Laserfiche WebLink
FIRST MERCURY INSURANCE COMPANY <br />IA STOCK COMPANY) <br />STATUTORY HOME OFFICE: ONE SOUTH WACKER DRNE, SUITE 1360, CHICAGO, IL $0606 <br />ADMINISTRATIVE OFFICE: 26600 TELEGRAPH RD., SOUTHFIELD, MI 4NI33 <br />GENERAL LIABILITY POLICY <br />Serviced by., CoverX Specialty RENEWAL DECLARATIONS <br />POLICY NUMBER SE-CGL-0000018521-01 <br />RENEWAL OF: FMM1026623 <br />NAMED INSURED AND MAILING ADDRESS BROKER NAME AND ADDRESS <br />Government Training Institute Inc Socius Insurance Services, Inc. <br />1321 Technology Dr Suite 101 30 N. Airlite Suite D <br />Barnwell, SC 29812 Elgin, IL 60123 <br />POLICY PERIOD From: 10/6/2012 To: 10/6/2013 <br />AT 12:01 A.M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE <br />IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH <br />YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. <br />LIMITS OF INSURANCE: Defense Costs are outside the limits of Liabiity <br />Each Occurrence Limit: $1,000,000 Employee Benefits Liability: Excluded <br />Personal 8 Advertising Injury Limit Amendment of Limits Endorsement Employee Benefits Aggregate Limit Excluded <br />General Aggregate Limit: $5,0D0,000 Liquor Liability Limit: Excluded <br />Products -Completed Operations Aggregate Limit: Included in General Aggregate Liquor Liability Aggregate: Excluded <br />Damage To Premises Rented To You: $300000 S(.T 5.20 <br />Medical Payment Limit: <br />SF I57.60 <br />FM <br />RETAINED LIMIT: $3,500 Deductible Per Claim, Including LAE 1nSpeCf(on Fee <br />PREMIUM COMPUTATION: Premium: $7,780 Processing Fee: $50 Broker Fee $50.00 <br />Coverage for certified acts of terrorism has been rejected; exclusion attached. a�,y Fee $50.00 <br />(Per TRIA Disclosure Notice.) * a <br />DFPDRIT PPPYII les- G7 72n IDIQI s572.8D <br />DESCRIPTION OF BUSINESS: Schools -trade or vocational <br />FORM OF BUSINESS: <br />INDIVIDUAL PARTNERSHIP X❑ ORGANIZATION, INCLUDING A CORPORATION (BUT NOT <br />JOINT VENTURE n LIMITED PARTNERSHIP INCLUDING A PARTNERSHIP, JOINT VENTURE OR LIMITED <br />LIMITED LIABILITY COMPANY LIABILITY COMPANY) <br />TO <br />and <br />"This Company is Not Licensed to do Business in this State, and the S.C. Guaranty Act does NOT Apply to This Polley.' <br />This company has been approved by the director or his designee of the South Carolina Department of Insurance <br />to write business in this State as an eligible surplus lines insurer, but it is not afforded guaranty fund protection. <br />IMPORTANTI Please carefully examine your policy as It may contain significant coverage modifications or exclusions. <br />If this policy is a renawai, It may not contain the same precise terra and conditions as tin prior polity. <br />Date: 10/8/2012 Authorized Representative: <br />1111 <br />THESE DECLARATIONS, TOGETHER WITH THE COMMON POLICY CONDITIONS AND COVERAGE FORMS) <br />AND ANY ENDORSEMENT(S), COMPLETE THE ABOVE NUMBERED POLICY. FMIC-GL-DS-0001 (12r10) <br />