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Insurance Certificate: Gordon Huether & Partners, Inc. (2)
• • • ------NGORDHUE-01 AKELLEHER • ACOROWDATE(M M/DD/YYYY) 4,......----- CERTIFICATE OF LIABILITY INSURANCE 8/6/2019 ' 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. theterms and conditions of the policy,certain policies may require an endorsement. A statement.on.-.. this certificate dees`not confer rights to the certificate holder in lieu of such endorsement(s). • PRODUCER CONTACT CoreMark Insurance Services Inc. PHONE FAX 2520 Venture Oaks Way,Suite 240 (A/C,No,Ext):(866)340-2247 • I(NC,No):(91.6)923-2797 Sacramento,CA 958334228 A A$1ESS:akelleher@CoreMarklns.com ' • INSURER(S)AFFORDING COVERAGE NAIC# • INSURER :West American Insurance Company 44393 INSURED- . INSURER B:Ohio Security Insurance Company 24082 Gordon Huether&Partners,Inc. INSURERC:American Fire and Casualty Company 24066 1821 Monticello Road INSURER D:Insurance Company of the West 27847 . Napa,CA 94558• • . • ' INSURER E: - • _ INSURERF: . . • • • COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: • THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THEINSURED 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 NUMBER. POLICY EFF POLICY EXP LIMITS LIR - W (M /Y _INSD VD M/DDYYYI (MM/DD/YYYY) • A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ • 1,000,000 CLAIMS-MADE X OCCUR BKW59059086 8/6/2019 8/6/2020 DAOEEoTDncel $ 500,000 • • MED EXP(Any one person) $ 15,000 ' PERSONAL&ADV INJURY _ $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ . 2,000,000 POLICY JECOf LOC. . . PRODUCTS-COMP/OP AGG $ 2,000,000 • OTHER: $ B AUTOMOBILE LIABILITY .:• COMBINED SINGLE LIMIT .. 1,000,000 (Ea accident) $ X ANY AUTO BAS59059086 8/6/2019 8/6/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS - BODILY INJURY(Per accident) $ X HIRED x NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ . $ . C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4'000'000 X EXCESS LIAB CLAIMS-MADE ESA59059086 8/6/2019 '8/6/2020 . AGGREGATE $ 4,000,000 DED RETENTION$ $ D WORKERS AND EMPLOYERS'LIABILITYNSATION Y/N X STATUTE ERH WSA504116301 5/9/2019 5/9/2020 . 1,000,000 . ANY PROPRIETOR/PARTNER/EXECUTIVEXCLUDEE.L.EACH ACCIDENT $ OFFIC ArMIM EXCLUDED? Y N/A (Mandatory in NH) - . E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below . . . E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Art Piece for City of Ashland,Oregon in Downtown Ashland • • • CERTIFICATE HOLDER CANCELLATION - ' • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City •of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main St., Ashland,OR 97520 . • AUTHORIZED REPRESENTATIVE I c� ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD . —--