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HomeMy WebLinkAboutInsurance Certificate: OBEC Consulting Engineers (2) Client#: 331197 OBECCONE ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY) 9/228/208/2016 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 NAME: USI Kibble & Prentice PR PHONE - FAx A( /C, No, EXt): 206 441-6300 _ (A/C, N_o: 610-362-8528 _ 601 Union Street, Suite 1000 E-MAIL PL•CertRequest@usi.com Seattle, WA 98101 - - - - - INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : U. S. Specialty Insurance Compa 29599 INSURED OBEC Consulting Engineers, Inc. INSURER B 920 Country Club Rd, #10013 INSURER C:----- Eugene, OR 97401 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 CONTRACTOR 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. TYPE OF INSURANCE SUBR POLICY EFF POLICY EXP OCCURRENCE WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMIT EACH _ , _ S LTRR COMMERCIAL GENERAL LIABILITY --_AN_ RL~ - - - - ~ - ~ ~ - DAMAGE TO RENTED CLAIMS MADE U OCCUR PREMISES (Ea occurrence) $ _ j MED EXP (Any one person) $ PERSONAL & ADV INJURY $ N'L AGGREGATE LIMIT APPLIES PER: GE i GENERAL AGGREGATE PRO- POLICY JECT LOC PRODUCTS - COMP/OP AGG S OTHER: AUTOMOBILE LIABILITY i COMBINED SINGLE LIMIT T$ I (Ea accident) - ANY AUTO _ BODILY INJURY (Per person) !i $ (-i ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ - - - - - NON OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident) $ - - - - I$ - UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB- i AGGREGATE $ CLAIMS MADE j DED RETENTION $ - - - $ - WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A - (Mandatory in NH) i E.L. DISEASE - EA EMPLOYEEI $ If yes, describe under F - 1 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I$ A Professional USS1627091 9/25/2016 09;25/2017 $5,000,000 per claim Liability $5,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: East Nevada Street Pedestrian and Emergency Bridge Project. This Certificate is issued in respects to above referenced. CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 East Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S18987632/M18985639 PBKZP