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HomeMy WebLinkAboutInsurance Certificate: Accela, Inc. AO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) I 9/5/202. ;yam I;.n THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. "�,R, CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLI BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR 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 Newfront Insurance Services PHONE Cert Request FAX 777 Mariners Island Blvd Suite 250 (AIC.No.Ext): 650-488-8565 (NC,No): San Mateo, CA 94404 ADDRESS: TechCertRequest@newfront.com INSURER(S)AFFORDING COVERAGE NAIC# www.newfront.com INSURER A: Federal Insurance Company 20281 INSURED INSURERB: Chubb Indemnity Insurance Company 12777 Accela, Inc. 2633 Camino Ramon INSURER C: Suite 500 INSURER D: San Ramon CA 94583 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 76137176 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DDlYYYY) (MMIDD/YYYY) LIMITS A / COMMERCIAL GENERAL LIABILITY i3604-91-08 9/1/2023 9/1/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE I OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $1,000,000 _ MED EXP(Any one person) $10,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIESPER: GENERAL AGGREGATE $2,000,000 ✓ POLICY PRO- — JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 _ OTHER: $ A AUTOMOBILE LIABILITY 7359-95-44 9/1/2023 9/1/2024 {EaaccideD4INGLELIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED — AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ ✓ AUTOS ONLY ✓ AUTOS ONLY (Per accident) Physical Dmq.Deductible $1,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION 7175-62-53 9/1/2023 9/1/2024 PER 0TH- . AND EMPLOYERS'LIABILITY Y/N ✓ STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N NIA (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $1,000.000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Project#E 000260.999,PO#10464,Utility Billing Management Solution,Ashland,OR. City of Ashland is additional insured to General Liability. CERTIFICATE HOLDER CANCELLATION Cityof Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E Main St. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE l\/ I Rod Sockolov ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 76137176 1 16254 1 23-24 A11/E&O $5M 1 Patra (1) 1 9/5/2023 3:04:00 PM (PST) 1 Page 1 of 1 NEWFRONT 777 MARINERS ISLAND BLVD STE 250 41:e. SAN MATEO CA 94404 rziaa • CITY OF ASHLAND 20 E MAIN ST ASHLAND OR 97520-1814