Loading...
HomeMy WebLinkAboutInsurance Certificate: Steve Ennis Architect STEVENN-01 AHARMAN ACORO' CERTIFICATE OF LIABILITY INSURANCE 6 DAM 1 /s/zola 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 terns 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 NAME: The Dallas Office PHONE FAX PayneWest Insurance, Inc. MC No at), (541) 296-2268 INC No: (541) 296-9427 P.O. Box 1940 E-MAIL ADDRESS: The Dallas, OR 97058 INSURER(S) AFFORDING COVERAGE NAICp INSURERA:RLI Insurance Company 13056 INSURED INSURER B: Steve Ennis, Architect INSURER C : PO Box 4051 INSURER D: Medford, OR 97501 INSURER E : 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 TYPE OF INSURANCE AD POLICY EFF POUCYEXP POLICY NUMBER MM IRSP- MD LTR IDDIYYri MMIDDNYYY LIMITS COMMERCIAL GENERALLIABIDTY EACH OCCURRENCE $ A A CLAIMS-MADE OCCUR PREMISES Ea occurrence E MED EXP (Any one person) $ PERSONAL B ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S - POLICY E] PRO JECT ❑ LOC PRODUCTS COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY (Per person) E ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON,OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accdent 8 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAe CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED9 (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ If yes, desm" under DESCRIPTION OF OPERATIONS below EL.DISEASE - POLICY LIMIT $ A Prof Liability 7 P0015558 06/11/2014 06/1112015 Ea Claim/Aggregate 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remark, Schedule, may M attached H more space Is required) 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 20 E Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD