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HomeMy WebLinkAboutInsurance Certificate: Diamond Parking DIAM001 OP ID: DG CERTIFICATE OF LIABILITY INSURANCE DAT 07/26D/YYYY) 07/26/12 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). PRODUCER 425.486-1291 CONTACT Lovsted-Worthington LLC Daphne M.Gelihaus P.O.Box 607 425-486-6140 PANICNN E.t:206-838-1042 FAx Bothell,WA 98041 E-MA L AIC No:42586-6140 Dean R.Young ADDRESS:'daphne Iovstedworthin tonMCompany com G COVERAGE NAIC p INSURER A:CNA panies INSURED Diamond Parking Services, LLC INSURERS-Scottsdale e Com an Diamond Parking Services, LLC NSURER c:Em Wausau 605 First Avenue,Suite 600 Seattle,WA 98104 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BW 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. EGENEML PE:GENERAL ANCE DL POLICY NUMBER MMIDU/Y1'YYY MM%DD/YYEYYY LIMITS ILITEACH OCCURRENCE $ t,000,OOO CIAL LIABILITY X 031778679 07115/12 07/15/13 PREMISES Ea occurrence $ 100,000 MS- aOCCUR MED EXP(Any one person) $ Exclude PERSONAL S ADV INJURY $p GENERAL AGGREGATE $ATE PPLIES PERPRODUCTS-COMP/OP AGG $JFCT X LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT • ANY AUTO Ea accidem $ 1,000,000 X 4013954650 07115/12 07115/13 BODILY INJURY(Per person) $ X ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) 8 X HIRED AUTOS X NON-OWNED AUTOS PROPERTY DAMAGE Peraccidenl S UMBRELLA LIAR X OCCUR 8 B X EXCESS LIAR EACH OCCURRENCE $ 5,000,000 CLAIMS-MADE XLS0083368 07/15/12 07115/13 AGGREGATE $ 5,000,00( DEC) X RETENTIONS WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY WCS'TU- X OTH- C ANY PROPRIETORMARTNERIEXECUTNE Y/N CCZ91452389012 07/15/12 07/15/13 $ 1,000,00 OFFICERNEMBER EXCLUDED? ❑ N/A E.L.EACH ACCIDENT (Mandatory in NH) -__- It yes deschte under E.L.DISEASE EA EMPLOYEE $ 1,000,000 USCRIPTfON"OFaFERAO 8oei"ow --. _..._--- _ I EE.LL DISEASE-POLICY LIMIT $ 1,000,0 CC� EsUVC DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,it more apace is r Ir 1 RE: Station #EA01 - City of Ashland, Ashland, OR Certificate holder is an additional insured JUL 3 O 2012 CERTIFICATE HOLDER CANCELLATION ASHLA01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN On Street Parking ACCORDANCE WITH THE POLICY PROVISIONS. Enforcement 20 E Main Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520 ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD