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HomeMy WebLinkAboutInsurance Certificate: Goseetell Networks ACORD CERTIFICATE OF LIABILITY INSURANCE D,,11 9/201'5 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: HONE KPD INSURANCE INC/PHS (X1C,N.Ext): (866) 467-8730 ~!CNa) (877) 905-0457 E-L 700810 P: (866) 467-8730 F: (877) 905-0457 A p 'ESS PO BOX 3 3 0 1 5 INSURER(S) AFFORDING COVERAGE NAI(,- SAN ANTONIO TX 78265 INSURER A_ hart_fc)rd -y 7,1S INSURED INSURER B INSURER C- GOSEETELL NETWORKS INC INSURERD 3108 NE"] LURAY TER INSURERE 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. EVSR TYPE OF I1VS1r29iVt T ADD SUBR ypuCyr PMBFR POLLCTEFF POLIC1'1VP 77M7~ LTR y ti.' N'Y (-11M7OD/f I'I7 A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ;2,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED 3 0 0 000 PREMISES (Ea occurrence) _r X General Liab X SEA NStit^415 12, 01/2015 12/01/2016 MED EXP (Any one person) ;10, 000 PERSONAL & ADV INJURY s 2 r 0 0 0, 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4 , 0 , 000 PRO- CT x] LOC PRODUCTS - COMPrOP AGG 4 , 0 0 0 , 0 0 0 POLICY F] E OTHER: COMBINED SINGLE LIMIT s 2 0 0 0 0 0 0 AUTOMOBILE LIABILITY (Ea accident) , , ANY AUTO BODILY INJURY (Per person) r ALL OWNED SCHEDULED SBA NI ?415 12 0112015 1.2 01/ 1) BODILY INJURY (Per accident) AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 1, 000, 000 A EXCESS LIAR CLAIMS-MADE _,2 SEA N1,,,94 1 S x_%01; %015 1.2/01 / AGGREGATE 51'000'000 DE X RETENTION SL 0 1 0 0 0 WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETORIPARTNERrEXECUTIVEYIN E.L. EACH ACCIDENT OFFICERiMEMBER EXCLUDED? N/A (Mandatory in NH) ❑ E.L. DISEASE- EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT DESCRIPTION OFOPERATIONS /LOCATIONS / VEHIgMWRD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's 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. C i t y of Ashland AUTHORIZED REPRESENTATWE 20 E MAIN ST 7F f/ ASHLAND, OR 97520 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD