Loading...
HomeMy WebLinkAboutInsurance Certificate: SME Solutions LLC Client#: 335759 SMESOLUT ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/26/2014 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 NAME: Shelley Green USI Northwest a/cN o, Ell : 503 295-6354 FAX A/C, No610 362-8163 700 NE Multnomah, Suite 1300 E-MAIL ADDRESS: Portland, OR 97232 INSURER(S) AFFORDING COVERAGE NAIC # 503 224-8390 INSURER A : SAIF Corporation 36196 INSURED INSURER B : Zurich American Insurance Compa 16535 SME Solutions, LLC INSURER C: 680 Quinn Ave. INSURER D San Jose, CA 95112 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 LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY i) (MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY PREM DAMAGE TO RENTED ISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY JEC_T LOC $ AUTOMOBILE LIABILITY EO aBI EDtSINGLE LIMIT ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS - NAUTOS ON--OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident I $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAMS -MADE AGGREGATE $ I DED RETENTION $ $ A AND WORKERS EMPLOYERS' COMPENSATION LIABILITY 992634 10/01/2014110/01/201 X W RYTUMir orH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y / ~N E.L._EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below - DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Workers Comp Information B 8997923 Eff Date: 10/01/2014 Exp Date: 10/01/2015 WC Each Accident Limit: $1,000,000 (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION City of Ashland, Purchasing Rep. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y 9 p• THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn Karl Olson ACCORDANCE WITH THE POLICY PROVISIONS. 90 N Mountain Ave Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD #S13376747/M13344115 RXLZP DESCRIPTIONS (Continued from Page 1) WC Policy Limit: $1,000,000 WC Each Employee Limit: $1,000,000 Waiver of subrogation applies as required by contract. SAGITTA 25.3 (2010/05) 2 of 2 #S13376747/M13344115