Loading...
HomeMy WebLinkAboutInsurance Certificate: Right-of-Way Associates `„ram' CERTIFICATE OF LIABILITY INSURANCE 9//19/ 19/2013 AC° 013 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 terns 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 endorsements . PRODUCER - NCONTACT AME: Rhonda Hanson JB NIBLEY INSUP"CE INC PHONE (503)221-5420 FAC Not(503)221-8732 1800'-SW First Avenue, suite 10 !tt.i~enson@n:Lbley=s=ance.com INSURERS AFFORDING COVERAGE NAIcs Portland OR 97201-5398 INSURERA:Travelers Casualty Ins Co of A 9046 INSURED INSURERB:Travelers Indemnity Co of Conn 5682 Right-Of-Way Associates Inc INSURER C:Travelers Indemnit C n 5658 10186 SR Laurel Street INsuRERo-Charter Oak Fire Insurance Co 5615 INSURERE:HOIIStoll CaSUalt C as Beaverton OR 97005 INSURERF: COVERAGES CERTIFICATE NUMBER:RH13-14 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. WSR AODL SUS POLICY EFF POLICYEXP UM TYPE OF INSURANCE POLICY NWBER MMIDOfYY1'Y (MMICCIYYYYI Umn"S GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LABILITY PREMPES -a on. mental E 300,000 A CLAIMS-MADE QOCCUR X 806717LB671342 0/22/2013 0/22/2014 MED EXP(Ani one person) 5,000 PERSONAL B ADV INJURY S 2,000,000 GENERALAGGREGATE S 4,000,000 GEN'LAGGREGATE L MIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 4,000,000 X POLICY P"_ LOG $ ,ECT AUTOMOSILELMBILrTY Es edco! y N~Ui IT L E 1.000 000 B X ANY AUTO' a - BODILY NMRY(Per Person) 5 ALL OrI-D SCHEDULED X 6720L51113SEL 0/22/2013 0/22/2014 BODILY NI,AIRY (Pera?dded) S AUTOS AUTOS NON-OM JrOS ED ,PracacentArfA 5 HIREDAUTOS H PA MENCOI a enL $ 5,00 D X WBRELLA LAB X OCCUR EACH OCCURRENCE E 1,000,000 EXCESS LAB CLAIMSAIADE AGGREGATE E 1,000,000 DEC) X RETENTIONS 5,000 X 0S17876)[5231342 0/22/2013 0/22/2014 E 1) WORKERS COMPENSATION X TORY STATI} OTH- AND EMPLDYERS' LIASIUTY ANY PROPPIETOPIPARTNERIEXEQITIVE YIN E.L. EACH ACCIDENT < 500,000 OFFICER/MEKBER EXCLUDED? 1~1 NIA O0B6719L88613 0/22/2013 0/22/2014 (Mandatory In NHl EL. DISEASE - CA EMPLOYE $ 500,000 if yyeas. describe under DESCTOPTJON OF OPERALIONSbelow EL. DISEASE - POLICY LIMIT S 500,000 E Professional Liability 713-101996 0/22/2013 0/22/2014 51000000OCmrrencs $4,500 De Claims-Made S2o00.WOA0ryeeeta OESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Albch ACORD 101, Additional Remarks Schedule, If mote apace Is required) Additional Insured: City of Ashland, Oregon, its elected officials, officers, and employees, excepting the Professional Liability and Workers Compensation policies. Coverage is primary and non-contributory. 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 East Main St Ashland, OR 97520-1814 AUTHORIZED REPRESENTATIVE Rhonda Henson/RJH ~"~=-i'p sc.:(n }i✓~:•.,..,d„-7v ACORD 25 (2010105) © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005)01 The ACORD name and logo are registered marks of ACORD