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HomeMy WebLinkAboutInsurance Certificate: Straus & Seibert Architects (2) AiCC>R" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/1/2014 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 endorsements . PRODUCER N NAME: Protectors Insurance, LLC PHONE FAX A/C No : 772-1906 P.O. Box 4669 E-MAIL Qprotectorsons.com Medford OR 97504 s-sherv'w INSURERS AFFORDING COVERAGE NAIC # INSURER AAmerecan Casualty Company INSURED STRAU-1 INSURER B:Ohio Security Insurance 2 Straus & Seibert Architects INSURER C: Continental CasUalty Co LLP INSURER D : 1175 E. Main St STE 2E Medford OR 97504 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 967570560 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. ILTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM DDY/YYYY MM/DD1YYYY LIMITS A GENERAL LIABILITY Y B4024216240 10/21/2014 0/21/2015 EACH OCCURRENCE $1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE RENTED PREMISES Ea occurrence $300,000 CLAIMS-MADE IT] OCCUR MED EXP (Any one person) $10,000 j PERSONAL & ADV INJURY $1,000,000 i, GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY X PJEC RO- LOC $ 0 LE LIMIT B AUTOMOBILE LIABILITY BAS56106146 /1/2014 /1/2015 Ea accident $1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED 1XX SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE x HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS FR__ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C Professional Liability SFH004313752 /22/2013 /22/2016 Occurence 2,000,000 Claims Made Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) REVISED CERTIFICATE: Professional Liability limits changed to $2,000,000 Occurrence, $2,000,000 Aggregate effective 04/23/14. City of Ashland Oregon and it's elected officials, officers and employees a Additional insured for General Labiality per attached Policy form SB-3000176-B 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 ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main Street Ashland OR 97520 AUTHORIZED REPRESENTATIVE ~atDa' ©1988-2010 ACORD CORPORATION. All rights reserved. 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