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HomeMy WebLinkAboutInsurance Certificate: EarthScope ConsortiumA`D® CC)R 1..r� CERTIFICATE OF LIABILITY INSURANCE [__DATE (MMIDD/YYYV) 1/8/2024 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 Arthur J. Gallagher Risk Management Services, LLC 6300 South Syracuse Way, Suite 700 Centennial CO 80111 NONTACT AME: Tracy Peftersen PHONE --- - - FAx — - - - C. No Ext)v 303-889-2534 1A/C, No): ADDRESS: TraC Pettersen aj .com INSURERS AFFORDING COVERAGE INSURER A: National Fire Insurance Co of Hartford iNAIC_k__ 20478 INSURED EARTCON-06 EarthScope Consortium 1200 New York Avenue, NW Ste 400 INSURER B : Continental Casualty Company 20443 INsuRERc: Continental Insurance Company 35289 INSURERD: Federal Insurance Company 20281 Washington DC 20005 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:815438229 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. ffXP INSR TYPE OF INSURANCE DL �BR POLICY NUMBER POLICY try MM/DD/YYYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY Y Y 7036523688 1/1/2024 1/1/2025 EACH OCCURRENCE $1,000,000 CLAIMS -MADE FKOCCUR PREMISES Ea ccurrence _ $1,000,000 MED EXP (Any one person) $15,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑PRO ❑ JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY Y Y 7036523691 1/1/2024 1/1/2025 COMBINED SINGLE LIMIT Ea acc tint $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO IAUTOS OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ C X UMBRELLA LAB N OCCUR Y Y 7036523707 1/1/2024 1/1/2025 EACH OCCURRENCE $10,D00,000 AGGREGATE $10,000,000 EXCESS LIAR CLAIMS -MADE DED I X I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBEREXCLUDED? NIA H- STATUTE I ER_,_ E.L, EACH ACCIDENT _ $ EEL. DISEASE - EA EMPLOYEE - $ (Mandatory in NH) If yyes describe under DERRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT - -- $ D Crime 8263-8381 1/1/2024 1/1/2025 limit $1,000,000 Deductible $10,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Policy: Directors and Officers Policy Term: 1/1/2024 to 1/1/2025 Policy Number: 8263-8381 Carrier Name: Federal Insurance Company Aggregate: $3,000,000 Policy: Employment Practices Liability Policy Term: 1/1/2024 to 1/1/2025 See Attached... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland, Oregon an Oregon Municipal Corp. ACCORDANCE WITH THE POLICY PROVISIONS. 20 E. Main Street Ashland OR 97520 AUTHORIZED REPRESENTATIVE USA 16 �? `� 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Arthur J. Gallagher Risk Management Services, LLC 6300 South Syracuse Way, Suite 700 Centennial CO 80111 MDG2024 00018922 01 :,,► City of Ashland, Oregon an Oregon Municipal Corp. 20 E. Main Street Ashland, OR 97520 We are providing you with a Certificate of Insurance confirming our client's coverage. Want to get certificates of insurance faster? "Go Green with Gallagher" by receiving digital copies of certificates via e-mail in the future. Or, do you no longer require a certificate of insurance for our client? Please contact us at COI.UpdateMyEmail@AJG.com and provide the following information for processing: 1. Confirmation that a certificate of insurance is no longer required; or 2. E-mail address to send future certificates of insurance in lieu of U.S. Mail delivery 3. Insured Code: EARTCON-06 4. This Certificate Number: 815438229 To learn more about the Insurance and Risk Management Services offered by Gallagher, please visit us at www.ajg.com/us/about-us/how-we-work/core-360. Gallagher does not share your e-mail as detailed in our privacy policy found at https:// www.ajg.com/us/privacy-pol icy/. Im 5 ACC AGENCY CUSTOMER ID: EARTCON-06 LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Arthur J. Gallagher Risk Management Services, LLC NAMEDINSURED EarthScope Consortium 1200 New York Avenue, NW Ste 400 Washington DC 20005 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Policy Number: 8263-8381 Carrier Name: Federal Insurance Company Aggregate: $2,000,000 Retention: $25,000 Policy: Fiduciary Liability Policy Term: 1/1/2024 to 1/1/2025 Policy Number: 8263-8381 Carrier Name: Federal Insurance Company Aggregate: $1,000,000 AL:UHLJ 1U1 (ZUUU/Ul) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD