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HomeMy WebLinkAboutInsurance Certificate: Hireright LLC DATE(MM/DD/YYYY) dA CERTIFICATE OF LIABILITY INSURANCE 05,26/2022 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,thepolicy(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 g certificate does-not confer rights to the certificate holder in lieu of such endorsement(s). E' cu PRODUCERCONTACT '' '0 NAME: Aon' Risk Insurance Services'West, Inc. PHONE Los Angeles`CA Office. (A/C. FAX No.Ext): 8662837122 (A/C.No.): (800) 363-0105 707 Wilshire Boulevard -MAILADDRESS:. i Suite 2600 Los Angeles CA 90017-0460 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: , Berkshire Hathaway Specialty,Ins Company 22276 Hi reRi ght,.LLC - - - ,\INSURER B: ; American Casualty Co. of Reading.PA 20427 100.centerView Drive, Suite 300 Nashville TN 37214 USA, INSURER C: Transportation Insurance Co. , 20494 ' INSURER D: The Continental Insurance Company 35289 INSURER E: valley Forge -Insurance Co :.. 20508, INSURER F: COVERAGES CERTIFICATE NUMBER:5700933121'42 ' 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 j `' 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 INSRADOL,SUBR - POLICY EFF ,POLICY EXP - - - - - LTR TYPE OF INSURANCE i1E. WVD POLICY NUMBER '' (MM/DD/YYYY) •(MM/DD/YYY`/) LIMITS B X COMMERCIAL GENERAL LIABILITY . 6083326918 06/01/2022 06/01/2023 EACH.OCCURRENCE $1,.000,000 DAMAGE TO RENTED CLAIMS-MADE nOCCUR PREMISES'(Ea occunence) $1,000,000 MED EXP(Anyone person) $15,000 PERSONAL&ADV INJURY $1,000,000 F GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE . J $2-,000,000 N POLICY n JECT ' n LOC _ PRODUCTS-COMP/OP AGG'_ $2,000,000 0 OTHER: r. C 6083145026 06/01/2022 06/01/2023 COMBINED SINGLE LIMIT `� AUTOMOBILE $1000000 , , (Ea accident) • ANYAUTO BODILY INJURY(Per,person) 0 Z _ 'OWNED SCHEDULED - . . .BODILY INJURY(Per accident) at AUTOS ONLY AUTOS X- HIRED AUTOS X:NON-OWNED PROPERTY DAMAGE 0_. —ONLY —AUTOS ONLY (Per accident) ' , , d D X UMBRELLA LIAR ,X OCCUR 6076599220 . 06/01/2022 06/01/2023 EACH OCCURRENCE - $5,000,000 0 EXCESS LIAB CLAIMS-MADE ' ' AGGREGATE $5,000,000 DED X.RETENTION$10,000 • E WORKERS COMPENSATION AND 6083189639 - 06/01/2022 06/01/2023. PER STATUTE 0TH- . EMPLOYERS'LIABILITY Y/N - AOS' - 'X ER BANY.PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT , $1,000,000 OFFICER/MEMBEREXCLUDED? n N./A 6083236037 '06/01/2022'06'/01/2023 . . (Mandatory in NH) . 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— y Claims made 0�_ A E&0-PL-Primary 42EPP31858001• 11/15/2021 11/15/2022 Sublimit $5,000,0 SIR applies per policy terns & condi,-ions DESCRIPTION,OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is included as Additional Insured in accordance with the policy provisions of the General Liability policy. al C CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE'DESCRIBED POLICIES BE CANCELLED BEFORE THE c • EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH.THE i POLICY PROVISIONS. Z i ifi{. City of Ashland AUTHORIZED REPRESENTATIVE "( Itti Attn: Kariann-Olson• • Purchasing Representative 90.N- Mountain,Avenue ((� �, p �i ) Ashland OR 97.520 USA . , t... ‘,S, i 3 �Pl eeta a '� Wzie. to Z ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD -