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HomeMy WebLinkAboutInsurance Certificate: Newco ACS 0® CERTIFICATE OF LIABILITY INSURANCE ° o~ 1201'3"' 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(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 endorsemen s . PRODUCER CONTACT Courtney Reading DML Insurance Services, Inc PHONE (206) 838-9077 FA% ..(206) 838-9076 4005 20th Ave W Ste 132 EanAIL Seattle WA 98198 AMBERS. treading@dmlinsurance.com INSURERS AFFORDING COVERAGE NAIC0 INSURER A , Imnshore Specialty Insurance Company INSURED NsugEg .Praetorian Insurance Company NaWce, Inc. Cascade Columbia Distribution Company INSUFIEFIC.Ironshore Specialty Insurance Company 6900 Fox Ave S Seattle WA 98108-INSURER E' 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. IN LTR SR TYPE OF INSURANCE A..RR :R IMM1Dnn(YVYi DDL SUER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY 000787903 10/31/2013 10/31/2014 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY $ 1,000,000 CLAIMS-MADE Pq OCCUR MED EXP An one Person) $ 10,000 X Pollution Liability PERSONAL B ADV INJURY S 1,000,000 X Vendors Liability GENERAL AGGREGATE $ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGG $ 2,000.000 7 POLICY PRO- X LOC E B AUTOMOBILE LIABILITY PICISOOO1401 10/31/2013 10131/2014 COMBINED SINGLE LIMIT 1,000,000 (Fa ODILY INJURY (Per Person) $ X ANYAUTO B ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS $ E C UMBRELLA LIAR X OCCUR 000787903 10131/2013 10/31/2014 EACH OCCURRENCE $ 20,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 20,000,000 X 10,00 $ A WORKERS COMPENSATION 000]8]203 10131/2013 10/31/2014 WesTATU OTH- AND EMPLOYERS' LIABILITY 1,000,000 ANY PROPRIETORIPARTNER ECUTIVE Y WA Stop-Gap E.L. EACH ACCIDENT $ OFFICERRHEMBER EXCLUDED? NIA (Mandnery In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 III F OPERATIONS bel, der 1.000.000 I'M= EL. DISEASE - POLICY LIMIT B Auto Physical Damage PICISOOO1401 10/312013 10/31/2014 Comprehensive Deduct 1,000 Collision Deduct 1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aeaeh ACORD101,Additional Ramada S.h w.,Nmon.pap I.rogww) CITY RECORDER CERTIFICATE HOLDER CANCELLATION Al 1570 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Kan Olson - Purchasing ACCORDANCE WITH THE POLICY PROVISIONS. 90 N Mountain Avenue Asland OR 97528- AUTHORIZED REPRESENTATIVE Fax: (541)188-5320 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD