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HomeMy WebLinkAboutInsurance Certificate: Terra Surveying Co A CORD DATE (MM/DD/YYYY) TM. CERTIFICATE OF LIABILITY INSURANCE 01/27/2009 PRODUCER Phone: (360) 598-3700 Fax: (360) 598-3703 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MICHAEL J. HALL & COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HALL & COMPANY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 19660 10TH AVENUE N.E. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POULSBO WA 98370 Ea try INSURERS AFFORDING COVERAGE NAIC # INSURED f r, TERRA SURVEYING COMPAC-ii x, sr SURER B: ST PAUL FIRE 8e MARINE INS CO ME. 3000 WILCREST DRIVE, SUITE 210 INSURER C: HOUSTON TX 77042 INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRDA DATE (MM/DD/YY DATE MM/DD/YY GENERAL LIABILITY PACP19981_206 06/25/08 06/25/09 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurence) $ 300,000 CLAIMS MADE X OCCUR MED. EXP (Any one person) $ 5,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 2,000,000 PRO- POLICY JECT LOC AUTOMOBILE LIABILITY PACP1998L206 06/25/08 06/25/09 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ A X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTO; (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY CUP6426Y993 06/25/08 06/25/09 EACH OCCURRENCE $ 2,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 2,000,000 A $ DEDUCTIBLE $ RETcNV, ION ~ $ WC - WORKERS COMPENSATION AND UB6426Y667 06/25/08 06/25/09 X O RYTLIM TS OTHER EMPLOYERS' LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYEE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ 1,000,000 OTHER: PROFESSIONAL LIABILITY QP03806833 06/25/08 06/25/09 $2,000,000 PER CLAIM B POLICY CLAIMS MADE FORM $4,000,000 AGGREGATE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Miscellaneous Surveying Services CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Ashland EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 y DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Engineering FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 20 East Main Street INSURER, IT'S AGENTS OR REPRESENTATIVES. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE z Attention: Jim Olson, City Surveyor 4/shley L. Hurd ACORD 25 (2001/08) Certificate # 88879 © ACORD CORPORATION 1988