HomeMy WebLinkAboutInsurance Certificate: Thornton Engineering Inc
9THOREN OP ID: PB
CERTIFICATE OF LIABILITY INSURANCE [:fTE 1112lY6
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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 endorsements .
PRODUCER Phone: 541-779-4232 NAME: CONTACT
13 Insurance
Ave, Fax: 541-772-3963 PHONE No, 1_xt : a c No
Medford, OR 97504 E-MAIL
Hart Insurance / Medford ADDRESS:
INSURE 5 AFFORDING COVERAGE NAIC t1
INSURER A : The Hartford 22357
INSURED Thornton Engineering Inc INSURER s : Travelers Casual & Sure
PO Box 475 INSURER c : SAIF Corporation Jacksonville, OR 97530
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 A L SUBR LTR 'TYPE OF INSURANCE lull& -M POLICY NUMBER MMIDP YYY MM AO YY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00
DAM-AGETO
RENTEF
A X COMMERCIAL GENERAL LIABILITY X X '62SEANN9205 0710112015 07/01/2016 P
occurrence) $ 300,00
REMISES Ea
CLAIMS-MADE ! " f OCCUR MED EXP (Any one person) $ 10,00
B X Professional E&O 105350491 10/01/2015 10101/2017 PERSONAL & ADV INJURY $ 2,000,00
GENERAL AGGREGATE $ 4,000,00
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 4,000,00
X POLICY PRO- Loc Prof E&O $ 2,000,00
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
Ea accident $
A ANY AUTO 52SBANN9206 07/0112015 07101/2016 BODILY INJURY (Per person) $
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS AUTOS
X HIRED AiJTOS X NON OWNED PROPERTY DAMAGE $
AUTOS Per accident
UMBRELLA LIAS OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DEO RETENTION $ $
WORKERS COMPENSATION X WCR STA TU OTH-
AND EMPLOYERS' LIABILITY LITS ER
C ANY PROPRIETORIPARTNERIEXECUT)VE YIN 910109 07/0112015 0710112016 E.L. EACH ACCIDENT $ 500,00
OFFICER/MEMBER EXCLUDED? N I A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,00
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 500,00
DESCRIPTION OF OPERATIONS I LOCATIONS I 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 included as additional insureds, coverage is primary, and non-
contributory per written contract.
susan.dyssegard@ashland.or.us
CERTIFICATE HOLDER CANCELLATION
ASHPAI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Ashland Parks $ Recreation
Commission
340 S Pioneer Street AUTHORIZED REPRESENTATIVE
Ashland, OR 97520 Hart Ins ce 1 M dfo
C 1988-2010 ACORâť‘ eyRPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD