HomeMy WebLinkAboutInsurance Certificate: Alta Planning + Design, Inc.L �� CERTIFICATE OF LIABILITY INSURANCE
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DATE (MMIDD/YYYY)
06/27/2024
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 endorsements).
PRODUCER CONTACT WTW Certificate Center
Hillis Towers Watson Insurance Services Meet, Inc. NAME:
AX
PHONENo, 1-877-945-7378 AC No: 1-888-467-2378
C/o 26 Century Blvd ExtIh
E-MAIL
P.O. Box 305191 ADDRESS: certificates@wtwco.com
Nashville, TN 372305191 USA
INSURERA: Liberty Mutual Fire Insurance Company 23035
INSURED INSURERS: Liberty Insurance Corporation 42404
Alta +Design, inc.
711 SEE Grand AvgINSURERC: American Guarantee and Liability Insurance 26247
Grand
Portland, OR 97214 I INSURERD: Allied World Surplus Lines Insurance Con%pai 24319
INSURER E :
COVERAGES CERTIFIr-ATE NIIMRFR- W34101646 REVISION N11MRER-
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.
INSR' .-._._-__... `Al)DL§UBRi-.- -_..__ ..._-.-_____..__. POLICY OFF _r..POLLICCYEXP I
LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS
X COMMERCIAL GENERAL LIABILITY
FACHO'CCUR�REERNCE
$ 2, 000,000
�-
CLAIMS -MADE X OCCUR
-- -• - .-
PREMISES (Ea occurrence)
$ 25,000
A
MED EXP (Any oneperson):
Y TB2-641-446161-053 12/31/2023
12/31/2024 ; PERSONAL & ADV INJURY
$ 2,000,000
4, 000, 000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE `�$
$ 4,000,000
X POLICY JE�7 I LOC
PRODUCTS - COMP/OP AGG
$
OTHER:
AUTOMOBILE LIABILITY
_
COMBINED SINGLE LIMIT
Ea accident
$ 5,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
B
OWNED SCHEDULED AS7-641-446161-043 12/31/2023
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOSONLY
12/31/2024
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
1 $
$
C
X UMBRELLA LIAR X OCCUR
EACH OCCURRENCE
s 10, 000, 000
4
10,000,000
s
EXC ESS LIAB CLAIMS -MADE
AUC 8344746-00 12/31/2023
12/31/2024AGGREGATE
DED RETENTION$
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
B ANYPROFFICER/MIETORRPA TNER/E7ECUINE No 'NIA, NC7-641-446161-063 12/31/2023
(Mandatory In NH)
X UI ;STATUTE
12/31/2024I E.L.EACH ACCIDENT
- - --
E.L. DISEASE - EA EMPLOYEE
g 1 000,000
— 0
$ 1,000,000
II yes, descr,be under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
D ',Professional Liab incl Pollution' 0313-8987 07/01/2023
12/33/2024,Each Claim Limit $51000,000
Policy Aggregate i$510001000
j
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached I1 more space is required)
PROJECT #00-2017-310 - ASHLAND, OR BEAR CREEK MUOMWAY EXTENSION FEASIBILITY STUDY. CITY Or ASHLAND IS AN ADDITIONAL
INSURED WITH RESPECTS TO GENERAL LIABILITY, I8 REQUIRED BY WRITTEN CONTRACT.
CERTIFICATE Hnl_nFA rANrFI I ATInNI
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
("
1-
0 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
SR ID: 26080304 BATCH: 3520279
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