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HomeMy WebLinkAboutInsurance Certificate: Goseetell Networks Inc 1 0 DANE'T% iDD!YYYY) ACORl7 CERTIFICATE OF LIABILITY INSURANCE 7/4/12015 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: KPD INSURANCE INC/PHS SACC,N.Ext) (866) 467-8730 %c. N.>_ (877) 905-0457 700810 P: (866) 467-8730 F: (877) 905-0457 ADDRESS: PO BOX 33015 INSURER(S) AFFORDING COVERAGE NAICt SAN ANTONIO TX 78265 INSURERA: Hartr-ird Casualty Ins Cep INSURED INSURER B INSURER C GOSEETELL NETWORKS INC INSURER D 3108 Niri LURAY TER INSURER E. PORTLAND OR 97210 INSURERF 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- LTR ENb12 T PFOFLN'S"t'TRANL1 ADD SG7l PDEICTNf7RER ['Y)LIG7 FFF 1'DlICF'FlT LIM]'IS INS WV IM1L4f/DDQ'YPI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2, 000, 000 71 CLAIMS-MADE O OCCUR DAMAGE TO RENTED ` 3 0 0 000 PREMISES (Ea occurrence) , 7s General Liab x 52 SBM UR7842 07/15/2215 07/15/2016 MED EXP (Any one person) ] 0 040 PERSONAL & ADV INJURY s2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE , 4,0 0 0 r 0 0 0 POLICY F -1 E ❑X LOC PRODUCTS -COMPiOP AGG 4/ 0 0 0/ 0 0 0 OTHER: $ COMBINED SINGLE LIMIT 2 000, 000 AUTOMOBILE LIABILITY (Ea accident) ~ ANY AUTO BODILY INJURY (Per person) A OWNED SCHEDULED AUTOS S AUTOS yL SBM 7TR7F42 15/2015 07/15/7_016 BODILY INJURY (Per accident) " X NON-OWNED PROPERTY DAMAGE X HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE DE RETENTION S PER OTH- 4NDT_.It6C(1WRS'L ,1770.v 9t4D F_M1IP1AlEHS'LIdBIITIY STATUTE ER ANY PROPRIETOPJPARTNERiEXECUTIVEY/N E.L. EACH ACCIDENT OFFICERIMEMBER EXCLUDED? N/A (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 /VEHIC91MRD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insuredrs Operations- City of Ashland is an Additional Insured per the Business Liability Coverage Form SS0008. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland AUTHORIZED REPRESENTATIVE 20 E MAIN ST ASHLAND, OR 97520 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 1