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HomeMy WebLinkAboutInsurance Certificate: OBEC Consulting Engineers Aco CERTIFICATE OF LIABILITY INSURANCE 0321/201'6 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 POLICIE 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 endorsements . PRODUCER CONTACT NAME: Marsh Sponsored Programs PHONE 800-338-1391 FAX 888-621-3173 a division of Marsh USA, Inc. A/C No: E-MAIL acecclientrequest@marsh.com PO BOX 14404 ADDRESS: Des Moines IA 50306 INSURERS AFFORDING COVERAGE NAIC# INSURER A : Sentinel Insurance Company Ltd 11000 ffl EDConsulting Engineers INSURER B : Hartford Casualty Insurance Company 29424 920 Country Club Road INSURER C Eugene, OR 97401-2231 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 TERM EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER (MMtDDNYM (MMIDDNYM LIMITS A GENERAL LIABILITY Y 84SBWPA4035 03/20/2016 03/20/2017 EACH OCCURRENCE $ 2,000,000 Prof. Liab. Excl. DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 2,000,000 CLAIMS-MADE Fx-]OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,000 17 POLICY X PRO LOC $ A AUTOMOBILE LIABILITY Y 84UEGPF0127 03/20/2016 03/20/2017 COMBINED SINGLE LIMIT Ea accident 2,000,000 X ANYAUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident) $ B X UMBRELLA LIAB X OCCUR 84XHGYH1723 03/20/2016 03/20/2317 EACH OCCURRENCE $ 5,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $ 5, 000, 000 DED X RETENTION $1(),000 $ A WORKERS COMPENSATION 84WBGBJ0746 03/20/2016 03/20/2017 X WCSTIMIT OTH- AND EMPLOYERS' LIABILITY Y/N TORY L ER ANY PROPRIETOR/PARTNER/EXECUTIVr E.L. EACH ACCIDENT $ 1 000 G00 OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOY 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Sanitary Sewer System Data Collection - When required by written contract: The City of Ashland, Oregon and its elected officials, officers and employees are included as additional insured for above coverages except WC. Coverage is primary and non-contributory to any other insurance carried except Umbrella. 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. City of Ashland AUTHORIZED REPRESENTATIVE Attn: Morgan Wayman VL~vo~t 51 Winburn Way Ashland,IOR 97520 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD25 (2010/05) The ACORD name and logo are registered marks of ACORD