INSURED INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: DATE (MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 6/09/2014 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). If Waiver of Subrogation is applicable, it only applies to the extent allowed by law. PRODUCER CONTACT NAME: Dawn Heibel PHONE FAX (A/C, No, Ext): 312 595-6794 (A/C, No): 312 595-4339 E-MAIL ADDRESS: dheibel@mesirowfinancial.com L. Price Team Mesirow Insurance Services 353 N. Clark Street Chicago, IL 60654 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. INSR LTR TYPE OF INSURANCE ADDL SUBR INSR WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY P6605217P826COF14 01/22/2014 01/22/2015 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 D B X UMBRELLA LIAB X B C X X Holabird & Root L.L.C. 140 S. Dearborn Street Chicago, IL 60603 EXCESS LIAB GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PRO- POLICY X $ JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- PHUB5217P82614 01/22/2014 01/22/2015 X AND EMPLOYERS' LIABILITY TORY LIMITS ER Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSURER(S) AFFORDING COVERAGE NAIC # CLAIMS-MADE OCCUR MED EXP (Any one person) $ ANY AUTO ALL OWNED AUTOS HIRED AUTOS Professional Liability(A&E) X X X 0 ** Supplemental Name ** Holabird & Root L.L.C. SCHEDULED AUTOS NON-OWNED AUTOS Client#: 42815 Charter Oak Fire Insurance Comp Travelers Indemnity Co. of Amer Continental Casualty Company Travelers Indemnity Co. of CT PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ $ $ 25615 25666 20443 25682 10,000 1,000,000 2,000,000 2,000,000 P8105717B17ATCT14 01/22/2014 01/22/2015 1,000,000 PHUB5217P82614 01/22/2014 01/22/2015 4,000,000 4,000,000 AEH288374351 HOLAROO1 04/20/2014 04/20/2015 $5,000,000 Each Claim $5,000,000 Aggregate $100,000 Ded. Per Claim 1,000,000 1,000,000 1,000,000 Project: All contracts for CHA locations. Chicago Housing Authority, its respective Commissioners, board members, officers, directors, agents, (See Attached Descriptions) CERTIFICATE HOLDER Chicago Housing Authority Dept of Procurement & Contracts 60 E Van Buren Street, 13th Floor Chicago, IL 60605 CANCELLATION 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 (2010/05) 1 of 2 #S1584278/M1536665 The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. DRH
DESCRIPTIONS (Continued from Page 1) employees, vendors, invitees, and visitors are Additional Insured on the General Liability policy if required by written contract with a Named Insured. Coverage afforded the additional insureds shall be primary and non contributory. SAGITTA 25.3 (2010/05) 2 of 2 #S1584278/M1536665