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HomeMy WebLinkAboutInsurance Certificate: Diamond Parking Services (3) DIAMO01 OP ID: CS E(MM/DD/YYYY) ~°RO CERTIFICATE OF LIABILITY INSURANCE 707/24/15 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). CONTACT PRODUCER 206-285-7735 NAME: Chrlssy Spangler Lovsted-Worthington LLC 206-285-3461 PHONE 206-838-1042 FAX No): 425-486-6140 P.O. Box 607 Bothell WA 98041 (A/C, Nc,Extl: ADDRESS: chrissy@lovstedworthington.com 200 First Ave West Ste 500 E-MAIL 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 Seattle, WA 98104 INSURER C: Berkshire Hathaway Homestate wSURERD: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 ADDL SUER, POLICY EFF POLICY E CP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 1363068 07/15/15 07/15/16 DAMA E T RENTED 100,000 X PREMISES Ea occurrence $ A X COMMERCIAL GENERAL LIABILITY PHPK CLAIMS-MADE OCCUR MED EXP (Any one person) $ Excluded PERSONAL BAD INJURY $ 1,000,000 X Stop Gap GENERAL NERAL AGGR EGATE EGATE $ 2,000,000 HGEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO r~ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ A ANY AUTO X PHPK1363068 07/15/15 07115116 BODILY INJURI' (Per person) $ X ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE X HIRED AUTOS X NON-OWNED P er accident) _ AUTOS UMBRELLA LIAB X OCCUR i EACH OCCURRENCE $ 5,000,000 B X EXCESS LIAR CLAIMS-MADE PHUB507124 07/15/15 07/15116 AGGREGA~TE $ 5,000,000 DED X RETENTION $ 10,000 $ WORKERS COMPENSATION WC STATU- X OTH- AND EMPLOYERS' LIABILITY TORY LIM TS xER C ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ N I A IDIWC602361 07115/15 07115/16 E L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? I 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below n CRIME ,15424994 07/15/15 07/15/16 (Crime 1.000.000, ~ I DESCRIPTION OF OPERATIONS / LOCATIONS / 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 ASHLA01 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 -Y Ashland, OR 97520 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD