HomeMy WebLinkAboutInsurance Certificate: OBEC Consulting Engineers (5)
Client#: 331197 OBECCONE
ATE(M WY)
ACORD CERTIFICATE OF LIABILITY INSURANCE D9/16/2201013 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 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 C C
N ME:
Kibble & Prentice, a USI Co PR PAIH o ,v
c a). 610-362-8528
Est :206 441-6300
601 Union Street, Suite 1000 E-MAIL
ADDRESS: pl.certrequest@kpcom.com
Seattle, WA 96101 INSURER(S) AFFORDING COVERAGE NAICF
INSURER A: Hudson Insurance Company 25054
INSURED INSURER B :
OBEC Consulting Engineers, Inc.
920 Country Club Rd, #1008 INSURER C:
INSURER
Eugene, OR 97401 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 CONTRACTOR 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.
LTR TYPE OF INSURANCE NADOSUBS SRL MD POLICY NUMBER M1AGD/YYYYF M1ArDDD~Y) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY FAEAJ EaEao Dnce $
CLAIMS MADE 71 OCCUR MED EXP (Any one person) $
PERSONAL &ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATELIMIT AP PLIES PE R: PRODUCTS - COMP/OP AGO $
POLICY PRU I LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea accident
ANY AUTO BODILY INJURY (Per Person) $
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS Peraccident
UMBRELLA DAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTIONS $
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNEWEXECUTIVE YIN E.L. EACH ACCIDENT $
OFFICMMEMBER EXCLUDED? N/A
(Mandatory In NH) E.L. DISEASE -EA EMPLOYEE $
yes, describe under
If
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
A Professional AEE7254303 9/25/2013 09/2512014 $5,000,000 per claim
Liability $5,000,000 Boot aggr.
DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional RemarKs Schedule, if more apace la required) RECEIVED
Re: Project No. 05-15, Railroad Crossing Improvement.
SEP 2 31013
City of Ashland
CERTIFICATE HOLDER CANCELLATION
City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Engineering Dept. ACCORDANCE WITH THE POLICY PROVISIONS.
20 East Main Street
Ashland, OR 97520 AUTHORIZED REPRESENTATIVE
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) 1 Oft The ACORD name and logo are registered marks of ACORD
#S10935979/M10935677 JRMZP