM/DD/YYYY) DATE (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG

A

X

X

COMMERCIAL GENERAL LIABILITY

PHPK413779

04/29/09

04/29/10

CLAIMS MADE X OCCUR X OhEmployersLiab HOST LIQUOR LIAB $1,000,000 LIMIT: $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PROPOLICY LOC JECT AUTOMOBILE LIABILITY

Emp Ben. PHPK413779 04/29/09 04/29/10
COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident)

1,000,000 500,000 $ 5,000 $ 1,000,000 $ 2,000,000 $ 2,000,000 1,000,000
$ $ $

A

X

ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS

1,000,000

$

$

A

X HiredCarPhysDmg 500cmp/1000coll
GARAGE LIABILITY ANY AUTO

PHPK413779

04/29/09

04/29/10

PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EA ACC AGG

$ $ $ $ $ $ $

EXCESS / UMBRELLA LIABILITY

EACH OCCURRENCE

A

X

OCCUR

CLAIMS MADE

PHUB270257

04/29/09

04/29/10

AGGREGATE

15,000,000 15,000,000

DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below OTHER WC STATUTORY LIMITS E.L. EACH ACCIDENT OTHER

$ $

$

E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $

A

Collections

35795667

04/29/09

04/29/10

Limit:

$3,742,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS

CERTIFICATE HOLDER

CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION

OCFC--1 Ohio Cultural Facilities Comm. Attn: Tony Capaci 20 E Broad Street Suite 200 Columbus OH 43215-3416
ACORD 25 (2009/01)

DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL

30

DAYS WRITTEN

NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE

© 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD

IMPORTANT

If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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).

DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.

ACORD 25 (2009/01)

Sign up to vote on this title
UsefulNot useful