Loading...
HomeMy WebLinkAboutInsurance Certificate: Miller Consulting ENgineers i Client#: 53610 MILLCONS DATE (MMIDD/YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 9/25/2019 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER C ONTACT Trudy Henry NAM E Greyling Ins. Brokerage/EPIC PHONE 770-552-4225 FAx N ac, No :866'550'4082 ac, o, Ext : 3780 Mansell Rd. Suite 370 E-MAIL ADDRESS: Trudy•Henry@greyIlng•com Alpharetta, GA 30022 _ INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Hartford Accident & Indemnity Company '22357 INSURED INSURER B : US Specialty Insurance Co 29599 Miller Consulting Engineers 9570 SW Barbur Blvd. Ste 100 INSURER C Portland, OR 97219 INSURER D: INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 19-20 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 EXP L_TR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY~_ LIMITS A X COMMERCIAL GENERAL LIABILITY 20SBWCG3000 11/01/2019 11/01/202O EACH OCCURRENCE $1000000 CLAIMS-MADE II OCCUR PREMISESOEaoccurence_L $1,000,000 MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY 51,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 RO- POLICY ~ PEC II~ LOC OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A 20SBWCG3000 11/0112019 11/0112020 Eaaccident 1,000,000 ANY AUTO BODILY INJURY (Per person) $ OS I~ SCHEDULED BODILY INJURY (Per accident) $ OWNEDONLY AUTOS AUT HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY Per accident S A X UMBRELLA LIAB X OCCUR 20SBWCG3000 11/01/2019 11/01/202 EACH OCCURRENCE $5,000000____ EXCESS LIAB CLAIMS-MADE AGGREGATE s5,000,000 li DED ' X RETENTION $10000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y I N STATUTE R ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERMEMBER EXCLUDED? ❑ N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B Professional USS1929782 6/1312019 16/13/202 Per Claim $2,000,000 Liability Aggregate $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Seismic re-evaluation of the Ashland City Hall. The City of Ashland, Oregon, and its elected officials, officers and employees are named as Additional Insureds on the above referenced liability policies with the exception of workers compensation & professional liability where required by written contract. Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof, 30 days' written notice (except 10 days for nonpayment of premium) will be provided to the Certificate Holder. CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E Main St ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520-0000 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1797303/M1795234 TH EN2