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HomeMy WebLinkAboutInsurance Certificate: HireRight, LLC ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 06/01/2020 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(les)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 I� certificate does not confer rights to the certificate holder in lieu of such endorsement(s). c PRODUCER CONTACT 'ra Aon Risk Insurance Services West, Inc. PHONE FAX Los Angeles CA Office (A/C.No.Ext): (866) 283-7122 (A/C.No.): C800) 363-0105 v 707 Wilshire Boulevard E-MAIL Suite 2600 ADDRESS: x Los Angeles CA 90017-0460 USA INSURER(S)AFFORDING COVERAGE NAIC# , INSURED INSURER A: National Union Fire Ins Co of Pittsburgh 19445 • Hi regi ght, LLC INSURER B: Aspen American Insurance Company 43460 3349 Michelson Drive, Suite 150 Irvine CA 92612 USA INSURER c: Continental Casualty Company 20443 INSURER D: Transportation Insurance Co. 20494 INSURER E: American Casualty Co. of Reading PA 20427 INSURER F: The Continental Insurance Company 35289 COVERAGES CERTIFICATE NUMBER:570081975775 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 ADDy SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD MM/DD/IYYVvYYYY)) LIMITS C X COMMERCIAL GENERAL LIABILITY 6083326918 06/01/2020 06/01/2021 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE n OCCUR PREMISES(Ea occurrence) $1,000,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 n GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY n SECT pi PRODUCTS-COMP/OPAGG $2,000,000 OTHER: cncon D6083145026 06/01/202006/01/2021 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) 0 Z OWNED —SCHEDULED BODILY INJURY(Per accident) d) AUTOS ONLY AUTOS X HIRED AUTOS x NON-OWNED PROPERTY DAMAGE CO ONLY _AUTOS ONLY (Per accident) t; G) F X UMBRELLA UAB X OCCUR 6076599220 06/01/2020 06/01/2021 EACH OCCURRENCE $5,000,000 0 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,006,5-06 DED X RETENTION$10,000 E WORKERS COMPENSATION AND 6083189639 06/01/2020 06/01/2021 X PER STATUTE OTH- EMPLOYERS'LIABILITY Y/N AOS ER ANY PROPRIETOR/PARTNER/E OFFICER/MEMBEREXCLUDED?EXECUTIVE n N/A 6083236037 06/01/2020 06/01/2021 E.L.EACH ACCIDENT $1,000,000 (Mandatory In NFD I I CA E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000— A E&O-PL-Primary 023086114 10/31/2019 10/31/2020 Sublimit $10,000,000 SIR applies per policy terns & conditions MO DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) g� Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability policy. W 1 E CERTIFICATE HOLDER CANCELLATION -_.11 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS: al City of Ashl and AUTHORIZED REPRESENTATIVE Attn: Kariann Olson �JS._/� �i y/1�///_� �i Purchasing Representative t Wds9L i :GO1fG✓�sQ6GfiLnEG r�Gt'ilieGO 1��0!✓nG Cr 90 N. Mountain Avenue Ashland OR 97520 USA ..=— MI MI ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD