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HomeMy WebLinkAboutInsurance Certificate: Day Management Corp. dba Day Wireless Systems . I � ACO CERTIFICATE OF LIABILITY INSURANCE • DATE(MM,DD"'"Y) 4/1..../ 3/25/2020 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIi2MATIVELY 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 I CONTACT, NAME: Robyn Greene - The Leavitt Group of Boise, Inc. MEd):NNo.Ed): (208)672-6160 _ FAX No): (866)429-3119 6220 N. Discovery Way, Ste 100 E-MAIL ADDRESS: robyn-greene@leavitt.com INSURER(S)AFFORDING COVERAGE NAIC 9 Boise ' ID 83713 INSURERA:National Union Fire Insurance Company c 019445 INSURED INSURERB:Navigators Specialty Insurance Company 36056 Day Management Corporation INsuRERc:New Hampshire Insurance Company 23841 dba Day Wireless Systems • INSURER 0:Scottsdale Insurance Company 41297 4700 SE International Way INSURERE: - J Milwaukie OR 97222 INSURERF: COVERAGES CERTIFICATE NUMBER:20/21 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 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 Jon wvn POLICY NUMBER (MM/DDIYYYY) IMMIDD/YYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE n OCCUR DAMAGE TO RENTED 500,000 PREMISES(Ea occurrence) $ GL 5342023 4/1/2020 4/1/2021 ,MED EXP(Any one person) $ 25,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY n 578-i: n LOC PRODUCTS-COMP/OPAGG $ 2,000,000 I OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 . (Ea accident) A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS CA 3786644 4/1/2020 4/1/2021 BODILY INJURY(Per accident) $ . HIRED AUTOS NON-OWNED - PROPERTY DAMAGE $ AUTOS (Per accident) $ ,_ X UMBRELLALIAB X OCCUR - EACH OCCURRENCE — $ 5,000,000 B EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,000,000 DED X RETENTION$ 0 CH2OEXC8855921IC 4/1/2020 4/1/2021 $ WORKERS COMPENSATION WA Stop Gap . X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? n N IA C (Mandatory in NH) WC 025893651 (AOS) 4/1/2020 4/1/2021 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below WC 025893652 (CA) 4/1/2020 4/1/2021 E.L.DISEASE-POLICY LIMIT $ 1,000,000 D 2nd Excess Layer Over GL, Auto XLS0113413 • 4/1/2020 4/1/2021 and Excess Layer Limit $5,000,000 & Employers Liability 1 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) ' , The City of Ashland, Oregon, and its elected officials, officers and employees are included as additional insured in regards to General Liability and Auto Liability where required by written contract. General Liability and Auto Liability are primary & non-contributory where required by written contract. CERTIFICATE HOLDER T CANCELLATION kari.olson@ashland.or.us SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 20 East Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE I Ted Rice/ROGREE ..0"07WENC.. ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD - INS025(201401) >