CERTIFICATE OF LIABILITY INSURANCE · 2020. 7. 1. · Keycorp 127 Public Square, 5th Floor...

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6/30/2020 The James B. Oswald Company 1100 Superior Avenue East Suite 1500 Cleveland OH 44114 Lucy Jorz (216)367-1828 (216) 367-1829 [email protected] Keycorp 127 Public Square, 5th Floor Cleveland OH 44114 Old Republic Insurance Company 24147 The Cincinnati Insurance Company 10677 American Guarantee and Liability 26247 20/21 Primary / $30M Umb A X X X MWZY313844 20 6/30/2020 6/30/2021 1,000,000 1,000,000 Excluded 1,000,000 2,000,000 2,000,000 A MWTB313842 20 6/30/2020 6/30/2021 1,000,000 A X X MWZX313840 20 6/30/2020 6/30/2021 5,000,000 5,000,000 A MWC313841 20 6/30/2020 6/30/2021 1,000,000 1,000,000 1,000,000 B Excess Liability EXS0581843 6/30/2020 6/30/2021 Each Occ / Aggregate 10,000,000 C Excess Liability AEC0384379-03 6/30/2020 6/30/2021 Each Occ / Aggregate 15,000,000 FOR INFORMATION PURPOSES. Additional Insureds are covered per terms of the attached endorsements. Evidence of coverage applicable to the operations of KeyCorp and its subsidiaries including KeyBank National Association KeyBanc Capital Markets Inc. Key Investment Services LLC and Key Government Finance Inc. at any location subject to the policy terms and conditions. Interested parties are included as additional insureds and subrogation is waived only if required by written agreement entered into by KeyCorp or a subsidiary. KeyCorp and Subsidiaries 127 Public Square 5th Floor Cleveland, OH 44114 Lucy Jorz/JORLUC The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE LOC JECT PRO- POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCUR CLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ RETENTION DED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS PER STATUTE OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: 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). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INSURED PHONE (A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACT NAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INS025 (201401)

Transcript of CERTIFICATE OF LIABILITY INSURANCE · 2020. 7. 1. · Keycorp 127 Public Square, 5th Floor...

Page 1: CERTIFICATE OF LIABILITY INSURANCE · 2020. 7. 1. · Keycorp 127 Public Square, 5th Floor Cleveland OH 44114 Old Republic Insurance Company 24147 The Cincinnati Insurance Company

6/30/2020

The James B. Oswald Company1100 Superior Avenue EastSuite 1500Cleveland OH 44114

Lucy Jorz(216)367-1828 (216) 367-1829

[email protected]

Keycorp127 Public Square, 5th Floor

Cleveland OH 44114

Old Republic Insurance Company 24147The Cincinnati Insurance Company 10677American Guarantee and Liability 26247

20/21 Primary / $30M Umb

A

X

X

X

MWZY313844 20 6/30/2020 6/30/2021

1,000,000

1,000,000

Excluded

1,000,000

2,000,000

2,000,000

AMWTB313842 20 6/30/2020 6/30/2021

1,000,000

A

X X

MWZX313840 20 6/30/2020 6/30/2021

5,000,000

5,000,000

A MWC313841 20 6/30/2020 6/30/2021

1,000,000

1,000,000

1,000,000

B Excess Liability EXS0581843 6/30/2020 6/30/2021 Each Occ / Aggregate 10,000,000

C Excess Liability AEC0384379-03 6/30/2020 6/30/2021 Each Occ / Aggregate 15,000,000

FOR INFORMATION PURPOSES. Additional Insureds are covered per terms of the attached endorsements.Evidence of coverage applicable to the operations of KeyCorp and its subsidiaries including KeyBankNational Association KeyBanc Capital Markets Inc. Key Investment Services LLC and Key GovernmentFinance Inc. at any location subject to the policy terms and conditions. Interested parties are includedas additional insureds and subrogation is waived only if required by written agreement entered into byKeyCorp or a subsidiary.

KeyCorp and Subsidiaries127 Public Square 5th FloorCleveland, OH 44114

Lucy Jorz/JORLUC

The ACORD name and logo are registered marks of ACORD

CERTIFICATE HOLDER

© 1988-2014 ACORD CORPORATION. All rights reserved.ACORD 25 (2014/01)

AUTHORIZED REPRESENTATIVE

CANCELLATION

DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE

LOCJECTPRO-

POLICY

GEN'L AGGREGATE LIMIT APPLIES PER:

OCCURCLAIMS-MADE

COMMERCIAL GENERAL LIABILITY

PREMISES (Ea occurrence) $DAMAGE TO RENTEDEACH OCCURRENCE $

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GENERAL AGGREGATE $

PRODUCTS - COMP/OP AGG $

$RETENTIONDED

CLAIMS-MADE

OCCUR

$

AGGREGATE $

EACH OCCURRENCE $UMBRELLA LIAB

EXCESS LIAB

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

INSRLTR TYPE OF INSURANCE POLICY NUMBER

POLICY EFF(MM/DD/YYYY)

POLICY EXP(MM/DD/YYYY) LIMITS

PERSTATUTE

OTH-ER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE

E.L. DISEASE - POLICY LIMIT

$

$

$

ANY PROPRIETOR/PARTNER/EXECUTIVE

If yes, describe underDESCRIPTION OF OPERATIONS below

(Mandatory in NH)OFFICER/MEMBER EXCLUDED?

WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY Y / N

AUTOMOBILE LIABILITY

ANY AUTOALL OWNED SCHEDULED

HIRED AUTOSNON-OWNED

AUTOS AUTOS

AUTOS

COMBINED SINGLE LIMIT

BODILY INJURY (Per person)

BODILY INJURY (Per accident)PROPERTY DAMAGE $

$

$

$

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.

INSDADDL

WVDSUBR

N / A

$

$

(Ea accident)

(Per accident)

OTHER:

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), AUTHORIZEDREPRESENTATIVE 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:

INSURED

PHONE(A/C, No, Ext):

PRODUCER

ADDRESS:E-MAIL

FAX(A/C, No):

CONTACTNAME:

NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

INSURER(S) AFFORDING COVERAGE

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.

INS025 (201401)

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Page 3: CERTIFICATE OF LIABILITY INSURANCE · 2020. 7. 1. · Keycorp 127 Public Square, 5th Floor Cleveland OH 44114 Old Republic Insurance Company 24147 The Cincinnati Insurance Company

LARENEG LAICREMMOC YTILIBAIL91 21 31 02 GC

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91 21 31 02 GC egaP 1 fo 1

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Page 4: CERTIFICATE OF LIABILITY INSURANCE · 2020. 7. 1. · Keycorp 127 Public Square, 5th Floor Cleveland OH 44114 Old Republic Insurance Company 24147 The Cincinnati Insurance Company

:REBMUN YCILOP YTILIBAIL LARENEG LAICREMMOC91 21 81 02 GC

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DERUSNI LANOITIDDA – REVIECER RO EENGISSA ,EEGAGTROM

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Page 5: CERTIFICATE OF LIABILITY INSURANCE · 2020. 7. 1. · Keycorp 127 Public Square, 5th Floor Cleveland OH 44114 Old Republic Insurance Company 24147 The Cincinnati Insurance Company

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Page 6: CERTIFICATE OF LIABILITY INSURANCE · 2020. 7. 1. · Keycorp 127 Public Square, 5th Floor Cleveland OH 44114 Old Republic Insurance Company 24147 The Cincinnati Insurance Company

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Page 7: CERTIFICATE OF LIABILITY INSURANCE · 2020. 7. 1. · Keycorp 127 Public Square, 5th Floor Cleveland OH 44114 Old Republic Insurance Company 24147 The Cincinnati Insurance Company

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Page 8: CERTIFICATE OF LIABILITY INSURANCE · 2020. 7. 1. · Keycorp 127 Public Square, 5th Floor Cleveland OH 44114 Old Republic Insurance Company 24147 The Cincinnati Insurance Company

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Page 9: CERTIFICATE OF LIABILITY INSURANCE · 2020. 7. 1. · Keycorp 127 Public Square, 5th Floor Cleveland OH 44114 Old Republic Insurance Company 24147 The Cincinnati Insurance Company

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Page 10: CERTIFICATE OF LIABILITY INSURANCE · 2020. 7. 1. · Keycorp 127 Public Square, 5th Floor Cleveland OH 44114 Old Republic Insurance Company 24147 The Cincinnati Insurance Company

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hpargaraP ecnarusnI rehtO .5 :swollof sa dednema si ,

.a evoc yb debircsed "otua" derevoc yna roF ,01 slobmys otua der ,71 dna 61 ,51 ,21 ,11 egarevoC siht yb dedivorp ecnarusni eht elbacilppa rehto yna revo ssecxe si mroF

taht tneve eht nI .ecnarusni elbitcelloc na no ylno seilppa osla ecnarusni rehto hcus ni gnoma noitubirtnoc seriuqer ro sisab ssecxe na ot tcejbus eb llahs yciloP siht ,srerus

cilppa denibmoc eht ot lauqe noitneter derusninu .ecnarusni rehto hcus fo stimil elbaof yciloP siht rednu egarevoc on eb llahs erehT "sotua" derevoc eseht gnivlovni smialc r

denibmoc lluf eht ot pu tnuoma yna rof .ecnarusni rehto hcus fo stimil

.b si egarevoC ytilibaiL s'mroF egarevoC sihT na rednu demussa ytilibail yna rof yramirp of tcartnoc a naht rehto "tcartnoc derusni" ,.a hpargarap yb desserdda "otua" derevoc a r

.evoba

.c esael ot elbaliava ecnarusni fo timil ehT "otua" yna ot tcepser htiw sremotsuc naol dna ,61 ,51 slobmys otua derevoc yb debircsed yb decuder eb llahs ycilop siht rednu 71 ro

.ecnarusni elbarevocer rehto yna fo tnuoma eht

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420 ACP 01 31 1 fo 1 egaP

YNAPMOC ECNARUSNI CILBUPER DLO )60/21( 01 LI

T .YLLUFERAC TI DAER ESAELP .YCILOP EHT SEGNAHC TNEMESRODNE SIH

FO REFSNART FO REVIAW SU OT SREHTO TSNIAGA YREVOCER FO STHGIR

T :gniwollof eht rednu dedivorp ecnarusni seifidom tnemesrodne sih

UA OT MROF EGAREVOC SRELAED ROF EGAREVOC OTUA SSENISUB MMROF EGAREVOC REIRRAC ROTOM

S ELUDEHC

N :noitazinagrO ro nosreP fo ema

eht ni nwohs eb lliw tnemesrodne siht etelpmoc ot deriuqer noitamrofni ,evoba sraeppa yrtne on fI( ).tnemesrodne siht ot elbacilppa sa snoitaralceD

ehT sU oT srehtO tsniagA yrevoceR fO sthgiR fO refsnarT eht gnidda yb degnahc si noitidnoC :gniwollof

eW eht ni nwohs )s(noitazinagro ro )s(nosrep eht tsniaga evah yam ew yrevocer fo thgir yna eviaw ro nosrep eht ot ylno seilppa reviaw sihT .egamad ro yrujni rof ekam ew stnemyap fo esuaceb eludehcS

.eludehcS eht ni nwohs noitazinagro

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:REBMUN YCILOP EMMOC OTUA LAICR31 01 84 02 AC

.YLLUFERAC TI DAER ESAELP .YCILOP EHT SEGNAHC TNEMESRODNE SIHT

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ROF DERUSNI DETANGISED EGAREVOC YTILIBAIL SOTUA DEREVOC

ne sihT :gniwollof eht rednu dedivorp ecnarusni seifidom tnemesrod

MROF EGAREVOC SRELAED OTUA MROF EGAREVOC OTUA SSENISUB MROF EGAREVOC REIRRAC ROTOM

nemesrodne siht yb dedivorp egarevoc ot tcepser htiW sselnu ylppa mroF egarevoC eht fo snoisivorp eht ,t .tnemesrodne siht yb deifidom

)s(noitazinagro ro )s(nosrep seifitnedi tnemesrodne sihT egarevoC ytilibaiL sotuA derevoC rof "sderusni" era ohwevoC eht fo noisivorp derusnI nA sI ohW eht rednu egarevoc retla ton seod tnemesrodne sihT .mroF egar

.mroF egarevoC eht ni dedivorptpecni eht no evitceffe ycilop eht segnahc tnemesrodne sihT detacidni si etad rehtona sselnu ycilop eht fo etad noi

.woleb

:derusnI demaN

:etaD evitceffE tnemesrodnE

EHCS ELUD

:)s(noitazinagrO rO )s(nosreP fO emaN

fi ,eludehcS siht etelpmoc ot deriuqer noitamrofnI .snoitaralceD eht ni nwohs eb lliw ,evoba nwohs ton

si eludehcS eht ni nwohs noitazinagro ro nosrep hcaE tub ,egarevoC ytilibaiL sotuA derevoC rof "derusni" na seifilauq noitazinagro ro nosrep taht tnetxe eht ot ylno derusnI nA sI ohW eht rednu "derusni" na sa

hpargaraP ni deniatnoc noisivorp .1.A noitceS fo II –oC ytilibaiL sotuA derevoC ssenisuB eht ni egarev

dna smroF egarevoC reirraC rotoM dna otuA hpargaraP .2.D noitceS fo I sotuA derevoC –

.mroF egarevoC srelaeD otuA eht fo segarevoC

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02/03/60

llA snosreP ro snoitazinagrO sa deriuqeR yb nettirW tcartnoC ro tnemeergA

proCyeK