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CERTIFICATE OF LIABILITY INSURANCE (487)LAKEEQU -01 EREYNS .0v ,.- r1c>z✓ CERTIFICATE OF LIABILITY INSURANCE DATE(MIWDDIYYYY) 7/14/2014 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 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 Lundstrom Insurance Agency 2205 Point Blvd Suite 200 Elgin, IL 60123 NAME: Edith Reyns, CRM, CIC PHONE 847 741 -1000 FAX No): (847) 428 -8857 (ac, No, Est): ( ) ADDARESS: ereyns @lundstrominsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Travelers Insurance 19046 INSURED Lakeside Equipment Corp 1022 E Devon Ave Bartlett, IL 60103 INSURER B : 07/14/2014 2014 INSURER C : EACH OCCURRENCE INSURER D : INSURER E : CLAIMS -MADE INSURER F : OCCUR CERTIFICATE NUMBER: r.. mfg.,. I. VIVrp GR. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTIMTHSTANDING 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AUUCII INSD - WVD 7 POLICY EFF POLICY NUMBER (MM /DD/YYYY) POLICY EXP (MM /DII/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 6307049N156 REC :IVED JUL /�� 07/14/2014 2014 07/14/2015 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE 1 ( RENTED PREMISES (Ea occurrence) $ 300,000 X CONTRACTUAL LIAB MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE POLICY OTHER: X LIMIT APPLIES CT PER LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS AUTOS OFFICIAL RECORDS 8107049N156 LEGISLArn� „�C J Alsip 1'D SRN�� /14/2015 COMBINED SINGLE LIMIT $ 1 O00 1,000,000 BODILY ILY INJURY BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE CUP7049N156 07/14/2014 07/14/2015 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 DED X RETENTION $ 0 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE Y OFFICER/MEMBER EXCLUDED'? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below / N N N / A YCUB7049N156 07/14/2014 07/14/2015 v STATUTE _ ERH E.L. EACH ACCIDENT $ 1 000 , ,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT I $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If required by written contract or agreement, the City of Clearwater is included as an additional insured on the general liability policy. CCDTICIPATC MN. non LLATION City of Clearwater 100 S. Myrtle Ave. 33756 -5520 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 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD