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HomeMy WebLinkAboutInsurance Certificate: Galardi Consulting, LLC, Group A~ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 4/5/2018 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 endorsement(s). PRODUCER CONTACT Keelson Partners NAME: Keelson Partners PHCN o Exit (503) 226-1422 A Na: (503)226-2488 707 SW Washington, Suite 625 ADDRESS: service@keelson. com INSURERS AFFORDING COVERAGE NAIC4 Portland OR 97205-3536 INSURER A:Sentinel Insurance Company 11000 INSURED INSURER B : Galardi Consulting, LLC, Group INSURER C: DBA: Galardi Rothstein INSURER D: 7327 SW Barnes Rd #224 INSURER E: Portland OR 97225 INSURER F: COVERAGES CERTIFICATE NUMBER:2018 GLAUUM 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. NOTVVITHSTANDING 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 DDL BR POLICY EFF POLICY EXP LTR TYPEOFINSURANCE POLICY NUMBER MMIOD/YVVV MMIDDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 -7 F] DAMAGE T RENTED 1,000,000 A CLAIMS -MADE X OCCUR PREMISES Ea occurrence $ X 52SBANX5391 4/15/2018 4/15/2019 MED EXP(Any one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 0 PRO- JECT LOC PRODUCTS - COMPIOP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 A ANYAUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED 52SBANX5391 4/15/2018 4/15/2019 BODILY INJURY (Per accident) $ AUTOS AUTOS NOWOWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Peraoccent $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1 000 000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ 52SBANX5391 4/15/2018 4/15/2019 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y I N STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? F-] NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) City of Ashland, its elected officials, officers and employees are added as an Additional Insured as their interests may appear subject to policy terms, conditions, S exclusions. The insurance is Primary and Non-Contributory. 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 20 East Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ZU Thomas Wilkins/TOM ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)