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HomeMy WebLinkAboutInsurance Certificate: BB&A Environmental `'~°RO® CERTIFICATE OF LIABILITY INSURANCE 5%1/zo14 n 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(Ies) 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 endorsement(s). PRODUCER - CONTACT Kris Sutherland NAME: Ward Insurance Agency (541) 667-1117 a/c No: (541)342-8280 PO Box 10167 PHO"~e.kris@ wardinsurance. net INSURER(S) AFFORDING COVERAGE NAIC 0 Eugene OR 97440 INSURERA Admiral Insurance Company INSURED INSURERBAllied Property & Casualty Ins 2579 Bergeson-Boese & Associates Inc INSURER C dba BB&A Environmental INSURER D: 32986 Roberts Court INSURER E: Coburg OR 97408 INSURER F COVERAGES CERTIFICATE NUMBER:14/15 GL/AU/UM/POLL/PROF 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. INSR ADOL SUB POLICY EFF POLICY EXP LM TYPE OF INSURANCE POLICY NUMBER MM/OD MMICD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occunence $ 50.000 A CLAIMS-MADE FxIOCCUR EIECC14791-02 /30/2014 /30/2015 MED EXP(Any one person) $ 5,000 PERSONAL 4 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X ~CT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE xd LIMIT Ea dehf $ 1,000,000 B X ANY AUTO BODILY INJURY (POI person) $ ALL OV4JED SCHEDULED P7501541172 /30/2014 /30/2015 AUTOS AUTOS BODILY INJURY (Per axitlent) $ X HIRED MITOS X NON ANED PROPERTY DAMAGE $ AUTOS PeracdOeM Uninsured motorist BI-sinale $ 1 000 000 UMBRELLA LIAB X OCCUR EIEXS14792-02 EACH OCCURRENCE $ 1,000,000 A X EXCESSLIAB CLAIMSMADE UMBRELLA LIMIT FOLLOWS AGGREGATE $ 1,000,000 BED RETENTIONS FORM OVER GI LIAB, /30/2014 /30/2015 $ WORKERS COMPENSATION AUTO LIAB AND EMPLOYERS NC STATU- 0TH- AND EMPLOYERS'LIABILITY YIN TORY LIMIT ANY PROPRIETOR/PARTNER/EXECUTIVE LIABILITY E. L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED'I E] NIA (Mandatory in NH) E. L. DISEASE - EA EMPLOYE $ 1' ^ 'esw-be urkor _ DESCRIPTION OF OPERATIONS bolow E.L. vIGEA3E-POLICI'LFUIt j A POLLUTION LIABILITY EIECC14791-02 /30/2014 /30/2015 LIMIT : 1,000,000 PROFESSIONAL LIABILITY LIMIT. 1,000,000 DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) THE CITY OF ASHLAND, ITS OFFICERS, EMPLOYEES AND AGENTS ARE ADDED AS ADDITIONAL INSUREDS IF REQUIRED BY WRITTEN CONTRACT I CERTIFICATE HOLDER CANCELLATION I 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. I 20 E MAIN STREET ASHLAND, OR 97520 AUTHORIZED REPRESENTATIVE 1 Rob Harvey/CARSON ° - ACORD 25 (2010105) I © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005)01 The ACORD name and logo are registered marks of ACORD