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HomeMy WebLinkAboutInsurance Certificate: Jviation a Woolpert Company, LLCA�O'RO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/03/Ot/2024 ) 024 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 Aon Risk Services Northeast, Inc. New York NY office One Liberty Plaza 165 Broadway, Suite 3201 CONTACT NAME: PHONE (A/C. No. Ext): (866) 283-7122 aC No.): (800) 363-0105 E-MAIL ADDRESS: New York NY 10006 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Underwriters At Lloyds London 15792 3viati On a woolpert Company, LLC 720 South Colorado Blvd, suite 1200-S Glendale CO 80246 USA INSURERS: The Phoenix Insurance Company 25623 INSURERC: The Travelers Indemnity Co. 25658 INSURER D; The Charter Oak Fire Insurance Company 25615 INSURERS: Travelers Property Cas Co Of America 25674 INSURERF: Endurance American Specialty Ins Co. 41718 COVERAGES CERTIFICATE NUMBER: 570104160398 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. Limits shown are as requested LTA TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYY MWDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY Pb3UUR56138UCOFZ4 03/01/2024ZT7017= EACH OCCURRENCE $1,000,000 CLAIMS -MADE ❑X OCCUR PREMISES EaoccRENTurcence $1,000,000 MED EXP (Any one person) $15 , 606 PERSONAL& ADV INJURY $1,000,000 GENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X PRO X LOC JECT PRODUCTS - COMP/OPAGG $2,000,000 OTHER: B AUTOMOBILE LIABILITY 810-2w206561-24-43-G 03/01/2024 03/01/2025 COMBINED SINGLE LIMIT Ea a i ent $1,000,000 BODILY INJURY ( Per person) X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident E X UMBRELLA LIAB X OCCUR CUP2w73426524NF 03/01/2024 03 01 2025 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $10, 000, 000 DED I X RETENTION $10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A UB4w768995 443E 03/01/2024 03 01 20 5 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $1 , OOO, OOO E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 A E&O - Professional Liability PSDEF2401124 03/01/2024 03/01/2025 Per Claim/Aggregate 5,000,000 - Primary Clms Md - Prof/Pollution Deductible $750,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Ashland, Oregon, and its elected officials, officers and employees are included as Additional insured in accordance with the policy provisions of the General Liability, Automobile Liability and Excess Liability policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Ashland AUTHORIZED REPRESENTATIVE 20 East Main Street Ashland OR 97520 USA d 2% m rn Cl) 0 0 r` N 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000074145 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Northeast, Inc. NAMEDINSURED Jviation a Woolpert Company, LLC POLICY NUMBER see Certificate Number: 570104160398 CARRIER See Certificate Number: 570104160398 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, I FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) LIMITS OTHER F Cyber Liability PRo30033076101 Claims Made SIR applies per policy terms 03/01/2024 & conditions 03/01/2025 Per Claim/Aggreg $5,000,000 SIR $100,000 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Certificate No: 570104160398 AON City of Ashland 20 East Main Street Ashland OR 97520 USA Monday, March 4, 2024 To whom it may concern: Following a concentrated effort to reduce our environmental footprint and provide timely certificate delivery, Aon will begin delivering our Certificates of Insurance electronically in PDF format. Please utilize one of the following methods to ensure you will receive the electronic copy of your Certificate (Certificate No: 570104160398) for future renewals: - Visit aon.com/e-cert; or - Utilize the QR Code below to enter/validate your information. If your email address has changed or will be changing in the future, or you no longer require this certificate, please let us know using one of the methods above. Thank you for your cooperation and willingness to help us reduce our impact to the environment. MSC# 17755 1 Aon P.O. Box 1447 Lincolnshire, IL 60069 MSC#17755 Aon Risk Services PO Box 1447 Lincolnshire, IL 60069 MDG2024 00000630 01 IIIIII.II--IIIIIIIIIIII III11111I1I11I1II111I1I11IIIIJ111II1II111 City of Ashland 20 East Main Street Ashland OR 97520 t A si