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HomeMy WebLinkAboutInsurance Certificate: Accela A~oRO°° CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD rr) 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 ABD Insurance & Financial Services N AME: Cert Request 3 Waters Park Drive, Suite 100 A/CC. N Ext : 650-488-8565 a Nc : San Mateo, CA 94403 E-MAIL ADDRESS: Tech CertRe uest theabdteam.com INSURERS AFFORDING COVERAGE NAIL # www.theabdteam.com INSURERA: Federal Insurance Company 20281 INSURED INSURER B: Chubb Indemnity Insurance Company 12777 Accela, Inc. 2633 Camino Ramon INSURERC: Suite 500 INSURER D: San Ramon, CA 94583 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 50975113 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 INADDLSUBR SD 1 VD POLICY NUMBER MMIDDY EFF POLICY EXP LTR IDD/YYYY) LIMITS A COMMERCIAL GENERAL LIABILITY ✓ 3604-91-08 9/1/2019 X19/1/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR 1 PREM SES EaEoccurrence$1,000,000 MED EXP (Any one person) $10,000 _ PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 ✓ POLICY E~] E PRO- [7] LOC PRODUCTS - COMP/OP AGG $ 2 000 000 OTHER: $ A AUTOMOBILE LIABILITY 7359-95-44 9/1/2019 9/1/2020 COMBINED SINGLE LIMIT $ Ea accident 1,000,000 ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ ✓ AUTOS ONLY ✓ AUTOS ONLY Per accident Physical Dmq.Deductibll $1,000 UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION 7175-62-53 9/1/2019 9/1/2020 ✓ SPER TATUTE ERH AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN E.L. EACH ACCIDENT $ 1,000,000 OFFICE R/MEMBEREXCLUDED? N NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,00Q If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 I i DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Project #E 000260.999, PO #10464, Utility Billing Management Solution, Ashland, OR. City of Ashland is additional insured to General Liability. 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 E Main St. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE Rod Sockolov ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 50975113 1 16254 1 19-20 All/E&O $5M Patra (1) 1 9/5/2019 4:32:51 AM (PDT) I Page 1 of 1