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HomeMy WebLinkAboutInsurance Certificate: Stantec Consulting ACORN` CERTIFICATE OF LIABILITY INSURANCE DA3)/ DD/YYYY) to/t/2o2o 9/1 /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 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). CONTACT PRODUCER Lockton Companies N AME: HONE -A 444 W. 47th Street, Suite 900 A/c , No, Ext : A/C, No): Kansas City MO 64112-1906 E-MAIL (816) 960-9000 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A : Berkshire Hathaway Specialty Insurance Company 22276 INSURED STANTEC CONSULTING SERVICES INC. INSURER B : AIG Specialty Insurance Company 26883 1414100 370 INTERLOCKEN BOULEVARD, SUITE 300 INSURER C BROOMFIELD CO 80021-8012 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 14188478 REVISION NUMBER: XXXXXXX 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 EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE XXXXXXX CLAIMS-MADE ❑ OCCUR NOT APPLICABLE DAMAGE TO RENTED XXXXXXX PREMISES Ea occurrence MED EXP (An one person) XXXXXXX PERSONAL & ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ XXXXXXX POLICY F--] JECOT- F LOC PRODUCTS - COMP/OP AGG $ XXXXXXX OTHER: $ AUTOMOBILE LIABILITY Ea a.,den SINGLE LIMIT $ XXXXXXX ANY AUTO NOT APPLICABLE BODILY INJURY (Per person) $ XXXXXXX OWNED SCHEDULED BODILY INJURY (Per accident $ XXXXXXX AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $XXXXXXX AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED RETENTION $ $ WORKERS COMPENSATION STATUTE OT AND EMPLOYERS' LIABILITY Y / N NOT APPLICABLE ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ XXXXXXX (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE XXXXXXX If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT XXXXXXX A Professional Liab N N 47-EPP-308810 10/1/2019 10/1/2020 $3,000,000 PER CLAIM/AGG A NO RETROACTIVE DATE INCLUSIVE OF COSTS B Contractors Pollution Liab CP08085428 10/1/2019 10/1/2021 $3,000,000 PER LOSS/AGG DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: THIS COVERAGE SHALL NOT BE CANCELLED WITHOUT THIRTY (30) DAYS, EXCEPT TEN (10) DAYS FOR NONPAYMENT OF PREMIUM, WRITTEN NOTICE TO THE CERTIFICATE HOLDER. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14188478 AUTHORIZED REPRESENTATIVE CITY OF ASHLAND 20 E. MAIN STREET ASHLAND OR 97520 ~k m ACORD 25 (2016103) 108-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD ACORN` CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 10/1/2020 9/13/2019 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 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). CON CT PRODUCER Lockton Companies N AME: 444 W. 47th Street, Suite 900 JAJC, No, HOE EXt : t-AA ac, No Kansas City MO 64112-1906 E-MAIL (816) 960-9000 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A : Berkshire Hathaway Specialty Insurance Compam 22276 INSURED STANTEC CONSULTING SERVICES INC. INSURER B : AIG Specialty Insurance Company 26883 1414100 370 INTERLOCKEN BOULEVARD, SUITE 300 INSURER C : BROOMFIELD CO 80021-8012 INSURER D : INSURER INSURER F : COVERAGES CERTIFICATE NUMBER: 14188479 REVISION NUMBER: XXXXXXX 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 INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE XXXXXXX CLAIMS-MADE -1 OCCUR NOT APPLICABLE DAMAGE TO RENTED XXXXXXX PREMISES Ea occurrence MED EXP An one person) XXXXXXX PERSONAL 8 ADV INJURY $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ XXXXXXX P1 POLICY❑ JECOT F LOC PRODUCTS - COMP/OP AGG $ XXXXXXX OTHER: $ AUTOMOBILE LIABILITY EOa aocIdeniSINGLE LIMIT $ XXXXXXX ANY AUTO NOT APPLICABLE BODILY INJURY (Per person) $ XXXXXXX OWNED P SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS ( XXXXXXX HIRED NON-OWNED PROPERTY DAMAGE $XXXXXXX AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED RETENTION $ $ WORKERS COMPENSATION PER - AND E R AND EMPLOYERS' LIABILITY Y I N NOT APPLICABLE ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N / A E1 . EACH ACCIDENT $ XXXXXXX OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE XXXXXXX If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT XXXXXXX A Professional Liar, N N 47-EPP-308810 10/1/2019 10/1/2020 $3,000,000 PER CLAIM/AGG A NO RETROACTIVE DATE INCLUSIVE OF COSTS B Contractors Pollution Liab CP08085428 10/1/2019 10/1/2021 $3,000,000 PER LOSS/AGG DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE:THIS COVERAGE SI IALL NOT BE CANCELLED WITHOUT THIRTY (30) DAYS, EXCEPT TEN (10) DAYS FOR NONPAYMENT OF PREMIUM, WRITTEN NOTICE TO TI1E CERTIFICATE HOLDER. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 14188479 AUTHORIZED REPRESENTATIVE CITY OF ASHLAND 20 E. MAIN STREET ASHLAND OR 97520 ACORD 25 (2016/03) ©13 8-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD A CERTIFICATE OF LIABILITY INSURANCE DAT0MM/2019 ) 08!302019 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 endorsements . PRODUCER CONTACT CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY NAME: HOME OFFICE: P.O. BOX 328 1A CNNO Ext : 888-333-4949 Fn/c No : 507-446-4664 OWATONNA, MN 55060 E-MAIL ADDRESS: CLIENTCONTACTCENTER FEDINS.COM INSURERIS) AFFORDING COVERAGE NAIC # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 348-697A INSURER B: FEDERATED SERVICE INSURANCE COMPANY 28304 CASCADE COMMUNICATION SERVICES INC INSURER C: 2961 HELMS RD GRANTS PASS, OR 97527-9515 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 55 REVISION NUMBER: 3 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MM/DDiYYYV MMIDD/YYYV COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE TO RINTED CLAIMS-MADE ❑X OCCUR PREMISES (Ea occurrence $100,000 MED EXP (Any one person) X BUSINESS OWNER'S LIABILITY A N N 9062279 02101/2019 02/01/2020 PERSONALS ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ❑ JECT PRO X ❑ LOC PRODUCTS - COMPIOP AGO $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea $1,0()0,000 eccldent X ANY AUTO BODILY INJURY IPer person) OWNED AUTOS ONLY SCHEDULED B AUTOS N N 9062280 02101/2019 02/01/2020 BODILY INJURY (Per accident) HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY Per accitlent X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000 A EXCESS LIAB CLAIMS-MADE N N 9062569 02/01/2019 02/0112020 AGGREGATE $1,000,000 DED RETENTION WORKERS COMPENSATION OT AND EMPLOYERS' LIABILITY PER STATUTE YIN -1 ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICER/ MEMBER EXCLUDED? N I A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE I7 yes, describe antler DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION 348-697-4 55 3 CITY OF ASHLAND INFORMATION SYSTEMS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 90 N MOUNTAIN AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ASHLAND, OR 97520-2014 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE _ /1G O 1986-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD f acoR°® FDATI (MMIDDrrrYY) III CERTIFICATE OF LIABILITY INSURANCE 081302019 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 endorsements . PRODUCER NAME: CONTACT CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 PA C, . Ext : 888-333-4949 FAAic No : 507-446-4664 OWATONNA, MN 55060 E-MAIL ADDRESS: CLIENTCONTACTCENTER FEDINS.COM INSURER(S) AFFORDING COVERAGE _ NAIC # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 348.697A INSURER B: FEDERATED SERVICE INSURANCE COMPANY 28304 CASCADE COMMUNICATION SERVICES INC INSURER C: 2961 HELMS RD GRANTS PASS, OR 97527-9515 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 68 REVISION NUMBER: 4 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MMIDDIYYYY MMIDD/YYYV COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑ OCCUR PREMISES Ea oN urrence $100,000 DE TO X BUSINESS OWNER'S LIABILITY MED EXP (Any one person) A N N 9062279 02/01/2019 02/0112020 PERSONAL It ADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ❑ JEST LOC PRODUCTS - COMP/OP AGO $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY (Per person) OWNED AUTOS ONLY SCHEDULED B AUTOS N N 9D62280 02/01/2019 02/0112020 BODILY INJURY IPar accident) HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000 A EXCESS LIAB CLAIMS-MADE N N 9062569 02101/2019 02/0112020 AGGREGATE $1,000,000 DED RETENTION WORKERS COMPENSATION PER STATUTE OER AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNEWEXECUTIVE E.L. EACH ACCIDENT OFFICER MEMBER EXCLUDED? N I A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION 348-697-4 68 4 CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 90 N MOUNTAIN AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ASHLAND, OR 97520-2014 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1 J Z/W 0 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD INDUS-5 P ID: 1N ACORO CERT'FICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) 09/07/2019 THIS CERTIFICATE IS ISSUED AS A MATTED 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 AEDITIONAL 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). ONTACT Nanci Gonzalez _ PRODUCER 206-956-1600 C NAME: Brown & Brown of WA. Inc. (B) PHONE FAX 800 Fifth Ave Suite 2400 ( 206-956 1600 206-956-9600 Seattle, WA 98104 ADDRESS: ngonzalez@bbseattle.com Brown & Brown of WA INSURER(S) AFFORDING COVERAGE _ NAIC a INSURER A : Travelers Property & Casualty 25674 INSURED Industrial Software Solutions _ INSURER B: TRAVELERS INDEMNITY CO OF CT 25682 19909 120th Ave NE #101 Travelers Indemnity Company an 25658 Bothell, WA 98011 INSURER _ c : ty p y INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POIJCIES 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 ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE IS 1,000,000 DAMAGE TO RETED EMISES (Ea occurrence) 300,000 CLAIMS-MADE X OCCUR Y ZLP-14T51135 12/01/2018 12/01/2019 PR _ MED EXP tAny one person) $ 10'000 PERSONAL & ADV INJURY $ 1'000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE . $ 2'000'000 X POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER $ C AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Eaaccident) . ANY AUTO Y BA11_109801 12/01/2018 12/01/2019 BODILY INJURY (Per_erson)_ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY der accident) $ S A X UMBRELLA LIAR X OCCUR _ EACH OCCURRENCE $ 4'000,000 EXCESS LIAR CLAIMS-MADE CUP-21_19643A 12/01/2018 12/01/2019 AGGREGATE $ 4'000,000 DED X RETENTION $ 10,000 $ B WORKERS COMPENSATION P_R X OTH AND EMPLOYERS' LIABILITY STATUTE _ ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN U 86828 MO66 10/15/2019 10/15/2020 E L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) WA STOP GAP E L DISEASE - EA EMPLOYEE, $ 1,000,000 _ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more 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 ACCORDANCE WITH THE POLICY PROVISIONS. 90 N. Mountain Avenue Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD