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Home My WebLink AboutInsurance Certificate: Thornton Engineering 9THOREN OP ID:JS CERTIFICATE OF LIABILITY INSURANCE DATE 05/07/12/07/12YYY) 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 endorsemen s . ---- ------- PRODUCER i.,•)ci _._ .�F...J'! •- 1 i r _y...,/y..•J 541-779-4232 CONTACT`ir„ ,t,. „•< t 9 'I:hl Hart lh-surance., I - N23'ROyalAve, j ( 541-772-3963 acc°Nx Eat: - -=- ac-NO:--------" Medford;OR'97504'_V^ t-__—_---- ____ .E-MAIL" ,t _- Hart Insurance-'MididiA j__ r`uc_ -1 ( ADDRESS: _ - - i INSURERS AFFORDING COVERAGE- - - - - 'NAIO Y INSURERA:Mutual of Enumclaw 14761- - INSURED Thornton Engineering Inc INSURERB:Travelers Casualty &Surety PO Box 476 INSURERC: Jacksonville,OR 97530 INSURER D: INSURER E; INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINr 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 rypE OFINSURANCE POLICY NUMBER MMLDOY MMIDD)W pY LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X CPP000633900 07101/12 07/01/13 PREMISES Ea occurrence $ 300,00 CLAIMS-MADE Fx_] OCCUR MED EXP(My one person) $ 10,00 B X ProfessionalE&O 105350491 10/01/11 10101113 PERSONAL It ADV INJURY $ 1,000,00 GENERAL AGGREGATE— E- " 21000,00 1 GENL AGGREGATE LIMIT APPLIES PER: 1 � � •! PRODUCTS-COMP/OP AGGE 0:9 7X X, POLICYt i:, •PRO-.. LOC _ u'i tL. Prof E&Q s.... __.--1,000,00 !{JD AUTOMOBILE LIABILITY , �,,, ., ;' COMBINED SINGLE LIMIT__ __-._- .1,000:00 1<,)•,..: r _ .. Ea accident), - A X' ANY AUTO CPP000633900 :07/01/12 07/01/13 BODILY INJURY(Per person)_ E ._-- �ALLOWNED SCHEDULED - '"` -" _ _ - AUTOSC "• �- V J BODILY INJURY $ p ( qc.AUTOS.._._...,_ -_.... ..-r. ,. t' if -• I., ' __ NON-OWNED •` .- .- •- PROPERTY DAMAGE HIRED AUTOS,. AUTOS _;I. _ - Per accident E , UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED RETENTIONS $ WORKERS COMPENSATION VvC STATU- OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE❑ NIA E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If ee,deecribe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if rrlore apace Is required) Cily of Ashland Oregon,its elected officials,officers and employees are inc Uded as additional insured as respects general liability perform CG3261 10105 attached. C�C� CAD=N/� CERTIFICATE HOLDER CANCELLATION MRY - 9 2012 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland 20 E Main Street Ashland,OR 975 THOR ZED REPRESENT n u a c / edf d 0198 20fp ACORD CORV,O TION. All rights reserved. ACORD 25(2010105) The ACORD name and ogo are registered mi ks'tWACORD POLICY NUMBER: CPP 0006339 01 COMMERCIAL GENERAL LIABILITY CG 32 61 10 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OREGON ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(a): CITY OF ASHLAND OREGON & ITS EMPLOYEES 20 E MAIN ST ASHLAND OR 97520 Location(s) Of Covered Operations: VARIOUS CONSULTING Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section II - Who Is An Insured is amended to This insurance does not apply to "bodily injury" include as an additional insured the person(s) or "property damage" occurring after: or organization(s) shown in the Schedule, but 1. All work, including materials, parts or only with respect to liability for "bodily injury", equipment furnished in connection with "property damage" or "personal and advertis- such work, on the project (other than serv- ing injury" caused by your ongoing operations ice, maintenance or repairs) to be per- for the additional insured(s) at the.location(s) _ formed by or on behalf of the additional in- designated above and only to the extent that sured(s) at the location of the covered op- such "bodily injury", property damage" or erations has been completed; or "personal and advertising injury" is caused by your negligence or the negligence of those per- 2• That portion of "your work" out of which forming operations on your behalf. the injury or damage arises has been put to its intended use by any person or organiza- B. With respect to the insurance afforded to these tion other than another contractor or sub- additional insureds, the following additional ex- contractor engaged in performing opera- clusion applies: tions for a principal as a part of the same project. CG 32 61 10 05 Copyright, ISO Properties, Inc., 2005 Page 1 of 1 UNIFORM