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HomeMy WebLinkAboutInsurance Certificate: Day Managment A�® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)3/27/2019 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 E Robyn Rob Greene NAM The Leavitt Group of Boise, Inc. PHONE I o.Exty Eat (208)672-6160 No): (866)429-3119 6220 N. Discovery Way, Ste 100 AoDRESS:robyn-greene@leavitt.com INSURER(S)AFFORDING COVERAGE NAIL 0 Boise ID 83713 INSURERA:National Union Fire Insurance _ 019445 INSURED INSURER a:Navigators Specialty Insurance 36056 Day Management Corporation INSURERC:NeW Hampshire Insurance Company 23841 dba Day Wireless Systems INSURER 0: 4700 SE International Way INSURER E: _ Milwaukie OR 97222 INSURERF: COVERAGES CERTIFICATE NUMBER:19/20 Master 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 ADDL SUBR POLICY EFF POLICY EXP7 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMMIDDMYYYI (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO A CLAIMS-MADE X OCCUR PREMISES Ea occurrence)rrence) $ 500,000 GL 5342023 4/1/2019 4/1/2020 MED EXP(Any one person) $ 25,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X jECT LOC PROD UCTS-COMP/OP AGG $ 2,000,000 _ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED CA 3786644 4/1/2019 4/1/2020 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED X RETENTION$ 0 CH19EXC885592IV 4/1/2019 4/1/2020 $ WORKERS COMPENSATION PER 0TH- AND EMPLOYERS'LIABILITY YIN WA Stop Gap X STATUTE ER i ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? C (Mandatory lnNH) WC 025893651 (AOS) 4/1/2019 4/1/2020 E.L.DISEASE-EAEMPLOYEE $ 1,000,000 H s,describe under WC 025893652 (CA) 4/1/2019 4/1/2020 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City of Ashland, Oregon, and its elected officials, officers and employees are included as additional insured in regards to General Liability and Auto Liability where required by written contract. General Liability and Auto Liability are primary & non-contributory where required by written contract. 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 Ted Rice/ROGREE /a..9 _ - ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)