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HomeMy WebLinkAboutInsurance Certificate: Peck Smiley Ettlin Architects inc ACORO CERTIFICATE OF LIABILITY INSURANCE 4/2/2015) THIS CERTIFICATEIS 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 SUBROGATIONIS 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: BROWN & BROWN NORTHWEST/PHS ARC°; o,Exc): (866) 467-8730 (AIC,N.): (888) 443-6112 709437 P: (866) 467-8730 F: (888) 443-6112 ADDRESS: PO BOX 33015 INSURER(S) AFFORDING COVERAGE NAICK SAN ANTONIO TX 78265 INSURER A: Hartford Cas a ty IRS Ca /NSURED INSURER B. PECK, SMILEY, ETTLIN ARCHITECTS INC. INSURERC NED PECK, STEVE SMILLEY, & HANS ETTLIN INSURERD 4412 SW CORBETT AVE INSURER E: PORTLAND OR 97239 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 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. INSR TYPE OF INSURANCE ADD SUBR POLICYNUMRER POLICYEFF POLICYE" LIDIITS (MMIDDIYYM COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 52,000,000 CLAIMS-MADE ~ OCCUR PDAMAGE T RENTED REM SESO(Ea occurrence) s300,000 A X General L1ab x 52 SBA UL7992 04/01/2015 04/01/2016 MED EXP (Any one person) 510, 000 PERSONAL & ADV INJURY s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s4, 000, 000 POLICY F I X PRO LOC PRODUCTS - COMP/OP AGG JECT ❑ s4,000,000 OTHER: AUTOMOBILE LIABILITY C (Ea OMBINED accident) INGLE LIMIT s2, 000, 000 ANY AUTO BODILY INJURY (Per person) $ A ALL OWNED SCHEDULED 52 SBA UL7992 04/01/2015 04/01/2016 BODILY INJURY (Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) S S UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS-MADE AGGREGATE DE RETENTION $ $ WORKERS COMPENSA 77ON AND EMPLOYERS LIABILITY PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEY/N E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? nvA (Mandatory in NH) ❑ E. L. DISEASE- EA EMPLOYEE ' If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS /LOCATIONS/ VEHICIII119JRD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED City of Ashland, It's Officers BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Employees, and Agents. AUTHORIZED REPRESENTATIVE 20 East Main Street ~-t Ashland, OR 97520 7a-e- 7 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD s