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HomeMy WebLinkAboutInsurance Certificate: Moss Adams LLP DATE(MM/DD/YYYY) ,AG?RO 70/3,2022 CERTIFICATE OF LIABILITY INSURANCE. 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 andconditions of the policy,certain policies may require an endorsement.A statement on this . certificate does not rights to the certificate holder in lieu.of.such endorsement(s). c. - PRODUCER CONTAGT -gyp Aon Risk.Services'Central, Inc. NAME: Chicago IL Office" PHONE NE Ext): C3 (aC.'No.): C3 at 12).381 1000 12) 381 7007' 200 East Randolph E-MAIL- .. Chicago IL 60601 USA - ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIL# INSURED INSURER A: National Fire Ins. Co. of Hartford 20478 Moss Adams LLP INSURER B: Transportation insurance Co.' . 20494 - 999 Third Avenue Suite 2800 INSURER C: The continental Insurance Company ,35289 Seattle WA 98104 USA INSURER D: American Casualty Co. of Reading PA 20427 INSURER E: INSURER F: COVERAGES ' - CERTIFICATE NUMBER: 570096290894 REVISION NUMBER: 6 '.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;TERMOR 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. Limits shown are as requested 'iNSR . - ADDLSUBR POLICY 6FI-- POLICY EXP _ -LTR POLICY TYPE OF - INSD WVD POLICY NUMBER'. ((MM/DD/YYYY hVIWDD/YYYY) • LIMITS A X .COMMERCIAL GENERAL LIABILITY . 5088/14197 10/31/2022 10/31/2023 EACH OCCURRENCE $1,000,000 General,Liability DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence] $1,000,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY. $1,000,000 rn ' GEN'LAGGREGATE LIMIT APPLIES PER:` GENERAL AGGREGATE - $2,000;000 0 POLICY ❑J CT 1 1LOC PRODUCTS=COMP/OP AGG_. $2,000,,000 co OTHER: . � to B AUTOMOBILE LIABILITY. .5088714166 ` :10/31/2022;10/31/2023 COMBINED SINGLE LIMIT . - $1,000,000 Auto (Ea accident) —ANY AUTO BODILY INJURY(Per person) - C Z OWNED —SCHEDULED" BODILY INJURY(Per accident) cU." AUTOS ONLY. AUTOS c0 X HIRED AUTOS X NON-OWNED- PROPERTY DAMAGE V. —ONLY ' AUTOS ONLY (Per accident) d C. X, UMBRELLA LIAB X OCCUR • 6045509936 10/31/2022 10/31/2023 EACH OCCURRENCE 52,000,000 U EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000 DED " RETENTION C WORKERS COMPENSATION AND - 5088714183 ' 10/31/2022 10/31/2023 x PER STATUTE : OTTH- — EMPLOYERS'LIABILITY Y/N Workers Compensation AN PROPRIETOR ER/PARTNEFI EXCLUDED?/EXECUTIVE N/A - E.L.EACH ACCIDENT , " .$1,000,000 O 5088714216'" 10/31/2022 10/31/2023 (Mandatory in NH) . EL.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT " ` " $1,000,000 - gal DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Ashland,•Oregon and its elected officials, officers,,and employees are added as Additional Insured as respects the General Liability and Automobile Liability as required per written contract. umbrella is a follow form. 30. day notice of cancellation.except 10-days for non-payment. Policies evidenced herein are primary and non-contributory to other insurance available to the certificate holder; but only to the extent 'required by written contract with the insured. A waiverof subrogation in favor of Additional Insured as respect the General Liability, :Auto Liability and workers Compensation pursuant to a written contract. — CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE R ACCORDANCE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INA RDANC WITH THE POLICYPROVISION$. M. nrCi92 City of Ashland, Oregon AUTHORIZED REPRESENTATIVE - 20 East Main Street Ashland, OR 97520 USA 9 tCY/2 pC�. p �i Md e..IGE. WO &'.e/ ! ©1988-2015 ACORD CORPORATION.:All rights reserved.' ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD MSC#17755 Aon Risk Services PO Box 1447 Lincolnshire,IL 60069 • MDG202200001002 01 'iIIIII'uIIInfIIu'111111i11ili111.i.ii.n11111111111111111II.n •�'ra City of Ashland, Oregon 20 East Main Street Ashland, OR 97520 1 • • • • 0 a cc RI 41 4g. c Certificate No: 570096290894 ON City of Ashland, Oregon 20 East Main Street Ashland, OR 97520 USA Tuesday, November 1, 2022 To whom it may concern: Following,a concentrated effort to reduce our environmental footprint and provide timely certificate delivery, Aon will begin delivering our Certificates of Insurance electronically in PDF format. Please utilize one of the following methods to ensure you will receive the electronic copy of your., Certificate (Certificate No: 570096290894) for future renewals: . DO - Visit aon.com/e-cert; or Utilize the QR Code below to enter/validate your information.. If your email address has changed or will,be changing in the future, or you no longer require this certificate, please let us know using one of the methods above.. . Thank you for your cooperation and willingness to help us reduce our impact to the environment. MSC# 17755 I Aon P.O. Box 1447 Lincolnshire, IL 60069 • ■ rmv.ii1/4 • - . • b • 11:11 ■ • : • ■el El■ �. ■ 0 r. ■ ■ 0 o