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HomeMy WebLinkAboutInsurance Certificate: Eurofins Eaton AnalyticalPage 1 of 2 DATE (MM'DD,YYYY) CERTIFICATE OF LIABILITY INSURANCE 01/06/2020 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). PRODUCER CONTACT Willis Towers Watson Certificate Center NAME:__ _ __ _ _ Willis Towers Watson Northeast, Inc. fka Willis of Pennsylvania, PHONE FAX Inc. q' 1-877-945-7378 AC No: 1-888-467-2378 E-MAIL certificatea@willis.com c/o 26 Century Blvd ADDRESS: P.O. Box 305191 INSURER(S) AFFORDING COVERAGE NAIC# Nashville, TN 372305191 USA RDI Global Insurance Company 41343 INSURER A : omp y INSURED IN_SURERB: Travelers Property Casualty Company of Ame 25674 Eurofins Eaton Analytical, LLC INSURERC: AXA Insurance Company 33022 750 Royal Oaks Drive, Suite 100, Monrovia, CA 91016 USA INSURER D : INSURER E : INSURER F : rn%1rQA(_1=C rFRTIFIr ATF MIIRARFR• W15175182 RFVISICIN NIIMRFR- 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- jADDLi8l1f3R; POLICY EFF POLICY EXP - LTR TYPEOFINSURANCE POLICYNUMBER MM�DD/YYYY MM/DDiYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE Is 2,000,000 _, DAMAGE TRENTED1,000,000 j CLAIMS -MADE � OCCUR REMISES Ea occurrence-1__- $ A MED EXP (Any one person) I $ 10, 000 PERSONAL & ADV INJURY $ 1,000,000 y GLD1313805 01/01/2020 02/01/2021 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X I POLICY LX JE � X LOC PRODUCTS - COMP -OP AGG 1 $ 2,000,000 $ ' OTHER: AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT $ 1,000,000 )( ANY AUTO BODILY INJURY (Per person) S B OWNED SCHEDULED HC2JCAP-162D3822-20 01/01/2020'01/O1/2021' BODILY INJURY (Per accident)� $ AUTOS ONLY AUTO S HIRED NON -OWNED PROPERTY DAMAGE $ -- AUTOS ONLY AUTOS ONLY Per accident)_,-, X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 25,000,000 A EXCESS LAB_ CUD1314005 01/01/2020 01/01/2021S-MADE AGGREGATE $ 15,000,000 DED � X RETENTION$ 250, 000 ff $ WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS' LIABILITY YIN __ $ 1,000,000 B ANYPROPRIETOR:PARTNERrEXECUTIVE E I EACH ACCIDENT OFFICER ME MBEREXCLUDED? No NIA HC2NUB-157D3795-20 01/01/2020 01/01/2021' 1,000,000 i(Mandatory In NH) I _P.L. DISEASE EA EMPLOYEE, $ yes, describe under DESCRIPTION OF OPERATIONS below !DESCRIPTION E.L. DISEASE POLICY LIMIT 1,000,000 $ B Worker. Compensation HRJUB-4F195715-20 01/01/2020 01/01/2021 EL Each Accident $1,000, 000 And Employers' Liability •.EL Disease - EA Impl.$1,000,000 -Per Statute EL Disease - Pol Lim.i$1,000,000 DESCRIPTION OF OPERATIONS : LOCATIONS , VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) SEE ATTACHED rFriTICIrATC Uni IICQ rAmrFI 1 ATInIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland AUTHORIZED REPRESENTATIVE 20 East Main Street Ashland, OR 97520 i © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sR 7o: 19074911 BATCH: 1514897 2 of 2 7442 AGENCY CUSTOMER ID: LOC #: ACORE® L___ ADDITIONAL REMARKS SCHEDULE Page 2 Of 2 AGENCY NAMED'INSURED .Willie Tmere Weteon ao[tkeavt, Inc. fke Willie of Penneylvv,ia, Int. Barofies Baton Analytical, LLC 750 Royal Oa" Drive, Suite 100, Monrovia, CA 93016 USA POLICY NUMBER See Page 1 CARRIER . NAIC CODE See Page 1 Be- Page 1 EFFECTIVE DATE: See Page 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance The City of Ashland, Oregon and its elected officials, officers and employees are included as Additional Insureds on the General Liability on a primary and non-contributory basis as required by written contract with the insured, per policy terms and conditions. INSURER AFFORDING COVERAGE: HDI Global Insurance Company NAIC#: 41343 POLICY NUMBER: BUD 1313905 EFF DATE: 01/01/2020 EXP DATE: 01/01/2021 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Professional Liability Each Claim $5,000,000 Policy Aggregate $5,000,000 INSURER AFFORDING COVERAGE: AXA Insurance Company NAIC#: 33022 POLICY NUMBER: XFR007707SLILBA EFF DATE: 01/01/2018 EXP DATE: 01/01/2021 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Pollution Liability Each Claim $5,000,000 Policy Aggregate $5,000,000 Retention $35,000 The ACORD name and logo are registered marks of ACORD SR ID: 19074911 BATCH: 1514897 CERT: W15175182