HomeMy WebLinkAboutInsurance Certificate: Gardensoft Corp
DATE (MN1'DD1YYYY)
.z CERTIFICATE OF LIABILITY INSURANCE 8/27/2016
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 have ADDITIONAL INSURED provisions or 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 ri hts to the certificate holder in lieu of such endorsement(s .
PRODUCER CONTACT
NAME:
MALOY RISK SERVICES INC/ PHS (A,c N .Exc): (866) 467-8730 (A .No): (888) 443-6 12
651735 P: (866) 467-8730 F: (888) 443-6112 ADDRESS
M WOODS PARK DRIVE INSURER(S) AFFORDING COVERAGE NAIC9
CLINTON NY 13323 wSURERA: .r r: is ins LT2
WSURED INSURER B :
INSURER C :
GARDENSOFT CORP INSURER D:
2686 V EL ARDE DR INSURER E:
THOUSAND OAKS CA 91.56 0 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.
EVSR rt ADDS SURR POLICY'FFF PO~UCTL`
~~PF(JF1:4'S(%IL-1NC'L POI:If'I V{;AVER I;Lt17TS
N~' FYY. (1L4f/DDATY"Y) 011L VD:'Yyyyl
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 210 0 0, 0 0 0
CLAIMS-MADE OCCUR DAMAGE TO RENTED C 1 000, 000
PREMISES (Ea occurrence)
Fx1
i General Liab x 133 SBA T144755 091? MED EXP (Any one person) -,10,000
PERSONAL a ADV INJURY -2, 000, 000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE --4,000,000
POLICY a PRO LOC PRODUCTS - COMP/OP AGG 4 O O 0, 0 0 0
JECT
OTHER:
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY
(Ea accident)
ANY AUTO BODILY INJURY (Per person)
OWNED SCHEDULED BODILY INJURY (Per accident) g
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY (Ppr accident)
UMBRELLA LIAB OCCUR EACH OCCURRENCE
EXCESS LIAB CLAIMS-MADE AGGREGATE
DE RETENTION S
WORKERS C'O^..:Ptn'S..n_70V PER OTH-
ANl) E'. PLO?'F_ ki"L'4BH_f STATUTE ER
ANY PROPRIETORIPARTNER/EXECUTIVEY/N E.L. EACH ACCIDENT
OFFICERIMEMBER EXCLUDED? N/R
(Mandatory in NH) F1 E.L. DISEASE- EA EMPLOYEE $
If yes. describe under E.L. DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERA T70NS/LOCATIONS/ VEHIC(AGORD 101, Additional Remarks Schedule, may be attached if more space is required)
Those usual to the Insureds Operations. Certificate Holder is an Additional
Insured per the Business Liability Coverage Form SS0008 attached to this
policy.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
City of Ashland DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
Attn : Julie Smitherman AUTHORIZED REPRESENTATIVE
51 rti INBURN WAY ~
ASHLAND, OR 97520
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ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD