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HomeMy WebLinkAboutInsurance Certificate: Diamond Parking ACORO CERTIFICATE OF LIABILITY INSURANCE OP ID GD DATE(MWDD/YYYY) - DIAM001 07/10/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lovsted-Worthington LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 607 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bothell WA 98041 I, Phone: 425-486-1291 Fax: 425-486-6140 i INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Chubb Custom INSURER B: Federal Insurance Company g INSURERC: American Home Assurance Co Diamond Parking Inc 605 First Ave uite 600 INSURER D: Seattle WA 98f04-2224 - - 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. iRSF~'ADLS'L POLICY EFFECTIVE POLICY EXPIRATION LTR )NSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 -r LIABILITY 79572244 07/15/08 07/15/09 PREMISES E(EaoTCFREccuen~ce) $ A COMMERCIAL GENERAL C b R MED EXP (Any one person) $ ^ PERSONAL & ADV INJURY i $ 1i000r000 GENERALAGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1 , 000 , 000- POLICY ERO- LOC - - - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B ANY AUTO 73547935 07/15/08 07/15/09 (Ea accident) $ 1,000,000 X ALL OWNED AUTOS BODILY INJURY (Per person SCHEDULEDAUTOS ) X HIREDAUTOS BODILY INJURY - $ X NON-OWNEDAUTOS (Per accident) PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT - A j ANY AUTO 79572244 07/15/08 07/15/09 OTHER THAN EAACC $ 1,000,000 AUTO ONLY: AGG $1,000,000 EXCESS/UMBRELLALIABILITY EACH OCCURRENCE $ $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE - RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER C j EMPLOYERS' LIABILITY WC3428186 07/15/08 07/15/09 E.L. EACH ACCIDENT I $ 1 , 000 , 000 ANY PROPRIETOR/PARTNER/EXECUTIVE E--L_,DISEASE - EA EMPLOYEQ $ 1 , 000 , UUU If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ 1 , 000 , 000 OTHER I I I I I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS RE: Station #EA01 - City of Ashland, Ashland, OR Certificate holder is an additional insured CERTIFICATE HOLDER CANCELLATION ASHLA01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Ashland IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 E Main Street Ashland OR 97520 REPRESENTATIVES. AUTH RESE ACORD 25 (2001108) © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001108)