The URL can be used to link to this page

Home My WebLink AboutInsurance Certificate: URS Energy & Construction '33exRWeJ a a CERTIFICATE OF LIABILITY INSURANCE 1 D0/31/201YY) 10/31/2012 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 F LL BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 0 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must he 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 1-415-743-8238 CONTACT NAME: Marab Risk and Insurance Services ^ PHONE 1FAX - o (E-MAIL O. > 345 California Street e 133000 Suite W San Francisco, CA 94104 OINAFFORGCOVERAGE _ NAIC 4_ INSURERA_NATIONAL ONION FIRS INS CO OF PITTS 119445 INSURED INSURER 8: ZURICH ANP.R INS CO 116535 ORS Energy 4 Construction, Inc. INSURER C: SBB ATTACIRED 10900 NS Bth Street, Suite 500 INSURER 0: Lloyd's of London B British Companies Bellows, WA 98004 INSURERE: T.TerTNGTON INS CO 119437 INSURER F : I COVERAGES CERTIFICATE NUMBER: 30020642 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. 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 TRI TYPE OF INSURANCE IAOOLISUSR POLICY NUYSER IMM/DD EFF MYIOD/EXIY LIMITS A GENERAL LIABILITY j IGL 2491973 I 11/01/171 09101/131 AMAGCCURRENCE 152 000, 000 E COMMERCIAL GENERAL LIABILITY DAMgGE TO RENTED -I 1 000 000 PREMISES (Es octane J_ CWMS MADE [E 1 OCCUR MED EXP (Myon p rwn) $ 30 000 Y ! YCO, HPPD PERSONAL A ADV INJURY 2,000,000 -Y-] Contractual -Liability GENERAL AGGREGATE S 2.000,000 GENT AGGREGATE LIMIT APPLIES PER: I PRODUCTS - COMPIOP AGO S 2, 0110, 0011 1 Poucr E, i Loc I j s B I AUTOMOSILE LIABILITY BAP9 3 8 5215 0 3 i 11/0112 09/M/13 COMBINED SINGLE LIMB _IS 2, 000, 000 X ANY AUTO BODILY INJURY (Pe pwwn) I $ ALL11TOWNED SCHEDULED BODILY INJURY(Per acadent A05 AUTOS N D 1PROPERTY OAMNGE _ _ _1 HIRED AUTOS i AUTOS UT05 I (Per a¢gerr 'UMBRELLA LIAR BUR EACH OCCURRENCE _ t EXCESS LAUB I!ul{CWMSfM_DE~ AGGREGATE DED I ' RETEMION$ ( S C WORKERS COMPENSATION SEE ATTACHED 01/01/12 01/01/13 R WC STATU OT& Y/N ITORV_LIMIT$1 AND EMPLOYERS LIABILITY L,ER. ' OFFICEANY NIA, E- EACH ACCIDENT S2 000 00,000 (Mandatory In NH) EL DISEASE EA EMPLOYEE t 2 000, 000 U.. desmbe under - - - SCRIPTIONOFOPERATION50tlox EL DISEASE - POLICY LIMIT S2, 000, 000 D ~Claims 1 11/01/1 09/0 E ProiaDdw/Tmtd Contract ( 015438088 11/01/12 09/01/131%. Occur/Agg 1 I 1,000,000 DESCRIPTION OF OPER nONS I LOCATN NS / VEHICLES (AeacN ACORD 101, AdditJ... RxnvM1a SCMdub. H moro apau is rpWM) Re: Engineering Services for the Scaler Dam Stability Analysis The City of Ashland, Oregon, and its elected officials, officers and employees are included as Additional Insureds as respects the General Liability and Automobile Liability policies, where required by written contract. Such insurance shall be primary insurance with respects to the interest of the additional insured•a and any other insurance maintained by the additional insured shall be "case and not contributing with the insurance required hereunder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Rest Main Street AUTHORIZED REPRESENTATIVE USA Ashland, OR 97520 r Y~ m 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD BOckertURS 30020642 PSE6WEMMIE h ~ ( llllllll♦ m M Insurer Cancellation Terms Named Insured: Policy No. OAS Energy s Construction, Inc. Various v e z 4 Holder Name: City of Ashland Cancellation Tenn: 30 Days Notice of Cancellation will be provided by the carriers in accordance with the policy terms and conditions in the event the policies are cancelled or non-renewed, for any reason other than non-payment of premiums. Cancellation Terms Apply to the following coverages: General Liability Auto Liability Workers Compensation Professional Liability P~]tiU,$aXl~ DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 10,31,2012 LL NAME OF INSURED: vtts energy A construction, Inc. LL O n The Workers- Compensation coverage show does not apply in monopolistic States. Ia the States of RD, ON, WA and Workers- Compensation coverage is provided by the state Fund.' In those States, the above-referenced policies e provide Stop-Gap BmDloyars• Liability only. Workers Compensation policies apply as indicated beloe:- ^ e 7Z Insurer A: National Union Fire Ins Cc Pittsburgh, PA NAICO 19445100- W WC 021417576 - CA- Insurer D: Insurance Coapany Of The State Of PA NAIC# 19429100- WC 021417580 - MA, WI (Stop Gap - NO, ON, WA, WY) - WC 021417581 - AR, AL, AR, AZ, CO, DE, GA, ID, RS, RY, NO, M, NO, MS, MT, NC, NR, NN, NV, OR, OR, PA, RI, SC, SO, TN, UT, VA, VT, WV- WC 021417585 MN-_ a WC 021417578 - NY- Insurer C: Illinois National Ins Cc NAIC# 23817001- WC 021417577 - FL- WC 021417582 - CT, DC, NI, IA, IL, IN, LA, MI, NR, NJ- WC 021417579 - T% SUPP (10100)