HomeMy WebLinkAboutInsurance Certificate: Goseetell Networks
DATE(MM/DDNYYY)
CERTIFICATE OF LIABILITY INSURANCE 07-01-2013
THIS CERTIFICATES ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELYOR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
16LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
MPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy0es) must be endorsed. If SUBROGATIONIS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statementon this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
KPD INSURANCE INC/PHS PHON Ax
700810 P: (866)467-8730 F: (877)905-0457 (AIC No E.0 : (866)467-6730 A/c. No): (877) 905-045
PO BOX 33015 ADDRESS:
SAN ANTONIO TX 78265 INSURER(S) AFFORDING COVERAGE NAICN
INSURER A: Hartford Casualty Ins Co
INSURED INSURER B: Hartford Ins Co of the Midwest
INSURER C
GOSEETELL NETWORKS INC
3108 NW LURAY TER NSURER D:
PORTLAND OR 97210 NSURER 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.
ILTHR TYPE OF INSURANCE INS00 SLUR
R WVD POLICY NUMBER (MM/DDNYYYI (MM/DD/YYVVI I LIMITS
GENERAL UABILRY _ EACH OCCURRENCE 5 2, 0 00,000
COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrercel a 300,000
A CLAIMS-MADE I X I OCCUR MED XP (Any one person) $ 10, 000
X General Liab IJ U 52 SBM UR7842 07/15/2013 07/15/2014 PERSONAL &ADV INJURY Is 2 000,000
GENERAL AGGREGATE 5 4,000, 000
GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG S 4,000, 000
AlliI POLICY U JECT I PRO X1 LOC $
UTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 2,000, 000
Ea accident)
ANY AUTO BODILY INJURY (Per Person) $
A ALL OWNED I ISCHEDULED u u 52 SBM UR7842 07/15/2013 07/15/2014 BODILY INJURY (Per accident) $
AUTOS uAUTOS PROPERTY DAMAGE
X HIRED AUTOS ) x NON-OWNED (Per accident) $
AUTOS
LJ
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS )JAB u CLAIMS-MADE F] E] AGGREGATE $
DEOI I RETENTION $ $ -
H-
WORKERS COMPENSATION X ORV TIM TS OER
AND EMPLOYERS ' LIABILITY Y / N PROPRIETO B ONICERMEMB RRXCLLUDED EXECUTIVE) N/A 52 NEC FN1098 09/01/2013 09/01/2014 E.L. EACH ACCIDENT $ 500 QQQ
(Mandatory in NH) u E.L. DISEASE - EA EMPLOYE a 500, 000
IDESCRIPTIONe OF OPERATIONS below E.L.'DISEASE -POLICY LIMIT S 500,000
uu
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more apace is repaired)
Those usual to the Insured's Operations. City of Ashland is an Additional
Insured per the Business Liability Coverage Form SS0008.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
Vy of Ashland DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
E MAIN ST AUTHORM PRESENTATIVE
ASHLAND, OR 97520
° 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD