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HomeMy WebLinkAboutInsurance Certificate: Precision LLC ® DATE(MMIDDIYYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 11/11/2015 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 1-212-295-8000 CONTACT NAME: Lynda Volpe 10 Integro USA Inc. PHONE FAX r (A/C, No, Ext): 212-295-5440 (AIC, No): rI dba Integro Insurance Brokers > E-MAIL 1 State Street Plaza ADDRESS: Lynda.volpe@integrogroup.com Z ~Jj 9th Floor New York, NY 10004 INSURER(S) AFFORDING COVERAGE NAIC N INSURERA: NEW HAMPSHIRE INS CO 23841 INSURED INSURER B. Precision LLC INSURER C 17770 N.E. Aviation Way INSURER D: INSURER E : Newberg OR 97132 INSURER F : COVERAGES CERTIFICATE NUMBER: 45432116 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. ADDL SUER POLICY EFF POLICY EXP ILTNSR R TYPE OF INSURANCE POLICY NUMBER MMID."YY MMIDD'YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP jAny one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS COMP/OP AGG $ POLICY PRO LOC $ A AUTOMOBILE LIABILITY 01-CA -019046645-4 11/17/15 11/17/16 COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X X NON-OWNED PPROPERI YIDAMAGE $ HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ LED RETENTION $ $ - - WORKERSCOMPENSATION WC TORYI STATU IMITS ER OTH AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED L. N 1 A (Mandatory in NH) E.L DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) In the event of cancellation or material changes of the policies by the insurers which would adversely affect the interests of the additional Insureds agree to provide 30 days ( Ten (10) days in the event of _ cancellation for non-payment of the premium) prior written notice to the certificate holder(s). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN its officers,agents,and employees ACCORDANCE WITH THE POLICY PROVISIONS. 20 E. Main Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Lynda.Volpe@integrogroup.com_NY 45432116 ~Ni2l1 NI!%IM I! Integro USA Inc. 1 State Street Plaza 9th Floor New York, NY 10004 Electronic Service Requested E BI X BPO 0 MIXED AADC 975 27670 0.5234 MB 0.436 111111 1111111 Jill r The City of Ashland ITS OFFICERS AGENTS AND EMPLOY 127 20 E MAIN ST ASHLAND, OR 97520-1814 L This document was brought to you by CertificatesNow. - If you have questions regarding the content of this document, please contact - the Producer/Agent listed on the certificate of insurance or the Insured listed - on the notice of cancellation/reinstatement.- To find out how you can send and receive all of your certificates of insurance- either by email, high speed fax or standard mail, - email customercareCaconfirmnet.com, or visit our website at - www.confirmnet.com- cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600