HomeMy WebLinkAboutInsurance Certificate: Rogue Waste Disposal Holdings, Inc ARD®
, DATELMM/DDITYYY)
ACORE) LIABILITY _ .. _
CERTIFICATE OF INSURANCE
THIS.CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION,ONLY AND.CONFERS NO RIGHTS'UPON THECERTIFICATE 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 Obkrilika.BEti4EBN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVEOR PRODUCER,ANDTHE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL.INSURED;the policy(ieS)must have ADDITIONAL INSURED provisionsor endorsed.
If'SUBROGATION IS.WAIVED,subject to the terms and conditions of the pOlicy,.certahtpOlicieemay require an endorsement. A statement on ,.
this certifiCate,does not oiinfer tighteto the certificate hOlder inmeu of such•endbrteme6t(6).. . . ..„. ,. „ „ .', . .. „. . „. , . '.
PRODUCER . •CONTApT - ,
. .
Edgewbod Partners Insurance Centers , 1VAME:' Certificate Unit
. PHONE . FAX
5909 Peachtree Dunwoody'Road ' Ut/C.:No:Extl:404q81A7,00 . . . . . . _ . (A/C,No):
Suite 800 ADDRESS: certificte@epicbrokers.com
Atlanta GA 30328 - , • -- INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:ACE American InsuranceCompany 22667
'INSURED '.INSURERS:
Rogue Waste'Disposal Holdings,.Ina.
3 Waterway Square Place,-Suite 110 . INSURER C:
The Woodlands, TX 77380 '-INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER!,696137803 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 HEOLIOEMONT,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 OESUCH'POLICIES:LIMITS,SHOWN MAY HAVEBEENREDUCED.BY PAID CLAIMS,
•INSR: ADDL SUBRPOLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER , LMNVDD/YYTY) (MMIDDIYYYY). LIMITS
•A X COMMERCIAL GENERAL LIABIUTY HDO G72949862 8/1/2022. 8/1/2023 ,EAbKOCCURFIENCE: $2000,000
DAMAGE TO'RENTED-
CLAIMS,MADE X OCCUR •PREMISES(Eii bcaurrence) $100,01:10
MED EXP(Any one person) $
PERSONAL&ADV INJURY $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE, $5000000
X POLICY ga LOG . PRODUCTS-COMP/OP AGG $2;000,000 , •
OTHER: $
A AUTOMOBILE LIABILITYH2551 4
ISA 0E33 8/112022 8/1/2023 . $0616NWINGLE.LIMIT $5,000.000 . •'
X ANY AUTO BODILY INJURY(Pei person): $ •
OWNED
AUTOS ONLY SCHEDULED BODILY INJURY(PeracCident) 5
AUTOS
HIRED NON-OWNED PROPERTY DAMAGE.
AUTOS ONLY 'AUTOS:ONLY ' (Per accident)
$
UMBRELLA LIAB — OCCUR , ,
EACH OCCURRENCE $
EXCESS LIAB .. CLAIMS-MADE AGGREGATE $
DEC I RETENTION$ . $ '.
A WORKERS COMPENSATION ' '
ERSLIABILITY i/N VI/LR.C88019939(AOS): 811/20,22 8/1/2023 X .laRtutE Er-
AND'EMPLOY '.
ANYPROPRIETOR/PARTNER/EXECUTIVEL,r,j. N./A El,EACH ACCIDENT $1500,000
.
OFFICERIMEMBERExcLupEo ? ,
(Mandatory In NH) EL.DISEASE-EA EMPLOYEE $1,50o,boo
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.. DISEASE-POLICY LIMIT $1,500,000
-,-,., :-----,
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES WORD 101,AddltIon$I Remarks Schedule,may be attached If more apace Is required).
CERTIFICATE HOLDER CANCELLATION
8HOULD ANY.OF THEABOVEDESCRIBED POLICIESBECANCELLED BEFORE.
" •
THE. EXPIRATION DATE THEREOF; NOTICE, WILL BE 'DELIVERED IN '
ACcoRDANCEwiTH,THE POLICY PROVISIONS;
City of Ashland
90 N. Mountain Ave.
:AUTHORIZED REPRESENTATIVE
Ashland OR 97520. •
A, , (.-,e.
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C 1988-2015 ACORD CORPORATION. All rightS reserved:
ACORD 25(2016/03) The ACORD name and logo are registered marks of.ACORD
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. Edgewood Partners Insurance Center .
425 California Street, Suite 2400 • ' . •
San Francisco, CA 94105
3032 1 MB.0.512 3032
IIIIIlI111111IIIIIiuiI'IIIIIIIIIIIIII!III'IlIIIIIIIIInlulI'IIII . •• . . '
CITY OF ASHLAND .
90 N MOUNTAIN AVE
ASHLAND,OR 97520-2014
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