HomeMy WebLinkAboutInsurance Certificate: Hardey Engineering & Associates (3)
.~►co CERTIFICATE OF LIABILITY INSURANCE °"'E°""°°"""'
7/10/2014
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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the'pollcy, certain policies may require an endorsement A statement on this certificate does not confer tights to the
certificate holder In Ileu of such andorsemerd(s).
PRODUCER
/LAME: Kendall Yeaw
Protectors Insurance, LLC PHG' 6 FAC Ne:
P.O. Box 4669
Medford OR 97504 ADD se:
INS 5 AFFORDING COVERAGE NAIC0
INSURER A:CNA Continental
INSURED HARDER INSURER e .
Hardey Engineering & Associates Inc INSURER c. '
PO Box 1625
imuRERDSAIF Corporation
Medford OR 97501-0124
. INSURER E:
INSURER F.:
COVERAGES CERTIFICATE NUMBER: 102393728 REVISION NUMBER:
TH IS IS TO CERTIFY POLICIES OF W Cc LISTED BELOW HAVE BE EN ISSU D O WS NAMED All DIVE FOR POLICY RICO
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.
IHSR TYPE OF INSURANCE AWLU~N POLICY EFF. POLICY EXP
LTR SR WVQ POLICY NUMBER (MMIDDlYYYY) (MMIDDrYYYYI LIMITS
B GENERAL LIABILITY 566569489 22014 22016 EACH OCCURRENCE $1000,000
COMMERCIAL GENERAL LIABILITY PREMISES abaunence $1,000,000
CLAIMS_MOE ff] OCCUR MED EXP(Any one person) $15000
PERSONAL B ADV INJURY $
GENERAL AGGREGATE $2000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $
POLICY X PRO- LOC $
.ECT -1
B AUTOMOBILE LIABILITY BA556689489 122014 7/2016 Ea ecddert1 000000
ANY AUTO BODILY INJIRY(Parpefwn) $
ALL OWNED SCHEDULED BODILY INJURY (Per ecodet) $
AUTOS NON-0VdJED $
HIRFDAUTOS AUTOS Perecadent
$
C. X~j UMBRELLA LING X ] OCCUR US055569489... 51122014 5,1212015 EACH OCCURRENCE $1,000.000
EXCESS DAB CLAIMS-MADE AGGREGATE $
CED RETENTION
D WORKERS COMPENSATION 3247 112014 /12016 X ITISTATrU-SI ANDEMPLOYERS'LU1BILm' YIN
ANY PROPRIETOPIPARTNEREXECUTIVE❑ NIA E.L.EACHACCDENT $1000,000
OFACERNEMBEi EXCLUDED?
(Mandatory in NN) E.L. DISEASE-EAEMPLD $1000,000
99WMviler -
OF OPERATIONS belw E.L. DISEASE-POLICY LMR $f D000GO
PTOfeisionel Liability FA113806383 202014 202016 Per Claim I" $2,OOQ000
Annual Aggregate, $2,000,000
Deductible $24000 per claim
DESCRIPTION OF OPERATONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddlUmal Remarks 6eluQWS, N mere apace to natdreQ).
Certificate holder is named as additional insured per policy form
BP7996(0609):
CERTIFICATE HOLDER 'CANCELLATION
SHOULD ANY OF THE ABOVE DESCRMED POLICIES BE_CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE MALL BE DELIVERED IN
City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS:
20 E Main Street
Ashland OR 97520 AUTHORIZED REPRESENT THE
~~:44_ I
®1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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