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HomeMy WebLinkAboutInsurance Certificate: Washington Automated LLC ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6/28/2023 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). PRODUCER CONTACT Marsh&McLennan Agency LLC PHONE FAX 9850 N.W.41st Street (A/C.No.Ext): (A/C,No): Suite 100 ADDRESS: FLCertificates@MarshMMA.com Miami FL 33178 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURERA:The Continental Insurance Company 35289 INSURED ENVIRO INSURER B:National Fire Insurance Co of Hartford 20478 Washington Automated LLC. 4500 Biscayne Blvd Ste 340 INSURER C:American Casualty Company of Reading PA 20427 Miami FL 33137 INSURERD: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:1328968777 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 POLICY EFF POLICY EXP LIMITS LTR INSD MID POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY Y 7034004692 7/1/2023 7/1/2024 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence) $1,000,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X JECT X LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: Aggregate Cap $5,000,000 B AUTOMOBILE LIABILITY 7034002635 7/1/2023 7/1/2024 COMacBcINident)EDSINGLELIMIT $1,000,000 {Ea X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per accident) A X UMBRELLALIAB X OCCUR 7034004899 7/1/2023 7/1/2024 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE _ $10,000,000 DED X RETENTION$p $ c WORKERS COMPENSATION 7034102525 7/1/2023 7/1/2024 X STATUTE OTH- ER AND EMPLOYERS'LIABILITY ANYPR PRIETO REXCLUOED ECUTIVE Y/N N/A E.L.EACH ACCIDENT $1,000,000 OFFICE(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) States Included on Worker's Compensation:AR FL ID KY GA OK VA CO NM SC NC TX OR - Employers Liability Stop Gap coverage applies for the State of Washington. Certificate holder,as Designated Organization,is an Additional Insured as respects General Liability when required by written contract subject to the terms, conditions,and exclusions of the policy. General Liability is primary and non-contributory when required by written contract subject to the terms,conditions and exclusions of the policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland 20 East Main Street - • Ashland OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD