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HomeMy WebLinkAboutInsurance Certificate: OBEC Consulting Engineers Inc Client#: 331197 OBECCONE ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 9/30/2014 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(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: Kibble & Prentice, a USI Co PR PHONE No Ext): 206 441-6300 (A/C FAX, No): 610-362-8528 A/C 601 Union Street, Suite 1000 nI DRIESS: pl.certrequest@kpcom.com Seattle, WA 98101 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Hudson Insurance Company 25054 INSURED INSURER B OBEC Consulting Engineers, Inc. INSURER C: 920 Country Club Rd, #100B INSURER D : Eugene, OR 97401 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR LIMITS PE OF INSURANCE POLICY NUMBER IMM/DD/YYYY MM/DD/YYYY TY INSR WVD ~L-_- - - GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES (Ea occu ence $ CLAIMS-MADE El OCCUR MED EXP (Any one person) $ PERSONAL & ADV.INJURY $ GENERAL AGGREGATE $ GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ __..-I_POLICY1 JE_ LOC_ AUTOMOBILE LIABILITY COMBINED-SINGLE LIMIT r LEa accident ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS - PROPERTY DAMAGE AUTOS NON-OWNED Per accident $ HIRED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1 EXCESS LIAB _ CL_AI_M_S-MADE - AGGREGATE $ DED~ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY T CRS IMIT E ANY PROPRIETOR/PARTNER/EXECUTIVE Y N E.L. EACH ACCIDE_N_T_ $ OFFICER/MEMBER EXCLUDED? L I N / A li (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Professional AEE7254304 9/25/2014'109/25/201 $5,000,000 per claim Liability $5,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Contract for Personal Services - Calle Guanajuato Resurfacing Project. CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Kari Olson ACCORDANCE WITH THE POLICY PROVISIONS. 90 N. Mountain Avenue Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S13419869/M13377016 PXLZP