Loading...
HomeMy WebLinkAboutInsurance Certificate: National Fire Sprinkler DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1/27/2017 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: Melissa Streeter Tompkins Insurance Agencies, Inc. PHA/CONE Ext : (215) 274-7400 A/C No : 888-339-8337 1240 Broadcasting Road ADDRESS:mstreeter@tompkinsins.com P.O. BOX 6707 INSURER(S) AFFORDING COVERAGE NAIC # Wyomissing PA 19610 INSURERA:Federal Insurance Company 20281 INSURED INSURER B :Great Northern Insurance Comp 20303 NATIONAL FIRE SPRINKLER ASSOCIATION, INC. INSURERC:Continental Insurance Company 35289 514 PROGRESS DRIVE INSURER D :Ca itol Specialty Insurance 10328 SUITE A INSURER E : LINTHICUM HEIGHTS MD 21090 INSURER F COVERAGES CERTIFICATE NUMBER:16-17 MASTER 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED A CLAIMS-MADE Fx~ OCCUR PREMISES (Ea occurrence) $ 1,000,000 36038741 9/20/2016 9/20/2017 MED EXP (Any one person) $ 10 , 000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2r000,000 X POLICY ❑ PRO F LOC PRODUCTS - COMP/OP AGG $ 2,000,000 JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 B X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED 99899929 9/20/2016 9/20/2017 BODILY INJURY (Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS OWNED Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5 000 000 C EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5 000,000 DED RETENTION$ 6043317788 9/20/2016 9/20/2017 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER E.L. EACH ACCIDENT $ 500 , 000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ NIA OFFICER/MEMBER EXCLUDED? A (Mandatory in NH) 71747033 9/20/2016 9/20/2017 E.L. DISEASE - EA EMPLOYE $ 500 , 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 D PROFESSIONAL LIABILITY S0006582-01 9/20/2016 9/20/2017 EACH CLAIM $1,000,000 AGGREGATE $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Ashland, Oregon, and its elected officials, officers and employees are included as Additional Insureds with respects to the General Liability, Auto Liability and Umbrella Liability, Primary and NonContributory wording applies to only General Liability and Auto Liability, with regard to the operations of the Named Insured in connection with the captioned project when required by a written contract, subject to the terms and conditions of the policy. Waiver of Subrogation in favor of Additional Insured applies when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 East Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE Michael Herr/MNS ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (?m4ni)