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HomeMy WebLinkAboutInsurance Certificate: Taurus Power & ControlsACORN® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 01 /07/2020 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 Jeff Forbes NAME: ECBM, LP PHONE (610) 668-7100 FAX (610) 667-2208 A/C No Ext : A/C, No): 1400 N Providence Road E-MAIL jforbes@ecbm.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Suite 5025 Media PA 19063 INSURERA: Lloyds of London 085202 INSURED INSURER 8 : Evanston Ins Co. 35378 Taurus Power & Controls, Inc. INSURER C : Chubb Indemnity Ins. Co. 12777 9999 SW Avery Street INSURER D : INSURER E Tualatin OR 97062 INSURER F COVERAGES CERTIFICATE NUMBER: 20 M 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. I LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY EXP MM DDYYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE FSI OCCUR PREMISES Ea occurrence $ 1,000,000 X MED EXP (Any one person) $ 5,000 Contractual Liability PERSONAL & ADV INJURY $ 1,000,000 A Y VBE03232A20 01/12/2020 01/12/2021 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY F PRO JECT 7 LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS VBE03232A20 01/12/2020 01/12/2021 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED HNON-OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 B EXCESS LIAR CLAIMS -MADE MKLV7EUL100560 01/12/2020 01/12/2021 DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER%MEMBEREXCLUDEI � (Mandatory in NH) NIA (21)7172-51-80 01/12/2020 01/12/2021 SPER TATUTE EORH X1 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Professional Liability VBE03232A20 01/12/2020 01/12/2021 Each Claim Aggregate $2,000,000 $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City and its agents, officers and employees are included as additional insured on the General Liability as required by written contract. [tla:UI�ChG\Ia: City of Ashland 20 East Main Street Ashland OR 97520 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 00005391 LOC #: ACORV III ADDITIONAL REMARKS SCHEDULE Page of AGENCY ECBM, LP NAMED INSURED Taurus Power & Controls, Inc. POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS f THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance: Notes To the extent covered by policy and endorsements: General Liability includes, to the extent required by written contract or agreement, Blanket Additional Insured, Primary and Non-contributory, and Waiver of Subrogation. ISO forms defined to include: CG 20 37 10 01. CG 20 10 10 01; CG 24 04 10 93; CG 20 38 04 13, Automobile includes, to the extent required by written contract or agreement, Blanket Additional Insured, Primary and Non-contributory, and Wavier of Subrogation. Workers' Compensation & Employers' Liability includes, to the extent required by written contract or agreement, Waiver of Subrogation Excess Liability includes, to the extent required by written contract or agreement Primary and Non -Contributory and Waiver of Subrogation. Policy is follow form and includes additional insured for certificate holder. Cyber Liability - Lloyds of London - CY1800092 - 1/12/2020 to 1/12/2021 each claim $2,000,000, aggregate $2,000,000. ACORD 101 (2008/01) U 2008 ACORD CORPURAI IUN. All rights reserved. The ACORD name and logo are registered marks of ACORD