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HomeMy WebLinkAboutInsurance Certificate : Good 2 Go Taxi 0 A 9 U CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 02/17/2023 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 Gina Stiller NAME: Oswald Taxi and Transportation Insurance Services PHONE Ext): 541-223-5222 FAA/XC Ne), 541-320-7302 2225 Pacific Blvd E-MAIL ADDRESS: service@ottiservices.com INSURER(S)AFFORDING COVERAGE NAIC# Albany OR 97321 INSURER A: ARTISAN&TRUCKERS CASCO 10194 INSUREDINSURER B: United States Liability Insurance Company 25895 Good 2 Go Taxi INSURER C: 1848 Garden Dr INSURER D: INSURER E: Medford OR 97504 INSURER F: COVERAGES CERTIFICATE NUMBER: 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 I 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 T/PE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 __- A CLAIMS-MADE X OCCUR PRRENTED PREMISES l ESM (Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 B X GL1045352C 02/20/2023 02/20/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC . ' • ..,. _ - .. PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 -. . y; - _ ��_ (Ea accident) ANY AUTO "'• (-- -• -•••-•_ -• -• • BODILY INJURY(Per-person) $ A OWNED AUTOS ONLY X SCHEDULED X 01821329-3 .02/.20/2023,.,02/20/2024 BODILY INJURY(Per accident) $ • HIRED • NON-OWNED I ;•,�r, PROPERTY•DAMAGE $ • • AUTOS ONLY _AUTOS ONLY (Per'Sccident) ' " _ _ $ UMBRELLA LIAB- - OCCUR - -'-' EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N - STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/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/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) SCHEDULED VEHICLES: 2023 TOYOTA TACOMA-3TMDZ5BN2PM143830 • CERTIFICATE HOLDER• CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE - • THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20,E Main Street ACCORDANCE WITH THE POLICY PROVISIONS: • Ashland OR 97520 AU HORIZED REPRESENTATIVE . ((JJ1l��ll er I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(20.16/03) The ACORD name and logo are registered marks of ACORD