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HomeMy WebLinkAboutInsurance Certificate: Policy Confluence, Inc.A� "® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 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). PRODUCER NAME: Jill Kleinschmidt Schueller/Harrington & Associates ACNE. Ext: (414)765-2300 A/C, NO: (919)765-9911 E-MAIL jillk@schuellerharrington.com ADDRESS: 735 N. Water St., Suite 1128 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Travelers Casualty and Surety 19046 Milwaukee WI 53202 INSURED INSURER B INSURERC: Policy Confluence, Inc. INSURER D : INSURER E: 1241 John Q. Hammons Drive, #203 INSURER F Madison WI 53717 COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE ❑X OCCUR DAMAGETORENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 X 6804H966799 8/1/2024 8/1/2025 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 ❑XPRO JECT LOC PRODUCTS-COMP/OPAGG $POLICY 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A ANYAUTO X BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS 6804H966799 8/1/2024 8/1/2025 X PROPERTY DAMAGE Per accident $ NON -OWNED HIREDAUTOSNAUTOS A X UMBRELLA LAB OCCUR CUP254914 8/1/2024 8/1/2025 EACH OCCURRENCE $ 2,000,000 N AGGREGATE $ 2,000,000 EXCESS LABCLAIMS-MADE DED X RETENTION $ 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? F N /A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability 6804H966799 - $2,500 Deduct. 8/1/2024 8/1/2025 $2,000,000 Each Occurrence $2,000,000 Agg A Cyber Security Liability 6804H966799 8/1/2024 8/1/2025 $2,000,000 Each Occurrence $2,000,000 Agg DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland Oregon THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN and it's Elected Officials, Officers & Em ACCORDANCE WITH THE POLICY PROVISIONS. 20 E. Main Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520-1850 Jill Kleinschmidt/JLK ACORD 25 (2014/01) INS025 (201401) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD