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HomeMy WebLinkAboutInsurance Certificate: Eco Services Operations Corp. AC'OR. 0 DATE(2 Ni/D 2/YYYY) h,..� 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 a� ' 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 CONTACT10 Aon Risk Services Central, Inc: . • NAME: - .. Philadelphia PA Office PHONE {866) 283-7122 (AIC No.): C800),363 0105 A/C.No.Ex0:. One Liberty Pl ace E-MAIL ` " .- 1650 Market Street ADDRESS: _ Phi a-el ph Phill adelph -ia PA 19103 USA - INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: ' Greenwich Insurance Company 22322 Eco services Operations Corp. INSURER B: XL Insurance America Inc - 24554 2002 Timberloch Place Suite 300 - INSURER C: The Woodlands'TX 77380 USA• INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570090617149 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. Limits shown are as requested INSR TYPE OF INSURANCE ADDL SUBF)' ', POLICY NUMBER POLICY EFF POLICY.EXP. LIMITS LTR INSD WVD ((MMIDDIYYYVY)� (MM/DDIYYVY A X COMMERCIAL GENERAL LIABILITY Y RGE300138604 - 12/15/202112/15/2022 EACH OCCURRENCE $1,000,000 SIR applies per policy terns & conditions . DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $1,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 ..y GENERAL AGGREGATE _ $3',,000,000nGENLAGGREGATE LIMIT APPLIE&PER: POLICY IJPROTa LOC OTHER: PRODUCTS-COMP/OP AGO $3,000,000 P 0 A Y RAD9437891-04 12/15/2021 12/15/2022 COMBINED SINGLE LIMIT `r) AUTOMOBILE LIABILITY $2,000,000 (Ea accident) .. X ANY AUTO ' BODILY INJURY(Per person) OWNED —SCHEDULED BODILY INJURY(Per accident) d xAUTOS — AUTOS ONLY PROPERTY DAMAGE, VX HIREDAUTOS NON-OWNED (Per accident) —ONLY —AUTOS ONLY UMBRELLA LIAB OCCUR ' , EACH OCCURRENCE l] —EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION B WORKERS EMPLOYERS'COLIMPENSATION ILITY YNN12/15/2022 X, PER STATUTE ETTH B WORKERS COMPENSATION AND� RWD300138704 12/15/2021 RWR300159601 12/15/2021'12/15/2022 ANY PROPRIETOR/PARTNER/EXECUTIVE EL.EACH ACCIDENT $2,000,000 • OFFICER/MEMBER EXCLUDED? n N/A. (Mandatory In NH) s E.L.DISEASE-EA EMPLOYEE $2,000,000 It yes,describe under . . _ __.DESCRIPTION OFLOEERATIONS_below ,: E.L.DISEASE-POLICY LIMIT . $2,000,000_ ea- DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached II more space Is required) - City.of:Ashland, 20 E. Main St., Ashland, OR 97520 is included as Additional Insured in accordance'with the policy provisions , 6.= of the General Liability and Automobile Liability policies. CERTIFICATE HOLDER ';' CANCELLATION ,; ,'. , _ BEFORE.THE .. .� SHOULD ANY. OF, ABOVE DESCRIBED.,POLICIES-BE`CANCELLED,, • A EXPIRATION' "DATE THEREOF; NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE ' POLICY PROVISIONS _ City'of Ashland. AUTHORIZED REPRESENTATIVE f . Ashland'OR 97,520 USA tsza is% es4Araed met __ NM ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD MSC#1'7755 Aon Risk Services PO Box 1447 Lincolnshire,IL 60069 MDG2021 00000515 01 111111111111111111111111116111111111 1111111'11111'11'1111 City of Ashland 20 E. Main St. Ashland OR.97520 • • • • • • • • 0