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Insurance Certificate: Alpine Environmental Consultants, LLC
Al PIFNV-n1 MICHFI I FMARRII I ,4coRO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 4k.� 6121 /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 C NTACT PHONE o, Ext): (503 397-0714 FAX ) (A/C, Ne):(503) 397-0674 NFP Property & Casualty Services, Inc. 61 Plaza Square Saint Helens, OR 97051 -MAIL INSURERS AFFORDING COVERAGE NAIC # INSURER A: Homeland Insurance Company of New York 34452 INSURED INSURER B : INSURER C, Alpine Environmental Consultants, LLC INSURER D : 12208 Antioch Rd. White City, OR 97503 INSURER E INSURER F : rnuGoenFs CERTIFICATE NIIMRFR• RFVISIf)N NIIMRFR- 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 CONTRACTOR 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 LTRTYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE �X OCCUR X X 793-01-32-77-0000 6/7/2024 5/7/2025 DAMAGE TO RENTED $ 50 000 X Hired Auto Liability MED EXP (Any oneperson) $ 5,000 X Non -Owned Auto Liab PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY E jECOT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED IntSINGLE LIMIT $ BODILY INJURY Perperson) $ ANY AUTO BODILY INJURY Per accident BODILY $ OWNED SCHEDULED AUTOS ONLY AUTOS PPerr acEcRd,, AMAGE $ p AUT OS ONLY AUOTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFIR/MIn NH EXCLUDED? (Mandatory ) NIA PER OTH- E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below A Professional Liab 793-01-32-77-0000 5/7/2024 5/7/2025 Aggregate 2,000,000 A Contractor Pollution 793-01-32-77-0000 5/7/2024 5/7/2025 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is reulred) City of Ashland, OR, its elected officials, officers and employees are named Additional Insured as respects toGeneralLiability. This insurance is primary and non-contributory with any other insurance of the additional insured, so long as a written contract or agreement to such exists prior to a loss. A Waiver of subrogation in favor of the additional insured applies as respects to General Liability coverage so long as written contract or agreement exists as per attached endorsement OBENV GE 346 (01 19), OBENV GE 319 (11 20) and OBENV GE 320 (1120). City of Ashland, OR, its elected officials, officers and employees 20 East Main Street 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 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD