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HomeMy WebLinkAboutInsurance Certificate: Public Consulting Group LLC DATE(MM/DD/YYYY) ACD® CERTIFICATE OF LIABILITY INSURANCE 3i31i2021 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 CourtneyMitchell NAME: Hays Companies Inc. PHONE FAX (A/C.No.Ext): (A/C,No): 133 Federal Street, 4th Floor E-MAIL ADDRESS: scorn cmitchell@hay P anies.com INSURER(S)AFFORDING COVERAGE NAIC# Boston MA 02110 INSuRERA:Great Northern Insurance Company 20303 INSURED INSURER B:Federal Insurance Company 20281 Public Consulting Group LLC INSURER C:Allied World Assurance Co (U.S.) Inc 19489 148 State St. _ INSURERD:ACE American Insurance Company 22667 10th Floor '13 COM),. INSURER E: Boston MA 02109 ''' rCll: INSURER F: COVERAGES CERTIFICATE NUMBER:21-22 PCG Master 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 I 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 POLICY EFF POLICY EXP LIMITS LTR INSD WYD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A I CLAIMS-MADE n OCCUR DAMAGE PREMISES (Ea RENTED $ 1,000�000 (Ea occurrence) X Y 35855036 4/1/2021 4/1/2022 MED EXP(Any one person) $ 10,000 _ PERSONAL&ADV INJURY $ 1,000,000 GGEEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 n I POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG $ 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 4/1/2021 4/1/2022 BODILY INJURY(Per accident) •$ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS % AUTOS (Per accident) $ — $ X UMBRELLA LIAB — OCCUR EACH OCCURRENCE $ 10,000,000 C EXCESS LIAR CLAIMS-MADE AGGREGATE $ 10,000,000 DED X RETENTION$ 10,000 X Y 0311-2674 4/1/2021 4/1/2022 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE ^N/A E.L.EACH ACCIDENT $ 1,000,000 B (Mandatory In NH EXCLUDED? I I Y 71724811 12/31/2020 12/31/2021 ( ry ) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 if yes,describe under ' --'"" I DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 1,000,000 D Professional/Cyber Liability 095159837 4/1/2021 4/1/2022 EachClaimlAggregate: $10,000,000 1 Claims Made Retroactive Date 2/27/1997 Retention: $500,000 DESCRIPTION OF OPERATIONS I 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/CEMITC OJ I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 12014/011 The ACORD name and logo are reaistered marks of ACORD