HomeMy WebLinkAboutInsurance Certificate: R&D Envir Solutions LLC
9RDENVI OP ID: MW
D 09/25/
2015Y)
F ATE
A` O~RO CERTIFICATE OF LIABILITY INSURANCE
/2015
09/25
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).
CONTACT
PRODUCER Phone: 541-479-5521 N
AME:
Hart Insurance - -
P. O. Box 1240 Fax: 541-474-1890 A/C, o Ext : a Nor,
Grants Pass, OR 97528 E-MAIL
Hart Insurance Agency ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: American Hallmark Ins Co of TX 43494
INSURED R & D Envir. Solutions LLC INSURER B: Continental Casualty Co _
1439 NE 6th Street Suite 2 INSURER C: Maryland Casualty Co
Grants Pass, OR 97526 -
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY 1 HAT 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 ADDLSUBR POLICY NUMBER MPOLICYEFF M/DD/YYYY MMLDD/YYYY LIMITS INSIR GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,00
A X COMMERCIAL GENERAL LIABILITY 44CL434586 09/23/2015 09/23/2016 DAMAGE TO ENTED
CLAIMS-MADE PREMISES ocrence)__ $ 100,00
OCCUR MED EXP (Any one person) $ 5,00
PERSONAL & ADV INJURY $ 1,000,00
- FGENERALAGGREGATE $ 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,00
X POLICY PRO LOC $
JECT
AUTOMOBILE LIABILITY Ea accident) LIMIT $ 1,000,00
C ANY AUTO PAS004229797 09/23/2015 09123/2016 BODILY INJURY (Per person) $
ALL
AUTOS OWNED X S
HEDULED BODILY INJURY (Per accident) $
AUTOS
NON-OWNED PROPERTY DAMAGE
HIRED AUTOS AUTOS Per accident $ _
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE-- $
DED RETLION $
WORKERS COMPENSATION WC STATU- OT H-
AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? ❑ N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
If yes. describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $
B Professional Liab EEH276157928 09124/2015 09/24/2016 Per Occ 1,000,00
Aggregate 2,000,00
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER CANCELLATION
CITYASH
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
Hart Insurance Agency
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