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HomeMy WebLinkAboutInsurance Certificate: Day Management Corporation (2) • A ® CERTIFICATE OF LIABILITY INSURANCE DATE TE(M /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 i 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 olic p y,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 CONI CT Robyn Greene FAX The Leavitt Group of Boise, Inc. (A//CNN F.D• (208)672-6160 I(A/C,No): (066)639-3119 6220 N. Discovery Way, Ste 100 ADDE-MAIL SS:rob yn g- reene @leavitt.com RE INSURER(S) AFFORDING COVERAGE NAIC 0 Boise ID 83713 INsuIsRA:National Union Fire Insurance Company c 019445 INSURED INSURER B:Navigators Specialty Insurance Company 36056 Day Management Corporation INSURER C:New Hampshire Insurance Company 23841 dha Day Wireless Systems INSURER D: I ' 4700 SE International Way INSURERE: - I 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 SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE !NCO WVD POLICY NUMBER luerooyVYY) IMMIDDIYYYY) LIMITS X COMMERCIAL GENERALLIABIUTY EACH OCCURRENCE $ 1,000,000 A ICIAIMS-MADE © OCCUR DAMAGES(RENTED 500,000 PREMISES(Ea occurrence) $ _ GL 5342023 4/1/2019 4/1/2020 MED EXP(Any one person) $ 25,000 PERSONAL 8.AOV INJURY $ 1,000,000 GEN'L AGGREGATE LIMITAPPUES PER: GENERALAGGREGATE $ 2,000,000 I RPOLICY 9 JECT 0 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) A X ANY AUTO BODILY INJURY(Per person) $ -— ALL OWNED SCHEDULED cA 3786644 4/1/2019 4/1/2020 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS • -JPer accident) $• X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS UAB CIAIMSMADE AGGREGATE $ 10,000,000 DED I X I RETENTION$ 0 CH39EXCBB5592IV 4/1/2019 4/1/2020 $ WORKERS COMPENSATION WA stop Gap X I STATUTE I 10TTH- AND EMPLOYERS'LIABILITY YIN • ANY PROPRIETOR/PARTNER/EXECUTIVE • Et EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? y NIA (Mandatory In NH) WC 025893651 (A05) 4//2019 4/1/2020 EL DISEASE-EA EMPLOYEE $ 1,000,000 H yes,desuibe ender DESCRIPTION OF OPERATIONS below WC 025893652 (CA) 4/1/2019 4/1/2020 E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD let Additional Remads Schedule,may be attached it 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 6 non-contributory where required by written contract. CERTIFICATE HOLDER CANCELLATION kari.olson @ashland.or.us SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN I 20 East Main Street ACCORDANCE WITH THE POLICY PROVISIONS. I Ashland, OR 97520 - AUTHORIZED REPRESENTATIVE Ted Rice/ROGREE ---'4 �jyJ W ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014(01) The ACORD name and logo are registered marks of ACORD INS025(201401) i • POLICY NUMBER: COMMERCIAL GENERAL LIABILITY GL 534-20-23 CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY.t,PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Location(s) Of Covered Operations Any person or organization whom you become Per the contract or agreement. obligated to include as an additional insured as a result of any contract or agreement you have entered into. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to or "property damage" occurring after: include as an additional insured the person(s) or 1. All work, including materials, parts or organization(s) shown in the Schedule, but only equipment furnished in connection with such with respect to liability for "bodily injury", work, on the project (other than service, "property damage" or "personal and advertising maintenance or repairs) to be performed by injury" caused, in whole or in part, by: Qr on behalf of the additional insured(s) at 1. Your acts or omissions; or the location of the covered operations has 2. The acts or omissions of those acting on been completed; or your behalf; 2. That portion of "your work" out of which the injury or damage arises has been put to in the performance of your ongoing operations its intended use by any person or for the additional insured(s) at the location(s) organization other than another contractor or designated above, subcontractor engaged in performing However: operations for a principal as a part of the 1. The insurance afforded to such additional same project. insured only applies to the extent permitted C. With respect to the insurance afforded to these by law; and additional insureds, the following is added to 2. If coverage provided to the additional Section III - Limits Of Insurance: insured is required by a contract or If coverage provided to the additional insured is agreement, the insurance afforded to such required by a contract or agreement, the most additional insured will not be broader than we 'will pay on behalf of the additional insured that which you are required by the contract is the amount of insurance: or agreement to provide for such additional 1. Required by the contract or agreement; or insured. 2. Available under the applicable Limits of B. With respect to the insurance afforded to these Insurance shown in the Declarations; additional insureds, the following additional whichever is less. exclusions apply: This insurance does not apply to "bodily injury" This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. ❑ CG 20 10 04 13 A Insurance Services Office, Inc., 2012 Page 1 of 1 • ENDORSEMENT This endorsement, effective 12:01 A.M. 04/01/2019 forms a part of Policy No.CA 378-66-44 issued to DAY MANAGEMENT CORPORATION by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: Any person or organization for whom you are contractually bound to provide Additional Insured status but only to the extent of such person's or organization's liability arising out of the use of a covered "auto". I. SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is amended o t add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said contract or agreement. AUTHORIZED REPRESENTATIVE 87950 (9/14) Includes copyrighted information of Insurance Services Office, Inc., Page 1 of 1 with its permission. ENDORSEMENT This endorsement, effective 12:01 A.M. 04/01/2019 forms a part of policy No. CA 378-66-44 issued to Day Ivianagement Corporation by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INSURANCE PRIMARY AS TO CERTAIN ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM Section IV - Business Auto Conditions, B., General Conditions, 5., Other Insurance, c., is amended by the addition of the following sentence: The insurance afforded under this policy to an additional insured will apply as primary insurance for such additional insured where so required under an agreement executed prior to the date of accident. We will not ask any insurer that has issued other insurance to such additional insured to contribute to the settlement of loss arising out of such accident. All other terms and conditions remain unchanged. Authorized Representative or Countersignature (in States Where Applicable) 74445 (10/99) • Kariann Olson From: Robyn Greene <robyn-greene @leavitt.com> Sent: Monday, June 24, 2019 1:24 PM To: Kariann Olson Cc: Calvin Emigh Subject: Day Management Corporation I City of Ashland Attachments: ACORD Forms.pdf; GL Al Blanket-CG2010 (04 13).PDF; GL PNC Blanket-CG2001 (04 13).PDF; Auto Al Blanket-87950 (09 14).PDF; Auto PNC Blanket-74445 (10 99).PDF Good afternoon, Please find the attached certificate of insurance currently on file for our insured, Day Management Corporation. If you have any questions, please let me know. Thank you, r Leavitt Group RobU w c reetn,e, Senior Commercial Account Manager PO Box 55127 I Portland, OR 97238 Phone: 208.672.6160 I Fax 866.429.3119 I robyn-greene@leavitt.com Sign up for our client newsletter I Click here for the latest health care reform updates a as RISK MANAGEMENT CENTER Is your safety, health, HR, and risk management program working? 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