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Home My WebLink AboutInsurance Certificate: Moonlight BPO LLC (2) ACORU® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) ktur''' - . ' ' 12/16/2022 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). - PRODUCERCONTACT Temple Christensen • • NAME:- • . CenturyInsurance Group,LLC IAHCNN,EMI: (541)382-4211 Fa xc,No): (541)382-7468 320 SW Upper Terrace Dr. E-MAIL temple@centuryins.com ADDRESS: Suite 104 • _ , .- _. INSURER(S)AFFORDING COVERAGE - - NAIC# Bend OR 97702• INSURERA: Valley Forge Insurance Company .:20508 •INSURED INSURER B: Nat'I Fire ins Co of Hartford -20478. ' Moonlight BPO LLC INSURER c: Continental Casualty Company - 20443 2463 NE 4TH ST STE 100 - INSURER D: SAIF - 36196 INSURER E: Hiscox Insurance Company - - BEND OR 97701 _INSURER F:_ -_ " ' il • COVERAGES CERTIFICATE NUMBER: - Master 23/24 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 WVD POLICY NUMBER (MM/DD/YYYY) (MMIDDIYYYY) : LIMITS ' COMMERCIAL GENERAL LIABILITYEACH OCCURRENCE $ 2,000,000 . CLAIMS-MADE OCCUR DAMAGE TO RENTED 1,000000 PREMISES(Ea occurrence) $ , . MED EXP(Any one person) $ 10,000 A - - ' Y 6025480068 01/10/2023 01/10/2024 PERSONAL&ADV INJURY $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY n PRO- n _ 4,000,000 -- JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: DATA BREACH $ 2;000,000 AUTOMOBILE LIABILITY •COMBINED SINGLE LIMIT $•1;000,000••' (Ea accidnt) X.ANY AUTO BODILY INJURY(Per person) $ -- -- g OWNED SCHEDULED Y 6080288076 01/10/2023 01/10/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS XHIRED �/ NON-OWNED PROPERTY DAMAGE $ - - — AUTOS ONLY _ AUTOS ONLY (Per accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000. - C EXCESS LIAB CLAIMS-MADE 6074618836 01/10/2023 01/10/2024 AGGREGATE $ 3,000,000 -. - DED . RETENTION$ - ' - $ - ' - • WORKERS COMPENSATION • - PER OTH- . AND EMPLOYERS'LIABILITY Y/N - STATUTE ER D ANY PROPRIETOR/PARTNER/EXECUTIVE -1,000,000 ' - OFFICER/MEMBER EXCLUDED? n N!A 100020303 01/01/2023 01/01/2024 E.L.EACH ACCIDENT $ (Mandatory In NH) - -- - EL.DISEASE=EA.EMPLOYEE $ 1,000,000 _ -- -Ifyes,describeunder - - —' ------ -- _ = 1000,000 , DESCRIPTION OF.OPERATIONS below E.L.DISEASE-POLICY LIMIT $ - PROFESSIONAL LIABILITY - • • - . E MPL4359668 01/10/2023 01/10/2024 2,000,000 • - - DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule;may be attached if more space Is required) . City-of Ashland,Oregon,its officers,agents and employees is an Additional Insured with respects to claims arising out of the provision of work in the - •• - agreement:Coverage is Primary and Non-Contributory.Waiver of Subrogation Applies. - - • 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 - - - • - - AUTHORIZED REPRESENTATIVE Ashland OR 97520 1 - ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD - -.