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HomeMy WebLinkAboutInsurance Certificate: OnTrack Inc A` °R°® CERTIFICATE OF LIABILITY INSURANCE 5//DATE 3 3 (MMmonvrY) /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 Debbie Light , CISR NAME: Smith S Crakes Inc. PHONE (541) 687-2211 FAX (5417344-5894 58 W 11th Ave Ei aIESS:debbie@smithandcrakes.com INSURERS AFFORDING COVERAGE NAIC N Eugene OR 97401 INSURERA:Great American Assurance Co. INSURED INSURERB:SAIF Corporation On Track Inc INSURER C: 221 W Main INSURER O: INSURER E : Medford OR 97501 INSURER F: COVERAGES CERTIFICATE NUMBER:13/14 GL/Pro/Au/Wc/Dm 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 QR 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 TYPE OF INSURANCE AD POLICY NUMBER MMIDIDlYYYr MMIDDYnE'YVY LIMITS TR ioa ma GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 Ate' X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurr nce $ 100,000 A' 7 CLAIMS-MADE OCCUR X AC6536160 /1/2013 /1/2014 NED UP (Any one person) $ 5,000 X Professional Liability PERSONAL B ADV INJURY E 1,000,000 GENERAL AGGREGATE $ 3,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG E 3,000,000 X POLICY PRO- LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eaacciden 1,000,000 A X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED X 537426740 /1/2013 /1/2014 BODILY INJURY (Per acodenl) $ ]C AUTOS NAUTOS ONOWNED PReOr PERTnt DAMAGE $ HIRED AUTOS AUTOS E X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB X CLAIMS-MADE AGGREGATE E 3,000,000 OED X RETENTION$ 10,00 3070034 - /1/2013 /1/2014 $ B WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS' LIABILITY TORY I MITA FR ANY PROPRIETOWPARTNERIEXECUTIVE~ NIA E.L EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? 51050 /1/2013 /1/2014 (Mandatory In NH) E.L. DISEASE - EA EMPLOYE E 500,000 If yes, dsscnbe onder DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addilmnal Remarks Schedule, if more apace is required) As respects all operations of the insured in accordance with policy terms and conditions. The City of Ashland, its officers, and employees are Additional Insureds CERTIFICATE HOLDER CANCELLATION (541)652-2059 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland FINANCE DEPARTMENT 20 East Main Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520 R Crawford, CPCO/DL ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSroS rpn,mal n, THn Arnwn .,~..,e anN lnnn aro ro,.iete.an m.~.I.~ nF Arnan