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HomeMy WebLinkAboutInsurance Certificate: UNAVCO Inc PUNKUSAN 012 ) R` A` °R& CERTIFICATE OF LIABILITY INSURANCE 11/ 05 DATE05 p/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 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED n REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. C LLO IMPORTANT: N the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 I-fl 534-4567 CONTACT o IM, Inc. - Colorado Division NAME: - P PHONE 1550 17th Street I INo. ExR, (NC, No): Su1te 600 ADDRESS. - deapamgimacorp.com Denver, CO 80202 INSURER(S) AFFORDING COVERAGE NAICY W _ - INSURER A: HANOVER INS CO 122292 INSURED INSURER e: ALLNOD ICA FIN BENEFIT INS CO (Hanover) 141840 tnAVCO INC INSURER C: 6350 Nautilus Drive I INSURER D I Boulder, CO 80301 INSURER E. _ INSURER F: i COVERAGES._ CERTIFICATE NUMBER: 30141484 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. DISK 'A0LSUBRr__. D POLICY Err TR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYT YYIOOYD LIMBS A GENERAL LIABILRY. 2!@891110902 11/01/1 11/01/131 EACN OCCURRENCE _ S 1,000,000 Y DAMAGE TO RENTED COMMERGVLLGENERALLUIBILITY PREMISES (Ea ogSVnence) _f 500,000 - CLAIMSMAADE f Y I OCCUR MEDE%P )Any one parson) I$ 10,000 PERSONAL S ADV INJURY j 1,000,000 GENERAL AGGREGATE 'S 2 000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGO $ INCLUDED POLICY IPR6 EI LOC B AUTOINIBILE LUBLLIrv AW4 8 9 11112 0 2 /131CO SINGLE LIMB "Y IEa amQenl) _ j 1,000,000 ANY AUTO BODILY INJURY (Per Pawn) S ALL OVMED SDHEDULED - - - - - AUTOS [ AUTOS BODILY INJURY (Per acGiaenl) S Y HIRED AUTOS Y NA~OSWNED PROPERTY DAMAGE IF. axi0ent) A Y UMBRELLA LUIS Y OCCUR UHF891110703 _ 11/01/1 11/O1/131i EACHOCCURRENCE 2,000,000 _ EXCESS LUU) _ CINMSAADE AGGREGATE $ 21000,000 DED I Y I RETENTION SO WORKERS COMPENSATION IS WC STATU O R AND EMPLOYERS' LIA&LRY LTORY LIMITS ER ANY PROPRIETORNARTNER,EXECUTIVE OFFICERAIEMBEREXCLUDED? NIA EL EACH ACCIDENT If (Mantlslory In ones' EL DISEASE EA EMPLOYEB S Iaa tlaeoioa ana O SCRIPTION OF OPERATIONS belmv :EL. DISEASEPOLICYLIMIif I I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (A1mCh ACORD 101, ABtlmonal Ramams Scheoula, If more span is reRulreC) Res WE site P370 (Ashland Municipal Airport). The City of Ashland, Oregon an Oregon Municipal Corp. is included as Additional Insured on the General Liability Policy if re Iuired by Nritten contract or agreement subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland, Oregon an Oregon Municipal Corp. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Dasrn Lamb 20 B. Main Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520-0000 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ghondrogiannisl 30141484 MA, Inc. -Colorado Division 1550 17th Street Suite 600 Denver, CO 80202 Electronic Service Requested EBIX BPO 18910 0.5234 All 0.371 ALL FOR AADC 970 C "~I~J~IdrIr,II111IBill l~llllll~l~'lll"'~~~'I~~111~1'Il'Il~r~ City of Ashland, Oregon an c Or on Municipal C 84 0 20 E• MAIN STREET ASHLAND, OR 97520-1614 z LL If you have questions regarding the content of this document, Please contact - the Producer/Agent listed on the certificate of insurance.- cc: The data included in this notice and in the attached document is confidential to Ebix 0PO and the party responsible for bringing you this information. Certificate Delivery by CenificatesNow - www.ConhrmNet.com - 877.699. Gann