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HomeMy WebLinkAboutInsurance Certificate: OBEC Consulting Engineers (2) OP ID: BH CERTIFICATE OF LIABILITY INSURANCE °AT03/11/ 3 03/11/13 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 CONTACT 800-338-1391 NAME: 701 Market SH 888-621-3173 PHONE FAX 701 Market St., Ste. 1188 N N. Ext: A/C No: St Louis, MO 63101 E-MAIL Jeff B. Connelly ADDRESS: PRODUCER OBEC-O1 CUSTOMER ID X; INSURER(S) AFFORDING COVERAGE NAIC N INSURED OBEC Consulting Engineers INSURER A: Hartford Insurance Company 22357 920 Country Club Road INSURER B: Eugene, OR 97401-2231 INSURER C INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: _ 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 AO B TYPE OF INSURANCE POLICY NUMBER MMDDY IY E YYY MM DDY LIMITS InH. LTR GENERAL LIABILITY EACH OCCURRENCE $ 2,000,08 A X COMMERCIAL GENERAL LIABILITY 84SBWPA4035 03/20/13 03120/14 PREMISES Eaoccvnence $ 2,000,00 CLAIMS-MADE lxl OCCUR MED EXP(My one person) $ 10,00 PERSONAL S ADV INJURY $ 2,000,00 PROF. LIABILITY EXCLUDED GENERAL AGGREGATE $ 4,000,00 GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGO $ 4,000,00 POLICY X PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,00 (Ea accident) A X ANY AUTO 84UEGPF0127 03120113 03120114 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) $ NON-OWNED AUTOS $ $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,00 EXCESS DAB CLAIMS-MADE AGGREGATE $ 5,000,00 A 84XHGYH1723 03120113 03120114 DEDUCTIBLE It X RETENTION $ 10,000 $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS' LWBILITY A ANY PROPRIETORIPARTNERIEXECUTNE YIN 84WBGBJ0746 03/20113 03120114 E. L. EACH ACCIDENT $ 1,000,00 OFFICERNEMSER EXCLUDED? ❑ N I A (Mandatory in NH) E. L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, desalUe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES (Attach ACORD 101, Additional RemarMa Schedule, If mom space Is required) RE: CITY OF ASHLAND IS INCLUDED AS ADDITIONAL INSURED TO ABOVE COVERAGES EXCEPT W/C AS REQUIRED BY WRITTEN CONTRACT AMID N.MAIN STREET (ASHLAND CREEK) BRIDGE REPAIR CERTIFICATE HOLDER CANCELLATION CITYOFA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF ASHLAND ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: MORGAN WAYMAN 51 WINBURN WAY AUTHORIZED REPRESENTATIVE ASHLAND, OR 97520 Claw c~ 'r ©19888-`2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD