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License - Renewal for Public Parking Facility - LAZ Parking Midwest, LLC
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License - Renewal for Public Parking Facility - LAZ Parking Midwest, LLC
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Last modified
4/14/2025 2:15:31 PM
Creation date
3/28/2023 2:02:03 PM
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Board of Public Works
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Recommendations
Document Date
3/28/2023
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AGENCY CUSTOMER ID: 25084 <br />LOC #: See ACORD 25 <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY <br />NAMED INSURED <br />Amity Insurance A Division of Brown & Brown of MA LLC <br />POLICY NUMBER <br />See ACORD 25 <br />Soo Certincate <br />CARRIER NAIC CODE <br />Soo Certificate <br />EFFECTIVE DATE: 713112022 <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER G: American Guarantee & Liability Insurance Company <br />26247 <br />INSURER H: Great American Assurance Company <br />26344 <br />INSURER I: Houston Casualty Company <br />INSURER J: Westchester Fire Insurance Comoan <br />7t2371 <br />ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy <br />limits <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY <br />EFFECTIVE <br />DATE <br />(mm/dd/fyy) <br />P <br />EXPIRATION <br />DATE <br />(mmlddIffy) <br />LIMITS <br />EXCESS GENERAL <br />LIABILITY <br />MKLMlEUL101922 <br />7/31/2022 <br />7/31/2023 <br />AGGREGATE <br />$4,000,000 <br />E <br />UMBRELLA LIABILITY <br />79863543 <br />7/31/2022 <br />7/31/2023 <br />AGGREGATE <br />$25,000,000 <br />F <br />-EXCESS LIABILITY <br />XC9EX00286221 <br />7/31/2022 <br />7/31/2023 <br />AGGREGATE <br />$15,000,000 <br />G <br />EXCESS LIABILITY <br />AEC011173108 <br />7/31/2022 <br />7/31/2023 <br />AGGREGATE <br />$25,000,000 <br />H <br />EXCESS LIABILITY <br />EXC4457469 <br />7/31/2022 <br />7/31/2023 <br />AGGREGATE <br />$10,000,000 <br />E <br />EXCESS LIABILITY <br />78187246 <br />7/31/2022 <br />7/31/2023 <br />AGGREGATE <br />$25,000,000 <br />EXCESS PROFESSIONAL <br />& CYBER LIABILITY <br />H22CXS20741 <br />7/31/2022 <br />7/31/2022 <br />AGGREGATE <br />$2,000,000 <br />EXCESS PROFESSIONAL <br />& CYBER LIABILITY <br />G72560723 <br />7/31/2022 <br />7/31/2023 <br />AGGREGATE <br />$5,000,000 <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION, All rights reserved, <br />The ACORD name and logo are regislered marks of ACORD <br />
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