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HomeMy WebLinkAboutInsurance Certificate: Thatcher Company, Inc. 3/2018 IMWDOIY`(YY) ACC)R" CERTIFICATE OF LIABILITY INSURANCE 3/2DATE 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 have ADDITIONAL INSURED provisions or 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 MCAMTAOT Della R. Zeeh Arthur J. Gallagher Risk Management Services, Inc. PHONE , g01-924-1400 FAX . 801-924-1441 6967 South River Gate Drive, #200 ' A N Salt Lake City UT 84047 reception@presidio-group.com INSURERS AFFORDING COVERAGE NAICIt INSURERA:AIG Specialty Insurance Company 26883 INSURED THATCOM-01 INSURER B: National Union Fire Insurance Company of 19445 Thatcher Company, Inc. INSURERC:New Hampshire Insurance Company 23841 lt Box 27407 Salt Lake City UT 84127 INSURERD:Everest National Insurance Company 10120 S INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 1297171199 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 ADDLSUSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y EG14246248 411/2018 4/1/2019 EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $300,000 MED EXP (Any one person) $25,000 PERSONAL a ADV INJURY $1,000,000 GEN'L AGGREGATE LI MIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ❑ PRO- ECT F-1 LOC PRODUCTS - COMP/OPAGG $2,000,000 OTHER: POLLUTION LEGAL $1,000,000 $ B AUTOMOBILE LIABILITY Y CA4489610 4/111018 4/1/2019 COMBINED LIMIT Ea accident 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ AUTOS ONLY ALITOSULED BODILY INJURY (Per accident) $ HIRED NON-OWNED -PROPERTY -DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A UMBRELLA LIAB X OCCUR EGU14246249 411/2018 4/112019 EACH OCCURRENCE $6,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $6,000,000 DEC RETENTIONS $ C WORKERS COMPENSATION WC015893603 4/1/2018 4/1/2019 PER OTH- AND EMPLOYERS' LIABILITY YIN X STATUTE ER OFFICER EMBER/PARTNER/EXECUTIVE ❑N/N E.L. EACH ACCIDENT $1,000,000 (Mandatory R E%CLUDED'! (Mantlat ry s In In N NH) E.L. DISEASE - EA EMPLOYE 81,000,000 I(yea, tlescribe under DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $1,000,000 D Motor Truck Cargo IMBCM00012171 4/1/2018 4/112019 Cargo 100,000 A Pollution Liability EG14246248 41112018 411/2019 Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached It mom space la required) Verification of insurance subject to the terms and conditions of the policy Named Insured's: Thatcher Company, Inc. Thatcher Group, Inc. Thatcher Transportation, Inc. Thatcher Company of Arizona, Inc. See Attached... 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 90 N. Mountain ACCORDANCE WITH THE POLICY PROVISIONS. Ashland OR 97520 USA AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: THATCOM-01 _ LOC AIC C>R~ ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Arthur J. Gallagher Risk Management Services, Inc. Thatcher Company, Inc. P 0 Box 27407 POLICY NUMBER Salt Lake City UT 84127 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Thatcher Company of California, Inc. Thatcher Company of Montana, Inc. Thatcher Company of Nevada, Inc. - Thatcher Company of New York, Inc. Thatcher Chemical of Florida, Inc. Thatcher Pharmaceuticals, Inc. Thatcher Company of North Dakota, Inc. I ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD (If no entry appears above, information required to complete this endorsement will be shown in the Declara- tions as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. Page 2 of 2 Copyright, Insurance Services Office, Inc., 1998 CA 20 48 02 99 ENDORSEMENT NO. 13 This endorsement, effective 12:01 AM, April 1, 2018 Forms a part of Policy No.: EG 14246248 Issued to: THATCHER COMPANY By: AIG SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COVERAGES A. B AND E ADDITIONAL INSURED - DESIGNATED PERSON(S) OR ORGANIZATION(S) ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY AND POLLUTION LEGAL LIABILITY COVERAGE FORM Solely as respects Coverages A, 6 and E, SECTION 11 - WHO IS AN INSURED is amended to include as an insured the person(s) or organization(s) show) in the Schedule below, but only with respect to bodily injury, property damage, personal and advertising injury, environmental damage or emergency response costs caused in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of your work; or B. In connection with your premises owned by or rented to you. SCHEDULE Name of Additional Insured Person(s) or Organization(s): BLANKET WHERE REQUIRED BY WRITTEN CONTRACTOR WRITTEN AGREEMENT All other terms, conditions, and exclusions shall remain the same. J ' UTHORIZED REPRESENTATIVE or countersignature (in states where applicable) 103366 (9111) PAGE 1 OF 1 C15034 4. Other Insurance - Applicable to Coverages A, B and E If other valid and collectible insurance is available to the insured for damages or loss we cover under Coverages A, B or E of this Policy, our obligations are limited as follows: nsurance is primary except when b. below applies. If this insurance is primary, ou ations are not d unless any of the other insurance is also primary. Then, we will share vuth all that other i ran, by linsuran Piry Insurance ethod described in c. below. ver, regardless of whether b. below applies, in the event that a written contract or agreement or ermit es this insurance to be primary for any person or organization with whom you agreed to insur nd such or organization is an insured under this policy, we will not seek contributions f ny such other to such person or organization. b. Excess Insurance This insurance is excess over: (1) Any of the other insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for your work; (b) That is Fire insurance for premises rented to you or temporarily occupied by you with permission of the owner, (c) That is insurance purchased by you to cover your liability as a tenant for property damage to premises rented to you or temporarily occupied by you with permission of the owner; or (d) If the damages or loss arises out of the maintenance or use of aircraft, autos or watercraft to the extent not subject to Exclusion g. of Coverage A. (2) Any other insurance available to you covering liability for damages arising out of the premises or operations for which you have been added as an additional insured by attachment of an endorsement When this insurance is excess, we will have no duty under Coverage A, B or E to defend the insured against any suit if any other insurer has a duty to defend the insured against that suit. If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of the damages or loss, if any, that exceeds the sum of. (1) The total amount that all such other insurance would pay for the damages or loss in the absence of this insurance; and (2) The total of all deductible and self-insured amounts under all that other insurance. We will share the remaining damages or loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the limits of Insurance shorn in the Declarations of this Policy. c. Method of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this 103124 (05114) Page 30 of 46 C15506 ENDORSEMENT NO. 11 This endorsement, effective 12:01 AM, April 1, 2018 Forms a part of Policy No.: EG 14248248 Issued to: THATCHER-COMPANY By: AIG SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIMITED ADVICE OF CANCELLATION TO ENTITIES OTHER THAN THE NAMED INSURED ENDORSEMENT This endorsement modifies insurance provided under the folloWng: COMMERCIAL GENERAL LIABILITY AND POLLUTION LEGAL LIABILITY COVERAGE FORM It is hereby agreed that the folloWng is added to SECTION IV- CONDITIONS: In the event that we cancel this Policy for any reason other than non-payment of premium, and 1. the cancellation effective date is prior to this Policy's wpiration date; 2. you are under an existing contractual obligation to notify a certificate holder when this Policy is canceled (hereinafter, the "Certificate Holder(s)") and have provided to us, either directly or through your broker of record, the email address of a contact at each such entity; and 3. we received this information after you received notice of cancellation of this Policy and prior to this Policy's cancellation effective date, via an electronic spreadsheet that is acceptable to us, we will provide advice of cancellation (the "Advice") via e-mail to each such Certificate Holders within 30 days after you provide such information to us. Proof of our emailing the Advice, using the information provided by you, will serve as proof that we have fully satisfied our obligations under this Endorsement. This Endorsement does not affect, in any way, coverage provided under this Policy or the cancellation of this Policy or the effective date thereof, nor shall this Endorsement invest any rights in any entity not insured under this Policy. All other terms, conditions, and exclusions shall remain the same. AUTHORIZED REPRESENTATIVE or countersignature (in states where applicable) 109821(9/11) PAGE 1 OF 1 C15040