Loading...
HomeMy WebLinkAboutInsurance Certificate: Cascadia Consulting Group OP ID: SR ATE (M 3/14/2016 Y) ACORO CERTIFICATE OF LIABILITY INSURANCE D0 03/14/2016 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 CONTACT Sprague Israel Giles NAME: HNE FAX 1501 Fourth Avenue, Suite 730 A/ _ No. Ext : A/C. No Seattle, WA 98101-3225 a DRIESS: CA License #0192858 Robert Karl PRODUCER CASCA-1 CUSTOMER ID INSURER(S) AFFORDING COVERAGE NAIC # INSURED Cascadia Consulting Group, Inc INSURER A : American States Insurance Co. 119704 1109 1 st Ave., Ste. 400 INSURER B : Seattle, WA 98101 INSURER C : INSURER D : 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 TYPE OF INSURANCE IADDL SUBRI POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X 01CH761656-9 03/19/2016 03/19/2017 DAMAGE TO RENTED PREMISES Ea occurrence) . $ 1,000,00 CLAIMS-MADE ~ OCCUR MED EXP (Any one person) $ 10,00 I ' ~ II PERSONAL & ADV INJURY $ 1,000,00 II~~ i II j GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,00 RO ^I LOC $ POLICY, X P JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,00 A ANY AUTO 01 CH761656-9 0311912016 03119/2017 (Ea accident) BODILY INJURY (Per person) $ ALL OWNED AUTOS X 11 SCHEDULED AUTOS I BODILY INJURY (Per accident) $ PROPERTY DAMAGE X HIRED AUTOS $ (PER ACCIDENT) Lx_ NON-OWNED AUTOS Comp Ded i $ 25 (Coll Ded $ 50 I UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ i DEDUCTIBLE j $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY T RY LIMIT X ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N 01 CH761656-9 03/19/2016 03/19/2017 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) WA STOP GAP If yes. describe under E.L DISEASE - EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Ashland, Oregon, and its elected officials, officers and employees are additional insured with respects General and Auto Liability, subject to a written contract being in force. Insurance is Primary and Non Contributory Re: Climate and Energy Action Plan CERTIFICATE HOLDER CANCELLATION 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. 90 North Mountain Avenue Ashland, OR 97520 AUTHORIZED REPRESENTATIVE © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD cT4 } ? - J I 7lsf' R CG 76 80 10 02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization for whom you are required by written contract, agreement or permit to provide Non Contributory coverage, for your work on all jobs at all locations for the named person or organization. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) SECTION 11 - WHO IS AN INSURED is amended you. Coverage shall be limited to the extent of your to include as an additional insured the person or negligence or fault according to the applicable princi- oraanization shown in the Schedule subject to the ples of comparative fault. following provisions: 1. The additional insured is an insured but only for The insurance provided will not exceed the lesser of: liability directly resulting from: a. The coverage and/or limits of this policy, or a. your ongoing operations for the additional in- b. The coverage and/or limits required by the sured whether the work is performed by you contract, agreement or permit or for you; or With respect to the insurance afforded the additional b. the general supervision of your ongoing op- insured, paragraph 4, of SECTION IV - COMMER- CIAL GENERAL LIABILITY CONDITIONS is de- l. This insurance does not apply to: feted and replaced by the following: a. "Bodily injury" or "property damage" arising 4. Other Insurance out of any act or omission of, or for defects a. This insurance is primary and noncontrib- in design furnished by or for, the additional utory, and our obligations are not affected by insured or any other insurance where the additional in- b. "Bodily injury" or "property damage" in- sured is the Named Insured, whether pri- cluded within the "products-completed oper- mary, excess, contingent, or on any other ations hazard." basis; however, the defense of any claim or "suit" must be tendered as soon as practi- A person's or organization's status as an additional cable to all other insurers which potentially insured under this endorsement ends when your op- provide insurance for such claim or "suit". erations for that insured are completed. b. This additional provision applies only to the additional insured shown in the Schedule No coverage will be provided if, in the absence of this and the coverage provided by this endorse- endorsement, no liability would be imposed by law on ment. Saiecc and the Safece loon are reelsterer rracemarks o' Satoco Corcoralix CG 7 6 8 0 10 02 EP