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HomeMy WebLinkAboutInsurance Certificate: Advanced Media TechnolgiesACORO ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01/0312024 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 MARSH USA, LLC. 1166 Avenue of the Americas CONTACT NAME: PWC.HONNo,EExtim aC No): E-MAIL ADDRESS: New York, NY 10036 INSURERS AFFORDING COVERAGE NAIC 0 INSURER A : Tokio Marine America Insurance Company 10945 CN102238245-AMT-Prof-23-25 INSURED Advanced Media Technolgies INSURER B: Mitsui Sumitomo Insurance Company Of America 20362 INSURER C : N/A N/A 3150 SW 15th Street INSURER D Deerfield Beach, FL 33442 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-011840573-04 REVISION NUMBER: 4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVVITHSTAN DING 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. ILLICY TR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM DD/YYYY EXP i MIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR X CLL6403455-13 06/30/2023 06/30/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JE LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 1,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X BVR8302197 01/01/2024 01/01/2025 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) _ $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ X UMBRELLA UAB EXCESS LIAB X OCCUR CLAIMS -MADE X CU6406757-10 06/30/2023 06/30/2024 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I X I RETENTION $1O 00O $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBEREXCLUDED? ❑N (Mandatoryin NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WCP9108740 011 1/2 25 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required) City of Ashland, Oregon, and its elected officials, officers, and employees are included as additional insured where required by written contract with respect to General Liability and Auto Liability. laK I It-16A I t FIULUtK City of Ashland 20 East Main St Ashland, OR 97520 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 0002469 SP 0005-001-P02470-1 City of Ashland 20 East Main St Ashland, OR 97520 0005-01-00-0002469-0001-0006058 19 . 00 Marsh Dear Certificate Holder: To streamline certificate delivery for our clients and in an effort to support our firm's commitment to sustainability, going forward, we will only be providing renewal certificates of insurance electronically. If you need to continue receiving a copy of the attached certificate, please send an email to USOperations.email@marsh.com and include the following: -- Certificate # (Shown below Insured Name — e.g., ABC-123456789-01) -- E-Mail for future delivery For your convenience, If we do not receive your response, we will conclude that you no longer require proof of insurance from the named insured and will remove you from our records. Thank you, US Operations, Marsh USA, LLC 0005-01-00-0002469-0002-0006059 a