Loading...
HomeMy WebLinkAboutInsurance Certificate: Dry Creek Landfill CI ient#: 1137013 ROGUE WAS ATE (MM DD/Y ACORD,M CERTIFICATE OF LIABILITY INSURANCE D911912 1 014 YYY) 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 CONTACT NAME: Teresa Weston USI Northwest PHONE 541 685-5300 FAX Arc No Ext : AIC No): 975 Oak Street, Suite 900 E-MAIL Eugene, OR 97401 ADDRESS: 541 685-5300 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Greenwich Insurance Company 22322 INSURED Dry Creek Landfill, LLC INSURER B: XL Specialty Insurance Company 37885 PO Box 3187 INSURER C : INSURER Central Point, OR 97502 D: 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 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. IN RR TYPE OF INSURANCE NADDLSUBR SR WVD POLICY NUMBER M /DDDYNYEFF YYY MMOILDDYIYYEXP YY LIMITS A GENERAL LIABILITY GE0003582703 10101/2014 101011201 EACH OCCURRENCE $1,000,000 qXBl'/PD OMERCIAL GENERAL LIABILITY PREMISES (E. oL ence $1()0,000 CLAiMS-MADE ~ OCCUR MED EXP (An one person) $5,000 Ded:1,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000 POLICY PRO LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY (Par person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Pr accident $ B X UMBRELLA LJAB X OCCUR U E0003582503 10101/2014 10/01/201 EACH OCCURRENCE s3,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE s3,000,000 DED X RETENTION $$10 000 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N I A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD IDI, Additional Remarks Schedule, if more space is required) City of Ashland its officers, agents and employees are added as additional insureds. CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESC OLICIES BE CANCELLED BEFO THE EXPIRATION DATE THERE TICE WILL BE DELIVERED 20 E Main ACCORDANCE WITH THE POLIC ISIODST 3 0 2014 Ashland, OR 97520 AUTHORIZED REPRESENTATIVE i. B .4e © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S133205741M13320555 TRWJR