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HomeMy WebLinkAboutInsurance Certificate: Diamond Parking Services (2) DIAM001 OP ID: CS A~O~RO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/09/15 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). CONT PRODUCER 206-285-7735 N AMEACT Chrissy Spangler Lovsted-Worthington LLC 206-285-3461 PA/C HONENo Xc206-838-1042 FA/c E P.O. Box 607 Bothell WA 98041 , No): 425-486-6140 200 First Ave West Ste 500 AE-MAIL DDRESS: chrissy@lovstedworthington.com Seattle, WA 98119 Dean R. Young INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Philadelphia Indemnity Ins. Co 18058 INSURED Diamond Parking Services, LLC INSURER B : Philadelphia Indemnity Ins. Co 18058 605 First Avenue, Suite 600 INSURER C : Berkshire Hathaway Homestate Seattle, WA 98104 INSURER D: Executive Risk Indemnity 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 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 ADDL SUBR POLICY NUMBER MPOLICY EFF POLICY EXP MIDD YYYY MMIDD YYYY LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X PHPK1363068 07/15/15 07/15116 PREMISES Ea DAMAGES RENTED occurrence $ 100,000 CLAIMS-MADE OCCUR MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $ 1,000,000 X Stop Gap GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 RO- LOC $ X POLICY P JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ A ANY AUTO X PHPK1363068 07/15/15 07/15/16 BODILY INJURY (Per person) $ X ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X HIRED AUTOS Ix NON-OWNED ROPY DAMAGE $ AUTOS (Per UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B X EXCESS LIAB CLAIMS-MADE PHUB507124 07115/15 07/15/16 AGGREGATE $ 5,000,000 DED X RETENTION $ 10,000 $ WORKERS COMPENSATION WC STATU- X CE, EMPLOYERS' LIABILITY TORY LIMITS ER C ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N DIWC602361 07/15115 07/15/16 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, aesa iue under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,OUO D CRIME 15424994 07/15/15 07/15/16 Crime 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Station #EA01 - City of Ashland, Ashland, OR Certificate holder is an additional insured CERTIFICATE HOLDER CANCELLATION AS H LA01 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. On Street Parking Enforcement AUTHORIZED REPRESENTATIVE 20 E Main Street Ashland, OR 97520 , S1-~~~~~1~ 1 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD