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HomeMy WebLinkAboutInsurance Certificate: Peck Smiley Ettlin Architects Dnre(MMmDmwv) ACOR~® CERTIFICATE OF LIABILITY INSURANCE 3/z3/zo14 THIS CER71FICATEIS 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(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not conifer rights to the , certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME BROWN & BROWN NORTHWEST/PHS (=PHONE .Nc,&Q (866) 467-8730 (A C,N.J (888) 443-6112 709437 P: (866) 467-8730 F: (888) 443-6112: RIIERR. ' PO BOX 33015 INSURER(S) A4061146 COVERAGE NAICN SAN ANTONIO TX 78265 INSURERA: Hartford Casualty Ins Co tmmm INSURERS: PECK, SMILEY, ETTLIN ARCHITECTS INC. INSURERC: NED PECK, STEVE SMILLEY, & HANS ETTLIN INSURER D: 4412 SW CORBETT AVE INSURER E: PORTLAND OR 97239 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. INSR TYPEOF INSURANCE ADD SUIT pOUCyNN, IDpR "UCYEFF Poufl` XP LIVITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s2,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED 300 000 PREMISES (Ea occurrence r A X General Liab x 52 SBA UL7992 04/01/2014 04/01/2015 MED EXP(Any one persari) s10,000 PERSONAL SADV INJURY 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 1 4,000, 000 POLICY ~X PERO- F] LOC PRODUCTS-COMP/OP AGG 4,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _2,000 000 (Ea accident) ANYAUTO BODILY INJURY (Per Person) e ALL OWNED SCHEDULED A AUTOS AUTOS 52 SBA UL7992 04/01/2014 04/01/2015 BODILY INJURY (Per Scold ant) X HIREDAUTOS X NON-0WNED PROPERTYDAMAGE 5 AUTOS (Per accident) UMBRELLA LIAe OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMSMADE AGGREGATE -71 DE RETENTpNe WORd£FSCOAfF NSAT`oN PER OTN" MD£MPLOTE1U`W'dU"Y STATUE ERi ANY PROPRIETOPoPARTNER/F.XECUTIVEYM E.L. EACH ACCIDENT I 5 OFFICER/MEMSER EXCLUDED? ❑ WA (MarMsroryln NN) E.L. DISEASE- EA EMPLOYEE If yea. describe under E.L DISEASE - POLICY LIMIT s DESCRIPTION OF OPERATIONS belo.V DESCRIPTIONOFOPERATIONS/ LOCATIONS/ VEHXpDDRD 101, Additional Remarks Schedule, may be attached if morn space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Ashland, It's Officers BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Y DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Employees, and Agents. AUTHORIZED REPRESENTATIVE 20 East Main Street Ashland, OR 97520 / Lr ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD