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HomeMy WebLinkAboutInsurance Certificate: Steve Ennis, Architect STEVENN-01 MGUNN ,a►coRO° CERTIFICATE OF LIABILITY INSURANCE DATEIYYV ) ~i osl20120onal s 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 CONTACT Madras Office aco,"N ,at: (541 ) 475-2249 FAX PayneWest Insurance, Inc. (ac, No), (541) 475-6842 P.O. BOX 680 E-MAIL ADDRESS' Madras, OR 97741 INSURERS AFFORDING COVERAGE NAICp INSURERA:RLI Insurance Company 13056 INSURED INSURER B : Steve Ennis, Architect INSURER C : PO Box 4051 INSURER D: Medford, OR 97501 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ADDLSUBR POLICY NUMBER POLICYEFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE r OCCUR DAMAGE TO RENTED PREMISES acccunence$ MED EXP An one emon $ PERSONAL B ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY j~ F-] LOC PRODUCTS - COMP/OP AGO $ OTHER: $ fEa O aBI tlEED SINGLE LIMIT $ AUTOMOBILE LIABILITY C ANY AUTO BODILY INJURY Per person) $ OWNED SCHEDULED yV BODILY INJURY Per accident $ AUTEO~S ONLY AUTOS AUTOS ONLY AUTOS ONNLDY ParracECRd.Yt AMAGE $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS4v9ADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- ANDEMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L. EACH ACCIDENT $ OFFICE R/MFTMEER EXCLUDEO4 (MandatorynNH) E.L. DISEASE-EAEMPLOYE $ If yes, tlescribe under DESC RI PTION OF OPERATIONS below E.L. DISEASE -POLICYLIMIT $ A Errors s Omissions RDP0032923 0611112018 0611112019 Ea ClaimlAggregate 1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If mom space is required) 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 tY ACCORDANCE WITH THE POLICY PROVISIONS. 20 E 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