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HomeMy WebLinkAboutInsurance Certificate: Gordon Huether & Partners (2) i GORDHUE-01 SWENDLETON A Rte` CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/16/2017 THIS CERTIFICATE IS IS UED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NO AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFI ATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR P ODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the ce ificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS W IVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not c nfer rights to the certificate holder in lieu of such endorsement(s). License # 058058 CONTACT PRODUCER NAME: NorthWest Insurance Agency, Inc. PHONE 462-8615 jwX, No): (707) 468-9541 P.O. Box 3539 (A/C, No, Ext): (707) ;Santa Rosa, CA 95402 E-MAIL info@nwinsure.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A : Ohio Security Insurance Company 24082 ~ INSURED i INSURER B : American Fire & Casual Company 24066 Gordon Hueth r + Partners, Inc. INSURER C : 1821 Monticell Road INSURER D : Napa, CA 945 8 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAjT 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 i CERTIFICATE MAY BE IS LIED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDIT ONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSUR NCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS IN SD WVD MM/DD/YYYY MM/DD/YY A X COMMERCIAL GENE L LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR BKS (17) 55 66 34 50 08/0612016 08/06/2017 DAMAGE TO RENTED 500,0001 PREMISES Ea occurrence $ a 15,000 MED EXP An one person) $ PERSONAL & ADV INJURY $ 1'000'000 2,000,000 GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT A PLIES PER: PRO LOC PRODUCTS - COMP/OP AGG $ 2'000'0001 POLICY El JE CT OTHER: $ COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY Ea accident $ X ANY AUTO BAA (17) 55 66 34 50 08/06/2016 08/06/2017 BODILY INJURY Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ 4AND RELLA LIAB OCCUR EACH OCCURRENCE $ I SS LIAB CLAIMS-MADE AGGREGATE $ RETENTIpN $ $ - COMPENSATIOPpp PER STATUTE ER OTH OYERS' LIABILITIY Y / N A NY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUD D? N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If vas, describe !ender DESCRIPTION OF OPERATIONS below E L. DISEASE _ POLICY LIMIT $ I I ~ I DESCRIPTION OF OPERATIONS LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Art Piece for City of A.~hland, Oregon in Downtown Ashland Revision of certificate isstoed 2/15/17-SW iProof of coverage. 1 I CERTIFICATE HOLDE CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD