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HomeMy WebLinkAboutInsurance Certificate: Policy Confluence, Inc. DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 7/16/2024 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 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). CONTACT PRODUCER Jill Kleinschmidt NAME: FAX PHONE (414)765-9911 (414)765-2300 Schueller/Harrington & Associates (A/C, No): (A/C, No, Ext): E-MAIL jillk@schuellerharrington.com 735 N. Water St., Suite 1128 ADDRESS: INSURER(S)AFFORDINGCOVERAGENAIC# MilwaukeeWI53202 Travelers Casualty and Surety19046 INSURER A : INSURED INSURER B : Policy Confluence, Inc. INSURER C : INSURER D : 1241 John Q. Hammons Drive, #203 INSURER E : MadisonWI53717 INSURER F : COVERAGESCERTIFICATENUMBER:REVISIONNUMBER: 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. ADDLSUBR INSRPOLICY EFFPOLICY EXP TYPE OF INSURANCELIMITS POLICY NUMBER LTR(MM/DD/YYYY)(MM/DD/YYYY) INSDWVD COMMERCIAL GENERAL LIABILITY X 1,000,000 EACHOCCURRENCE$ DAMAGE TO RENTED 300,000 CLAIMS-MADEOCCUR$ AX PREMISES(Eaoccurrence) X 6804H9667998/1/20248/1/2025 5,000 MEDEXP(Anyoneperson)$ 1,000,000 PERSONAL&ADVINJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- X 2,000,000 POLICYLOCPRODUCTS - COMP/OP AGG$ JECT $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY$ 1,000,000 (Eaaccident) BODILYINJURY(Perperson)$ ANY AUTO A ALLOWNEDSCHEDULED BODILYINJURY(Peraccident)$ X 6804H9667998/1/20248/1/2025 AUTOSAUTOS NON-OWNED PROPERTY DAMAGE $ XX HIRED AUTOS (Peraccident) AUTOS $ UMBRELLA LIAB Axx CUP2549148/1/20248/1/2025 EACHOCCURRENCE$ 2,000,000 OCCUR EXCESS LIAB CLAIMS-MADEAGGREGATE$ 2,000,000 x $ DEDRETENTION$0 PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACHACCIDENT$ N / A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ Ifyes,describeunder E.L. DISEASE - POLICY LIMIT$ DESCRIPTION OF OPERATIONS below $2,000,000 Each Occurrence A Professional Liability$2,000,000 Agg 6804H966799 - $2,500 Deduct.8/1/20248/1/2025 $2,000,000 Each Occurrence Cyber Security Liability$2,000,000 Agg A 6804H9667998/1/20248/1/2025 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland Oregon ACCORDANCE WITH THE POLICY PROVISIONS. and it's Elected Officials, Officers & Em 20 E. Main Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520-1850 Jill Kleinschmidt/JLK ©1988-2014ACORDCORPORATION.Allrightsreserved. ACORD25(2014/01)TheACORDnameandlogoareregisteredmarksofACORD INS025 (201401)