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HomeMy WebLinkAboutInsurance Certificate: Public Consulting Group LLC Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MM,DD""") (>`---- 12/20/2022 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 Adrienne Kisonas - • . ... • NAME: Hays Companies, Inc. PHONE. • FAX • • (A/C,No.Ext): (NC,No): 980 Washington St., Suite 325 E-MAILs:Adrienne.Kisonas@bbrown.com ADDRES INSURER(S)AFFORDING COVERAGE NAIC# Dedham MA 02026 INSURERA:Great Northern Insurance Company 20303 INSURED INSURER B:Federal Insurance Company 20281 Public Consulting Group LLC INSURER C:Allied World National Assurance Company 10690 Attn: Michael Marotta • INSURERD:Chubb Limited 058303 148 State St., 10th Floor INsuRERE:ACE American Insurance Company 22667 Boston MA 02109 . INSURER F: COVERAGES CERTIFICATE NUMBER:22-23 GL Auto WC UMB 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 WPOLICY EFF POLICY EXP LIMITS LTR INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,000 -DAMAGE A CLAIMS-MADE X OCCUR PREMISES(Ea o currence) $ 1,000,000 X Y 35855036 4/1/2022• 4/1/2023 MED EXP(Any one person) $ 10,000 _PERSONAL&ADV INJURY $ 1,000,000 GGEEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRCT ,LOC PRODUCTS-COMP/OPAGG $ Included • OTHER: Employee Benefits . $ - 1,000,000 • AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED 'SCHEDULED AUTOS _AUTOS X y 73540440 4/1/2022 4/1/2023 BODILY INJURY(Per accident) $ NON-OWNED • PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident) $ / X UMBRELLA LIAB OCCUR • EACH OCCURRENCE $ 10,000,000 _ EXCESS LIAB C X CLAIMS-MADE AGGREGATE $ 10,000,000 DED X RETENTION$ 10,000 X Y 0311-2674 4/1/2022 4/1/2023 $ WORKERS COMPENSATION x PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ 1,000,000 - OFFICER/MEMBER.EXCLUDED?__ D (Mandatory in NH) y "71724811 - -12/31/2022 4/1/2023 E.L.DISEASE-EA"EMPLOYEE -$"- 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 E Professional/Cyber Liability/ D97157753 4/1/2022 4/1/2023 Each Claim/Aggregate: $10,000,000 Techology ESO: Claims Made Retro Date: Full Prior Acts Retention $500,000 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 included as additional insured as respects to General Liability, on a primary and non-contributory basis, and Auto where required by written contract, subject to policy terms and conditions. Umbrella follows form. A Waiver of Subrogation applies in favor of the additional insureds as respects to General Liability, Auto and Workers Compensation where required by written contract, subject to policy terms and conditions. Umbrella follows form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 90 N. Mountain Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ' James Hays/MYLANA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)