Loading...
HomeMy WebLinkAboutInsurance Certificate: National College of Technical Instruction A~~ ~ DATE (MMIDDIYYYY) ~ CERTIFICATE OF LIABILITY INSURANCE 3/3012017 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 endorsements . CONTACT PRODUCER NAME: Woodruff-Sawyer & Co. PHONE .800-675-4467 ~ No ; 71717th Street, Suite 1540 E-MAIL Denver CO 80202 D . envisioncertrequest@wsandco.com INSURER S AFFORDING COVERAGE NAIC # _ _ INSURERa:Lexington Insurance Company 19437 INSURED ENVIHEA-01 INSURERB:LIo ds of London - Beazle National College of Technical Instruction INSURER c : _ 9800 SE McBrod Ave. #200 Milwaukee, OR 97222 INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 2006333055 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 TYpE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDlY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE ~ OCCUR ~ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ ~ - GEN'LAGGREGATE LIMIT APPLIES PER: ~i GENERAL AGGREGATE $ POLICY ~ PRO- ❑ LOC I, PRODUCTS - COMPIOP AGG $ ~ JECT G I HER: $ AUTOMOBILE LIABILITY E~ aBc deD SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ ~ ALL OWNED SCHEDULED i BODILY INJURY (Per accident) $ AUTOS AUTOS ~ NON-OWNED i PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident ~ ' $ .UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ i EXCESS LIAB ~ CLAIMS-MADE AGGREGATE $ DED I RETENTION $ ~ $ WORKERS COMPENSATION PER OTH- ANDEMPLOYERS' LIABILITY ~ ~ I STATUTE ER Y1N ANY PROPRIETORIPARTNERIEXECUTIVE ❑ N 1 A I E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ I Ifyes, describe under 'DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A 'Medical Professional 6796605 80% 3131!2017 313 1 12 0 1 8 EA OCC/GEN AGG $10,000,000 B ,Liability (Claims Made) W1B173170201 20% 3/31/2017 j 3/31/2018 SIR $3,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ISSUED AS EVIDENCE OF INSURANCE. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ashland Fire & Rescure THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN: Greg I Case ACCORDANCE WITH THE POLICY PROVISIONS. 455 Siskiyou Blvd Ashland OR 97520 AUT ORIZED REPRESENTATIVE ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD