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HomeMy WebLinkAboutInsurance Certificate: RHT Energy Solutions CERTIFICATE OF LIABILITY INSURANCE 2/22/201"3"" 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 pollcy(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 endamemengs). PRODUCER NAMEcr Marcene Forney Ashland Insurance Ina PHONE ESU (541) 857-0679 rnac No,: 15411857-9883 801 O'Haze Parkway, Ste 101 ADDRESS:marcane£Bashlandinsurance. com_ INSURERS AFFORDING COVERAGE NAIC R Medford OR 97504 INSURERA:Mutual of Enumclaw 4761 INSURED INSURERB:SAIF Corporation RHT ENTERPRISES INC Dba: RHT Energy Solutions INSUReRc:United State Liab Ins G 5895 1215 STOWE AVE INSURER D: INSURER E: MEDFORD OR 97501 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1282703731 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POUCYNUMBER MMmOIYYYY MMm0/YYYY LIMITS GENERALLIABILITY FACH OCCURRENCE S 2,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Es oaurraiee S 100,000 A CLAIMSMADE Fx1OCGUR X OP0003312 /25/2012 /25/2013 h1E0 EXP (Any orre person) S 10,000 PERSONAL B ADV INJURY S 2,000,000 GENERAL AGGREGATE S 4,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS- COMPIOP AGG $ 4,000,000 X POLICY PRO Lac S AUTOMOBILELIABILITY COMBIINEDSINGLE LIMIT 11000,000 A X ANY AUTO eOOrLYWJURY(Pe,persm) S ALL OWNED SCHEDULED BAPDOO151600 /25/2012 5/25/2013 BODILY INJURY (Par accident) $ AUTOS NON-0WNED PROPERTY DAMAGE S HIRED AUTOS AUTOS (Puraceldendl Ureasuredmmarsl eN S UMBRELLA LIAR OCCUR EACH OCCURRENCE S ' EXCESS UAB CLAIMS-MADE AGGREGATE S DED RETENTIONS 5 13 WORKERS COMPENSATION 11C STAT0. OTH- AND EMPLOYERS' LIABILITY CRY, I ANY PROPRIETORMARTNERIEXECUTIVE~ NIA EL EACH ACCIDENT S 1 000 000 OFFICEWMEMBER EXCLUDED? 997634 /1 J2012 /1/2013 (Mandatory In NH) E1_DISEASE -EA EMPLOYE $ 1 000, ODD Mdescribeundm RIPTION OFOPERATION9 me. E.L. DISEASE-POLICY LIMB $ 1 Doc 000 C Professional Liability PI0063771 /25/2012 /25/2013 2,000,000 DESmp noN OF OPERATIONS I LOCATIONS I VEHICLES (Altech ACORD 101, AddlNonal RurneRS Schedule. IT mom space Is required) The City of Ashland, Oregon and its elected officials, officers and employee e o FFE 2 5 2013 CERTIFICATE HOLDER CANCELLATION (541)488-5311 SHOULD ANY OFTHEABOVE DE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Ashland, Oregon and its elect' ACCORDANCE WITH THE POLICY PROVISIONS, officials, officers and employees 20 East Main Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520 Maraene Forney/MARC ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INCn7R r~mm~c. m n. A rnon r.- ............:.A...., ...r._ .t A nnon