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HomeMy WebLinkAboutInsurance Certificate: UNAVCO Inc DATE (MM DDTYYYYI ,aCC)R°r CERTIFICATE OF LIABILITY INSURANCE r 10/27/2013 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 thecertificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject in 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 1-303-773-9999 CONTACT Arthur J. Gallagher Risk Management Services, Inc. NAME: Meli Bea ISNPD-Bi rtlwhietell PH VIC, No, ONE E.n: (NFAX C303-889-2544 Art 6399 S. Fiddlers Green Cir NOT: AIL E-MAIL Suite 200 ADDRESS: mel ieea_eaPP-birdwhi e[ellpajy. com ' ER(S) AFFORDING COVERAGE NAIL F INS CO 20281 INSURED Greenwood Village, CO 80111 LINSURERE: UNAVCO Inc. INSURERS INSURER C 6350 Nautilus Drive Boulder, CO 80301 COVERAGES CERTIFICATE NUMBER: 36529278 REVISION NUMB ER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POL(CY_NERIOD_ -INDICATED: tIOTWITHSTAND(NG-ANY-REOUIREA'E.4T,TERM OR CONDITION OF ANY CONTRACT UH OTHER DOCUMENT WITH RESPECT TO WHICH T!11S 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. INSRI ADOL'BUBB EDIT TYPE OF INSURANCE POLICY NUMBER '..'La , MMIODIYYYY UNITS A : GENERAL LIABILITY 3598-8128 11/01/13 11/01/14 X EACH OCCUHRENCE 5 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 1, 000, 000 % PREMISES C. .recce) 8 ;CLAIMS MADE 'OCCUR - MED EXP (Any une person) S 5,000 PERSONAL a ADV IN AIRY $ 1, 000, 000 - GENERAL AGGREGATE S 2,000,000 GENIE AGGREGATELIMIT APPLIES PER: - PRODUCTS-COMPIOPAGG S2,000,000 % POLICY 1 PH6 LOC x a AUTOMOBILE LIABILITY ~ !7358-1997 ~ IT-/6-1/lj 11 /14COMBINEO SINGLE LIMIT . % (ER 1c.den0 S 1,000,000 ANY AUTO - SOURLY INJURY IPM Person) S ALL OWNED I SCHEDULED :AUTOS ;AUTOS BODILY imuRY(Pereal(Ienl s HIRED AUTOS ! NOPTOUTOSWNED - PROPERTY DAMAGE T (Per Jccoem) S A % ;UMBRELLA LIAR 'X S )OCCUR ,7988-7833 11/01/13 31/01/14 EXCESS LAD CIAIMSMADE' EACH OCCURRENCE E 2,000,000 - AGGREGATE S 2,000,000 DEC )RETENTIONS WORKERS COMPENSATION - S ANO EMPLOYERS' LIABILITY WC STATLL OTH- YIN' TORY LIMITS ER j ANY PROPRIETOWPARTNER XECUTIVE OFFICE"EMBER EXCLUDED? ~iNlAl ELL EACH ACCIDENT S ~ (4ayoe. pq In NH) II yes. tleP Id,tler I E L DISEASE EA EMPLOYEE 5 1 DESCRIPTION OF OPERATIONS telow EL 01$EA$E-POLICY LIMIT 5 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AaaPN ACORO 101, AddlNonal R.mart. Seh.d.N, II mor...... I. nqulnd) Re: GPS site P370 (Ashland Municipal Airport). The City of Ashland, Oregon an Oregon Municipal Corp. is included as Additional Insured on the General Liability Policy if required by written contract or agreement subject to the policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland, Oregon an Oregon Municipal Corp. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Dawn Lamb 20 E. Hain 8treat AUTHORIZED REPRESENTATIVE Ashland, OR 97520 USA C~~' nT ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ganeshden 36529278 YS]4~~1!WXi} A, [It ter.1. Gallagher Risk Management See cices, Inc. - 6399 S. Fiddlers Green Cir Suite 200 Greenwood Village, CO 80111 nn~n,iuin Electronic Service Requested E B I X B PO c 3-DIGIT 975 24171 0.5234 AT 0.381 rlrllrtltlilhluurllrlllllllruttlrllllllttliltllltltllllllll City of Ashland. Oregon an 82 Oreggon Municipal C 20 E. MAIN STREET ASHLAND. OR 97520-1814 This document was brought to you by CertlficateeNow and Arthur J. Gallagher Risk Management Services, Inc. in Greenwood Village, CO.- Any documents forwarded with the certificate request were reviewed for the sole purpose of completing the certificate.- If you have questions regarding the content of this document, please contact - the Producer/Agent listed on the certificate of insurance.- The data included in this notice and in the attached document is confidential to - Ebix and Arthur J. Gallagher Risk Management Services, Inc.- cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. rnn~r~nar> nPn„o„. n„ ronn~,.~,o. ni.,...