HomeMy WebLinkAboutInsurance Certificate: Hardey Engineering & Associates (2)
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CERTIFICATE OF LIABILITY INSURANCE °"""°""Y'
5!12/2014
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 bolder in lieu of such endorsement(s).
PRODUCER
HUMP" KemidiallYeaw
Protectors Insurance, LLC PHONE FAX
P.O. Box 4669 Md. Rg. - C, No _ 908
Medford OR 97504 ADDAss-kAndaIIyJQprotectors'hs corn
- INSURER(8 AFFORDIN G COVERAGE NAICS
INSURER A. Continental Casualty INSURED HARDE-1 INSURER B.
Hardey Engineering & Associates Inc '.Ohio Casualty Insurance
PO Box 1625,
Medford OR 97501-0124 INsuRER D E
INSURER E:
INSURER F.:.
COVERAGES CERTIFICATE NUMBER: 1435779711 REVISION NUMBER:
IS IS O CERTIFY THAT E POLICIES O INSURANCE LISTED BELOW HAVE BEEN ISSUED O THE INSURED NAMED ABOVE O POLICY
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.
INSR TYPE OF INSURANCE AWLJZ~K POLICY EFF POLICY EXP -
LTR WSR WVD POLICY NUMBER [MMIDDrfYrn (MMIDDFYYYYI LIMITS
B GENERAL LIABILITY S55569489 - 22014 22015 EACH OCCURRENCE $1000,000.
COMMERCIAL GENERAL LIABILITY' PREMISES Es o=mwxe $1,000,000.
CLAIMS-MADE OCCUR MED EXP(My one person) $15,000.
- PERSONAL S ADV INJURY $
GENERAL AGGREGATE. $2,000,000
GENL AGGREGATE LNIT APPLIES PER. - - PRODUCTS-COMP/OP AGG $
17 POLICY X PRO- LOC $
,ECT
B AUTOMOBILE LIABILITY - EAS55569488 22014 22016
.
Ea aaidert $1,000,000
ANY AUTO - BODILY INJURY (Par person) L
ALL OV.NED SCHEDDLED
AUTOS WJTOS - BODILY INJURY (Per ecadenry $
-
HIRE_DAUTO_S AUT S ED Perecadent - $
$
C 'UMBRELLA LIAB X OCCUR US055569489 - 22014 22016 EACH OCCURRENCE 0,00000
EXCESS UAS CLAIMS-MADE AGGREGATE $
DED RETENTION j.. $
WORKERS COMPENSATION RY.IA R R
AND EMPLOYERS' LIABILITY, YIN
ANY PROFRIETOR/PARTNERIEXEWTIVE❑ MIA EI EACH ACCIDENT $
OFFICERMIEMSER EXCLIOED'7~
(Mandatory In NH) EL DISEASE-EAEMPLOYEE $
Il yes, desoibeu @r -
DESCRIPTION OF OPERATIONS belay EL DISEASE-POLICY LaAIT j.
Prbress)onal Uabflity - A kFAI 202014 202016 Per Claim I" $2,OOQ000
Annual Aggregate, $2,000,000
Deducible $20.000 per claim
DESCRIPTION OF. OPERATIONSI LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, ifmore apace Is requlrea),
Certificate holder is named as additional insured per Policy form
BP7996(0609):
CERTIFICATE HOLDER CANCELLATION
SHOULDANY OF THE ABOVE DESCR03ED POLICIES BE CANCELLED BEFORE
THE EXPIRATION, DATE THEREOF, NOTICE WILL Be DELIVERED IN
City E MAsh~'d ACCORDANCE WITH THE POLICY PROVISIONS.
20 eet
Ashland OR 97520 AUnroRIZEO REPRESENT TIVE
®1988-2010 ACORD:CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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CA8810 0110.pdf