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HomeMy WebLinkAboutInsurance Certificate: Diamond Parking Services DIAMO01 OP ID: CS CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDMYY O7HDA4 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 WANED, 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 endorsements . PRODUCER 206-285-773A 60NIACI NAME: ChrISS S an ler Lovsted-Worthington LLC P.O. Box 607 Bothell WA 98041 206-285-3461 HONE E10: 20638-1042 me 424 Third Ave W No : 425-486-6140 Seattle, WA 98119 ADDRESS: Chf155 lovstedworthin ton.com Dean R. Young WSURER(S) AFFORDING COVERAGE NAIC III, - INSURERA: Philadelphia Indemnity Ins. Cc 18058 INSURED Diamond. Parking. Services, LLC INSURERS -Philadelhia Indemnity Ins. Cc 18058 605'FirstAvenue, Suite:600. Seattle, WA 98104 WsuRERCBerkshireHathaway Homestate INsuRER6: Executive Risk Indemnity INSURER E 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 ISSUBJECT TO ALL THE TERMS,. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE. BEEN REDUCED BY PAID CLAIMS. um I TYPE OF INSURANCE' OLICY M YEF IC i LIMITS LTR GENERAL LIABILITY M6rCURMRBqCE ENCE' $ 1.000;00 A X -CO1.W-RCALGENERALLABILMf X PHPK1202258 07/15114 0715/15 ocaarence $ 100,00 CLAIh7S-MADE OCCURDire person)$ Exclude DV INJURY $ 1,000,00 X StopGap EGATE$ 2,000;00 GENLAGGREGATELIMITAPPLIESPERoMeioPAGG-$ 2,000,00 X '&'CY IT LOC $ AUTOMOBILE LABILITY Eam dent $ 1;000,00 A ANY Auro X PHPK1202258 07/15/14 07/_15115 BODILY INJURY (Per person) 8 X jAUTOSOWNED DOS ED BODILY INJURY (Per acr derd) Y -NON-0VVNED X HIRED AUi05: -X AUTOS - PROPERTY-DAM4GE $ Per accident $ UMBRELLA LAB 'X OCCUR EACH OCCURRENCE' ; 5,000,00 B X EXCESS LAB CiAMS-MADE IPHUB466849 07N 5/14 07Y15I15_ AGGRecnTE' $ 51000,00( DEL, I X RETENTION 10.60o $ WORKERSCOMPENSATION WCSTIA OTH- AND EMPLOYERS' LABILITY - T Y IZ X C o icE lEma cLuo c~~ YIN NIA ORW001433 07/1514 07/15/15 :E.L.EACHSCCIDENT g 1,000,00 .(Mandatory In NH) E.L. DISEASE EA EMPLOYd $ 1,000,00 ❑~~yn desonlne MeL _ _ 1'000,00DESCPJPTION.OF'OPERATIONS below _ -E:L_DISEASE-POLICYCIMfi S D CRIME 07/15/14 07115/15, Chime 1,000;00 D izE: ESCRIPTIONOFO MUMONSILOCATI0NSIVEMCLES (ALftr ACOR 101,AddiUmWRemade Schodule;ifmarespecelrrapWrod) Statian itEA01 City of Ashland, .Ashland,. OR Certificate -holder is an additional insured ER Nr.FLLA'nf)N ASHILA01 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. On Street Parking Enforcement 26 E Main-Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520 ©,1988-201OACORDCORPORATION. All. rights reserved: AC.ORD 25 (2010/05) The:ACORO name and logo are registered marks:of ACORD-