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HomeMy WebLinkAboutInsurance Certificate: Accela Inc ARD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/7/2022 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 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). CONT PRODUCER Newfront Insurance Services NAMEACT , Cert Request 777 Mariners Island Blvd Suite 250 (PHONE A/C.No.Ext): 650-488-8565 FAX No): San Mateo, CA 94404 ADDRESS: TechCertRequest@newfront.com INSURER(S)AFFORDING COVERAGE NAIC# www.newfront.com INSURERA: Federal Insurance Company 20281 INSURED INSURER B: Chubb Indemnity Insurance Company 12777 Accela, Inc. 2633 Camino Ramon INSURERC: Suite 500 INSURERD: San Ramon CA 94583 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 70142624 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 LTR TYPE OF INSURANCE INSD AND POLICY NUMBER (MM/DD/YYYY) (MMIDDIYYYY) LIMITS A / COMMERCIAL GENERAL LIABILITY i3604-91-08 9/1/2022 9/1/2023 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE ,/ OCCUR PREMISES(Ea occurrence) $1,000,000 MED EXP(Any one person) $10,000 PERSONAL 8 ADV INJURY $1,000,000 , GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 ✓ POLICY JEOT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 7359-95-44 9/1/2022 9/1/2023 Ea aocideDtSINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURYaccident) AUTOS ONLY AUTOS (Per $ HIRED NON-OWNED PROPERTY DAMAGE $ ✓ AUTOS ONLY ✓ AUTOS ONLY (Per accident) Physical Dmg.Deductible $1,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION 7175-62-53 9/1/2022 9/1/2023PER 0TH- AND EMPLOYERS'LIABILITY Y/N ✓ I STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $1,000,000 /M OFFICEREMBEREXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000.000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Project#E 000260.999,PO#10464,Utility Billing Management Solution,Ashland,OR. City of Ashland is additional insured to General Liability. CERTIFICATE HOLDER CANCELLATION City SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cl Ci yE of Ashland STHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE I Rod Sockolov ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 70142624 116254 122-23 A11/E&O $5M 1 Patra (1) 1 9/7/2022 1:53:59 PM (PDT) 1 Page 1 of 1 NEWFRONT 777 MARINERS ISLAND BLVD STE 250 • , L SAN MATEO CA 94404 a ti Y-1 CITY OF ASHLAND 20 E MAIN ST ASHLAND OR 97520-1849