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HomeMy WebLinkAboutInsurance Certificate: Rogue Biofuels Corp °RO® CERTIFICATE OF LIABILITY INSURANCE 5/9/2013 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 Kim H.B. NAME: Elliott Powell Baden and Baker Inc. PHONE (503) 227-1771 F'ix .(503)274-7644 Arc 1521 S.W. Salmon Street EMAIL DR~ss.khaas@epbb.com INSURERS) AFFORDING COVERAGE NAIC III Portland OR 97205-1783 INSURERAArch Insurance Co. INSURED INSURER B:SAIF 6196 Rogue Biofuels Corp INSURER C: 1409 Highway 99 N INSURER D: NSURER E Ashland OR 97520-9641 INSURER F: COVERAGES CERTIFICATE NUMBER:13-14 GL/Auto/WCO 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICYNUMBER NIMIDD/YYYY MNUDDrYYYY) LIMITS GENERALUABIUTY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED Ea occurrence) $ 100 , 000 A CLAIMS-MADE OCCUR CAT0173002 /12/2013 /12/2014 MED EXP(Any one arson $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 2,000,000 X POLICY PRO LOC S JFr.T F-1 AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT Ea accident 1 000 000 ANY AUTO BODILY INJURY (Per person) $ A ALLOWNED SCHEDULED BCAT0173002 /12/2013 /12/2014 AUTOS X AUTOS BODILY INJURY (Perewitlen0 $ X X NON-OKMEO PROPERTY DAMAGE $ HIRED AUTOS AUTOS Pereeoident PIP-Basic $ 15 000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ B WORKERS COMPENSATION WC STATU- 0TH- AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE NIA EL EACH ACCIDENT $ 11000,000 OFFICERIMEMBER EXCLUDED? (MandatoryIn NH) 70406 /1/2013 /1/2014 E.L. DISEASE - EA EMPLOYE $ 1 ()00,000 If yes, describe under DESCRIPTION OF OPERATIONS below E .L. DISEASE. POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, IF more space is required) CERTIFICATE HOLDER CANCELLATION 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. 20 E Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE Rim Haas/RH ACORD 25 (2010105) © 1988.2010 ACORD CORPORATION. All rights reserved. INS025 (201005) .01 The ACORD name and logo are registered marks of ACORD