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Home My WebLink AboutInsurance Certificate: Tristar Insurance Group YSlUMIlaell A CERTIFICATE OF LIABILITY INSURANCE °0~/0 /2 4 THIS CERTIFICAT IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFIdATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LL BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. O IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. H 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). NAME M PRODUCER 1-818-539-2300 CONTACT Arthur J. Gallagher 4 Co. PRONE FAX Insurance Brokers of California, Inc. LSceese #0726293 "E(~IL Arc No: Z 505 North Brand Boulevard, Suite 600 ADDRESS: W Glendale, CA 91203-3944 INSURERS MFOROING COVERAGE "CS 818-539-2300 INSURERA: ANBRICAN ZURICH INS CO 60142 INSURED INSURER B: AMERICAN GUAR F LIAR INS 26247 TRISTAR Insurance Group. Inc. INSURERCHESTCBHSTJDL FIRB INS CO 21121 100 Oceangate Avenue, Suits 700 INSURERD: ACE ANBR INS CO 22667 Long Beach, CA 90802 INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 30004818 REVISION NUMBER: _ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE. LISTED BELOW. HAVE.BFEN 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. INSR TYPE OF INSURANCE POLICY EFF POLICY UP LTR PCUCYNUMBER IMKDDNYYY) MWOO w NITS A GENERAL L1,ARLMY CP0554360201 0110111 O1/Ol/15 RENCE $1,000,000 % COMMERCIAL GENERALLABILITY EIJTED 1,000,000 ENTED S CLUMS-MADE a OCCUR me pe,con) 5 10, 000 Y InCl. ContraCCUal Liab ADVWJURY (1,000,000 GREGATE S 2,000,000 GENL AGGREGATE UMIT APPLIES PER: COMPMP AGG $ 2,000,000 POLICY PRO- % LX $ A AUTOMOBILE LIABILITY CP0554360201 01/01/14 1 COMBINED SINGLE LIMIT Ea amtlem 1,000,000 % ANY AUTO BODILY IWURY(P. perm) $ ALL OWNED SCHEDULED BODILY INJURY (Pm wdJenl) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Pm ea:c.nl Comp. Dad. 6500 $ Coll. Dad. $50 B X UMBRELIA LIAB % OCCUR ADC554347901 01/01/1 01/01/15 EACHOCCURRENCE f 51000,000 EXCESS LUIS CLAIMS-MADE AGGREGATE $ 5,000,000 DED A RETENTION None Products /C S 5,000,000 WORMERS COMPENSATION WC STATU- OTH- MOEMPLOYERSLIABILITY YIN ANY PROPRIETORIPARTNERIE%ECURVE❑ E.LEACHACCIOEM f OFFICERAIEMBER EXCLUDED? NIA (Men In NX) - E.L. DISEASE -EA EMPLOYE S D demmi ender DESCRIPTION OF OPERATIONSWe E.L. DISEASE - POLICY LIMIT $ C Crime 023670410 001 01/31/1 01/31/14 Limit of Liability 5,000,000 D Errors A Omiesio°s 025659223 001 02/0711 01/31/14 Aggregate 10,000,000 DESCM"WN OF OPERATIONS I LOCATIONS I VEHICLES UUtecM1 AcORD 101, AddSloml Reme,Xe acM1etluN, X mom epee Ie,pul,W) City of Ashland is named additional insured under General Liability as respects their interest in the operations of the Named Insured. GL At FORM U-GL-1175-C CN (07/10) 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 ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Uri Olson 90 N. Iroantain Ave. AUTHORIZED REPRESENTATIVE Ashland, OR 97520 08A ®199&2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD lavanyaglen 38004818 P53611'JIXAXIl Arthur J. Gallagher & Co. _ 505 North Brand Boulevard, Suite 600 Glendale, CA 9.1203-3944 r Electronic Service Requested EBIX BPO LL C 5-DIGIT 97520 8321 0.5234 AV 0.357 J~~~Llllu~l~ll~ll'11'IIIIIu~rII~I111r16dJL~r~I'Il"11111 Cityy of Ashland °O 90 N• MOUNTAIN AVE. 29 z ASHLAND, OR 97520-2014 w This document was brought to you by Bbix/CertificatesNow and Arthur J. Gallagher 6 Co. Insurance Brokers of California, Inc. in Glendale, CA.- 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 - Bbix/CertificatesNow and Arthur J. Gallagher 6 Co. Insurance Brokers of California, Inc.- Cox 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. Certificate Delivery by Cer ificstesNow - www.ConfirmNet.com - 877.669.8600