Loading...
HomeMy WebLinkAboutInsurance Certificate: Newco Inc 0 III ACa CERTIFICATE OF LIABILITY INSURANCE D11/04/2014) 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 Cynthia Wolf-Dickerson DML Insurance Services, Inc PHONE (206) 838-9077 FAX (206) 838-9076 (AIc 4005 20th Ave W Ste 132 E-MAIL Seattle WA 98199 ADDRESS. cwolfdickerson@dmlinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A,Ironshore Specialty Insurance Company INSURED INSURER B : Praetorian Insurance Company Newco, Inc. Cascade Columbia Distribution Company IN RER C : 6900 Fox Ave S INSURER D : Seattle WA 98108- INSURER E : 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 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. INSRADDL SUER POLICY EFF POLICY EXP LIMITS LT. i TYPE OF INSURANCE POLICY GENERAL LIABILITY 000787203-4a 10/31/2014 10/31/2015 EACH OCCURRENCE $ 1'000'000 A X DAMAGE TO RENTED $ 1,000,000 COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR MED EXP An one arson $ 1 0000 X Pollution Liability PERSONAL&ADV-INJURY $ 1,000,000 X Vendors Liability GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2'000'000 RO- X LOC $ POLICY X P IFrT B AUTOMOBILE LIABILITY PICIS0001518a 10/31/2014 10/31/2015 COMBINEDSINGLELIMIT 1,000,000 accident) X ANY AUTO j BODILY INJURY (Per person) $ ALL OWNED F7 SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON-OWNED , PROPERTY DAMAGE $ HIRED AUTOS ~I AUTOS cc: dent) $ A ! UMBRELLA LIAR X OCCUR 000787903-4a 10131/2014 10/31/2015 ' EACH OCCURRENCE $ 20'000'000 1 X EXCESS LIAR CLAIM AGGREGATE $ 20'000'000 X 10 000i $ F RFTFIJTI(1N $ A WORKERS COMPENSATION 000787904 10/31/2014 10/31/2015 WC -LIMIT ER AND EMPLOYERS' LIABILITY - TORY-LIMITS- _ -ER..._ ANY PROPRIETOR/PARTNERIEXECUTIVE Y❑ N I A WA Stop-Gap E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED' 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ Ifyes, describe under E.L. DISEASE- POLICY LIMIT 1,000,000 DESCR IPTION OF OPERATION i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION A11570 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Kan Olson - Purchasing ACCORDANCE WITH THE POLICY PROVISIONS. 90 N Mountain Avenue Asland OR 97520- AUTHORIZED REPRESENTATIVE Gyp Fax: (541)488-5320 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD