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HomeMy WebLinkAboutInsurance Certificate: Greg Covey LLC CERTIFICATE OF LIABILITY INSURANCE OPID R9 DATE(MMAJDIY1 GRHGO-1 07/1 9 12 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Western States Ins. - Medford HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 38 N. Central Ave Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Medford OR 97501 Phone: 541-779-1321 Fax:541-779-9187 INSURERS AFFORDING COVERAGE NAICIf INSURED INSURERA: riraf Naciwal xna of amarica INSURER B: Greg Covey LLC Gregory T. Covey INSURER C: Ashland OR 975208 INSURER O: I INSURER E: COVERAGES 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,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN D POLICY NUMBER POLICY EFFECTIVE I I A LTR NSR TYPE OF INSURANCE DATE YYAJO (DATE MMIDD/YYYY LINKS GENERAL LIABILIT Y EACH OCCURRENCE $ 1000000. A X X COMMERCIAL GENERAL LIABILITY 01CI28451130 11/24/11 11124112 PREMISES(Ea occurence) $ 200000. LLAIMSMADE COCCUR MED EXP(My one person) $ 10000. PERSONAL S ADV INJURY $ 1000000. GENERAL AGGREGATE $ 2000000. GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2000000. POLICY F—] jE' — LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO - (Ea acoidenl) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON OW NED AUTOS (Per accident) PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ E%LESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F—I CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETORIPARTI'at XECUTIVFj� E.L.EACH ACCIDENT E OFFICERIMEMBER EXCLUDED? u (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ Hyea,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Project: Landscape Design services for the Plaza in Downtown Ashland. The City of Ashland, OR and its elected officials, officers & employees as additional Insureds on the policy required herein but only with respect to Consultant's services to be provided under this contract. The policy is primary and non contributory per CG7680 1002 attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR City of Ashland REPRESENTATIVES. Attn: Dave Ranger 20 East Main St AUTHOR DREPRES TATIVE Ashland OR 97520 ACORD 25(2009101) O 1988-2609 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • CG 76 80 10 02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: +++++++++++++++++++++++++++++++++++++++++++++ +++++++++++++++++++++++++++++++++++++++++++++ (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) SECTION II — WHO IS AN INSURED is amended you. Coverage shall be limited to the extent of your to include as an additional insured the person or negligence or fault according to the applicable princi- organization shown in the Schedule subject to the ples of comparative fault. following provisions: 1. The additional insured is an insured but only for The insurance provided will not exceed the lesser of: liability directly resulting from: a. The coverage and/or.limits of this policy, or a. your ongoing operations for the additional in- b. The coverage and/or limits required by the sured whether the work is performed by you contract, agreement or permit. or for you; or With respect to the insurance afforded the additional b. the general supervision of your ongoing op- insured, paragraph 4. of SECTION IV — COMMER- erations by the additional insured. CIAL GENERAL LIABILITY CONDITIONS is de- 2. This insurance does not apply to: leted and replaced by the following: a. "Bodily injury" or "property damage" arising 4. /Other Insurance out of any act or omission of, or for defects y a.l This insurance is primary and noncontrib- in design fumished by or for, the additional �/ utory, and our obligations are not affected by insured or any other insurance where the additional in- b. 'Bodily injury" or "property damage" in- sured is the Named Insured, whether pri- cluded within the "products-completed oper- mary, excess, contingent, or on any other ations hazard." basis; however, the defense of any claim or "suit" must be tendered as soon as practi- A person's or organization's status as an additional cable to all other insurers which potentially insured under this endorsement ends when your op- provide insurance for such claim or "suit". erations for that insured are completed. b. This additional provision applies only to the additional insured shown in the Schedule No coverage will be provided if, in the absence of this and the coverage provided by this endorse- endorsement, no liability would be imposed by law on ment. CG 76 80 10 02 EP