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HomeMy WebLinkAboutInsurance Certificate: Airport Taxi Service ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) ‘,.....----. 03/17/2021 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 Gina Stiller NAME: Oswald Taxi&Transportation Insurance Services CNC. Ext): 541-223-5222 FAX No): 2225 Pacific Blvd SE Ste 110 E-MAIL service@ottiservices.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Albany OR 97321-7903 INSURER A: United States Liability Insurance Company 25895 INSUREDINSURER B: UNITED FINANCIAL CAS CO 11770 AIRPORT TAXI SERVICE INSURER C: _ 215 Tolman Creek Rd Spc 21 INSURER D INSURER E: Ashland OR 97520 INSURER F: COVERAGES ... . CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY-THAT-THE POLICIES OF INSURANCE USTED SELO'A'AVE'BEEN-!SSUED.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 WVD POLICY NUMBER (MM/DD/YYYY) (MMIDDIYYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE , X OCCUR PRPRE MS RENTED MI E SES((Ea occurrence) $ 100,000 MED EXP(Any one person). $ 5,000 A X GL1047654 03/14/2021 03/14/2022 PERSONAL&ADV INJURY $ 1,000,000 _GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 - POLICY PRO JECT LOCPRODUCTS-COMP/OPAGG $ 2,000,000 ,_, OTHER: $ AUTOMOBILE LIABILITY7 _ ','s-:. - d.'::r..s,''i:_COMBINED SINGLE LIMIT $ 1,000,000 • • • (Ea accident) ANY AUTO 4? ,p• - A ,:• r.111, •BODILY,INJURY(Perperson), V. _ B AUTOS ONLY x SCHEDULED X 019.1.6695-1 03/14/2021 03/14/2022 BODILY INJURY(Per accident) $ HIRED NON-OWNED r , PROPERTY DAMAGE $ - - ' • AUTOS ONLY AUTOS ONLY -- - - - - .- - ... (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N • STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVEN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 2006 FORD CROWN VICTORIA POLICE-2FAHP71 W46X141227 CERTIFICATE HOLDER CANCELLATION City of Ashland ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE " THE EXPIRATION DATE THEREOF, NOTICE -WILL BE DELIVERED IN 20 E Main Street _ - _ _ -• _ - V _ •, - ACCORDANCE WITH THE POLICY.PROViSIONS. _ Ashland OR 97520 AU HORIZPRESENTATIVE S� I . ©1988-2015 ACORD CORPORATION. All rights reserved.' ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD