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HomeMy WebLinkAboutInsurance Certificate: Cascadia Consulting Group Inc ----"1 • OP ID:SR • AWRL9 CERTIFICATE OF LIABILITY INSURANCE " DATE(MM/DD/YYYY) 03/17/2022 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 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 Sprague Israel Giles. PHONE .. FAX . 1501 Fourth Avenue,Suite 730 (NC.No.Ext): (NC,No): Seattle,WA 98101-3225 E-MAIL ADDRESS: Robert Karl PRODUCER CASCA-1 CUSTOMER ID#: • INSURER(S)AFFORDING COVERAGE NAIC# INSURED Cascadia Consulting Group,Inc INSURER A:OhIo Casualty Ins Company 24074 1109 1st Ave.,Ste.400 INSURER B:West American Insurance Co 44393 Seattle,WA 98101 INSURER C: INSURER D: INSURER E: 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 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD. POLICY NUMBER IMMIDD/YYYY1 (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X BKO57696405 03/19/2022 03/19/2023 DAMAGEOEa RENTED occurrence) $ 1�000 000 PREMISETS( CLAIMS-MADE X OCCUR MED EXP(Any one person) $ 15,000 . PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE . $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY n JECT n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) B 'X ANY AUTO BAW57696405 03/19/2022 03119/2023 BODILY INJURY(Per person) $ X ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (PER ACCIDENT) X NON-OWNED AUTOS $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 A US057696405 03/19/2022 03/19/2023 DEDUCTIBLE $ X RETENTION $ 10,000 $ WORKERS COMPENSATION . WCSTATU-- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS X ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N BK057696405 03119/2022 03/19/2023 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) WA STOP GAP E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS belowE.L.DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) The City of Ashland,Oregon,and its elected officials,officers&employees are additional insured if required by written contract or agreement,subject to the General Liability additional insured provision endorsement. Insurance is Primary and Non Contributory. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Street Ashland,OR 97520 AUTHORIZED REPRESENTATIVE 14-4 igi ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD