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Home My WebLink AboutInsurance Certificate: Polaris Land Surveying A`40)Z°® CERTIFICATE OF LIABILITY INSURANCE 7~~~2014rn) 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 NAME ACT Sarah Quagliaroli Assurance Risk Managers, Inc. PHONE (303)454-9562 FAx .(BOB)4S4-x664 10651 East Bethany Drive -MAIE ADDRSS, Spite 300 INSURERS AFFORDING COVERAGE NAIC# Aurora CO 80014 INSURER A:Hanover Insurance Company 2292 INSURED INSURER B : Polaris Land Surveying, LLC INSURER C: P.O. BOX 459 INSURER D: INSURER E Ashland OR 97520 INSURER F: COVERAGES CERTIFICATE NUMBER:CL147121227 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 ADDLSUSR POLICY NUMBER MMLDDY EFF MMIDDY EXP LIMITS TR GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES mumunce) $ DLAIMS-MADE❑OCCUR NED UP (My one person) $ PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ PoLICY IRI- lFr.T E-1 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTYDAMAGE $ HIRED AUTOS AUTOS Peraccident S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION S WORKERS COMPENSATION WCSTATU- OTH- ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNEMEXECUTIVE E.L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N/A (Mandatory In NH) - E.L. DISEASE -EA EMPLOYE $ If yes, Oescnbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S A PROFESSIONAL LIABILITY 114 A349055 00 6/28/2014 6/28/2015 EACH CLAIM $ 1,000,000 CLAIMS MADE POLICY AGGREGATE $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland, Oregon and It's ACCORDANCE WITH THE POLICY PROVISIONS. Elected Officials, Officers 6 Employees 20 E. Main St. AUTHORIZED REPRESENTATIVE Ashland, OR 97520 Lisa Isom/SRS ACORD 25 (2010105) © 1988-2010 ACORD CORPORATION. All rights reserved. INS025nn1nmi n1 The arnRn mama on,l Innn nra raniotarad mnr4c of aCr1Rn