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HomeMy WebLinkAboutInsurance Certificate: Economic & Financial Analysis A~~ °O® CERTIFICATE OF LIABILITY INSURANCE DAM ro /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(les) 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 NCOT CT AME: Dyan Bates (Renewals) Ever teen Insurance Mana ers Inc PHONE 503 259-3060 9 9 C No Eat : ( ) AIC No : 503 259-3065 5293 NE Elam Young Pkwy Ste 160 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC0 Hillsboro OR 97124 INSURERA: AXIS Insurance Company 37273 INSURED INSURER B: Economic & Financial Analysis INSURER C : Raymond J. Bartlett. DBA: INSURER D: 1409 Franklin St Ste 201 INSURER E Vancouver WA 98660 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. LTR TYPE OF INSURANCE 1 POLICYNUMBER MWDD/YYYY MO MIDO LIC YEXP LIMBS GENERAL LIABILITY EACH OLCURRENCE f COMMERCIAL GENERAL LIABILITY PREMISES .occurrence) S CLAIMS-MADE OCCUR MED EXP (Any one Portion) f PERSONAL S ADV INJURY S GENERALAGGREGATE S GEN'L AGGREGATE LIMIT APPLI ES PER'. PRODUCTS - COMPIOPAGG S POLICY PRO- LOC f AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY (Par Penen) S ALL AUTOS mEO SCHEDULED BODILY INJURY (Per accident) 3 HIREDAUTO$ ANONLSNMED PROPERTY DAMAGE f S UMBRELLA LIAR OCCUR EACH OCCURRENCE f EXCESS LIMB CWMS-MADE AGGREGATE S DEO RETENTIONS S WORKERS COMPENSATION wCSTATU- 0TH- AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L. EACH ACCIDENT f OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYE S If yea. tlaacriEeN DESCRIPTIO OF underOPERATIONS hel. E.L. DISEASE.POLICY LIMIT S A Professional Liability MCN0000797at30t 10/282013 t0@8201a $1,000,000 Each Wrongful Act $1,000,000 Total Limit of Insurance DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES. (Afton ACORD 101, Additional RemarMa Schedule, if more space I. required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Mike Faught, Public Works Director ACCORDANCE WITH THE POLICY PROVISIONS, 20 East Main Street AUTHORIZED REPRESENTATIVE Ashland OR 97520 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD