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Home My WebLink AboutInsurance Certificate: PumpTech, LLC and Frost Engineering, Division of PumpTech LLCPage 1 of 1 fe DA'(Mu DD/1r YYY) ,4CIt %zr� CERTIFICATE OF LIABILITY INSURANCE 0 1E /26/2024 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 pollay(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 NAME: CONTACT irlH Certificate Center Willis Towers Watson Northeast, Inc. PHONE _- F c/o 26 Century Blvd ExII: 945-7378 A/C No: 1-688-467-2378 P.O, Sox 305191 pOpp�,; certificates@wtwco.com _ _ Nashville, TN 372305191 uSA INSURER{S%AFFORDING COVERAGE � NAIC N � INSURENA: The Charter oak Fire insurance Company 25615 INSURERS: Travelers Xndemnity Company of CT 25682 25674 INSURED PuVlrach, LLC- 6ro6t engineering, Division of PunpTech 1,LC 12020 SE 32nd St, Suite 2 INSUREnc. Travelers Property Casualty Company of Amel URERD.: Travelers Property Casualty Insurance Comm _ . _.. ............ _..._. ....." F.N. 36161 Bellevue, WA 98085 r,otn ra . Lloyds Syndicate 2 987 1 C0978 nAVPnAr3RC r`Fr3TIr1r:ATP NI1Ur-kr-P- W34538405 RFVIgI0N NtIMRFR! 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 j _ ADDL SUER;..... POLICY EFF POLICY EXP LTR TYPEOFINSURANCE POLICY NUMBER i MMMDNYYY � MMDOfYYYY LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 $TO CLAIMS -MADE OCCUR RENTED ..PREMISES (Ea cccanra ,cal._$_ 300,000 A MED EXP (An ono parson) $ 5,000 Y € Y-630-3316063A-00I'-24 '08/26/2024 00/26/2025 PERSONAL &ADVINJURY IS 1,000,000 GEN`L AGGREGATE LIMIT APPLIES PER; GENERAL AGG TEGATE_ $ 2,000,000 v _ POLICY X PRO LOG JECT PRODUCTS COtIP70P AGfir - S 2,000,000 $ OTHER: AUTOMOBILE LIABILITY - C(3SI81NED SINGLE LIMIT g 1,000,000 ANY AUTO BODILY INJURY (Per pefson) S e OWNED SCHEDULED 810-1Y037218-24•-14-0 1(38/26/2024 06/26/2025 BODILY INJURY IPeracckkmtl S AUTOS ONLY AUTOS HIRED NON -OWNED I PROPERTYDAh4AGE 3 AUTOS ONLY AUTOS ONLY(Pe{ i aocideiil) _ ............... i UMSRELLALIAB OCCUR EACHOCCURRENCE $ C x EXCESS LIAB CLAIMS -MADE ex 4Y768505-24-14 308/26/2024 08/26/2025 AGGREGATE „10,000,000 $ 10,000,000 Is i DED RETENTIONS i WORKERS COMPENSATION x STATUTE EOA AND EMPLOYERS' LIABILITY Y ! N ;I 1,000,000 D 'I OFFCERMEMBEREXCLUDED7 No NlA I Ua-4Y056146-24-14-G 08/26/2024OB/26/2025 E.L. IDENT gR 1,000,004 (dandalory In NH) 11 yes• describe under _E_A_CHAC E.L,DISEASE -EAEdPLOYEE $ [DESCRIPTION OF OPERATIONS beow ° E.L. DISEASE • POLICY LIMIT $ 1,000,000 E [Architects & Engineers MAE 000-1022 09/26/2023 09/26/2024�Limit: $3,000,000 Professional Liability I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 104, Additional Remarks Schedule, may Ira aHached 11 more space Is required) The General Liability policy above included WA Stop Gap $1M / $1N / $11M. The City of Ashland, Oregon, and its elected officials, officers and employees is/are an Additional Xneured to the extent provided by the policy language or endorsement issued or approved by the insurance carrier. CEH r[FICATE HOLDER CANUtI.I,A I IVN 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 City of Ashland 20 Last Main St Ashland, OR 97520 (Q)19UU-21i15 ACOHD COHPUHA I1UN. All rignis reservem ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD sit Tn: 26351518 lm"H; 3595472 5144: 2 " Of 3 COMMERCIAL GENERAL LIABILITY 1 BLANKET ADDITIONAL INSURED ", od ucts-Co m pi eted Operations If Required By Contract'. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISfONS The following is added to SECTION 11 -- WHO IS AN INSURED) Any person or organization that you agree in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only: a. With respect to liability for "bodily injury" or "property damage" that occurs, or for "personal injury" caused by an offense that is committed, subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect; and b. If, and only to the extent that, such injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the written contract or agreement applies, Such person or organization dues not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. The insurance provided to such additional insured is subject to the following provisions: a. If the Limits of Insurance of this Coverage Part shown in the Declarations exceed the minimum limits required by the written contract or agreement, the insurance provided to the additional insured will be limited to such minimum required limits. For the purposes of determining whether this limitation applies, the minimum limits required by the written contract or agreement will be considered to include the minimum limits of any Umbrella or Excess [Lability coverage required for the additional insured by that written contract or agreement. This provision will not increase the limits of insurance described in Section III — Limits Of Insurance, (1) Any "bodily injury" "property damage" or "personal injury" arising out of the providing. or failure to provide, any professional architectural, engineering or surveying services, including: (a) The preparing, approving), or failing to prepare or ,ipprove, reaps, shop drawings, opinions, reports. surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications: and (b) Supervisory, inspection, architectural or engineering activities. (2) Any "bodily injury" or "property damage" caused by "your work" and included in the "products -completed operations hazard" unless the written contract or agreement specifically requires you to provide such coverage for that additional insured during the policy period. c. The additional insured must comply with the following duties: (1) Give us written notice as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, such notice should include: (a) How, when and where the "occurrence" or offense took place; (b) The names and addresses of any injured persons and witnesses; and (c) The nature and location of any injury or damage arising out of the 'occurrence" or offense. b. The insurance provided to such additional (2) if a claim is made or "suit" is brought against insured does not apply to: the additional insured: CG D2 46 04 19 T) 2018 The Traveler's Indtnrvrily Coniparty. All rights wserved. Page 1 of 2 5144: 2 of 3 COMMERCIAL GENERAL LIABILITY (a) Immediately record the specifics of the claim or "snit" and the date received; and (b) Notify us as soon as practicable and see to it that we receive written notice of the claim or "suit" as soon as practicable. (3) Immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. Page 2 of 2 (4) Tender the defense and indemnity of any claim or "suit" to any provider of other Insurance which would cover such additional insured for a loss we cover. However, this condition does not affect whether the insurance provided to such additional Insured is primary to other insurance available to such additional insured which covers that person or organization as a named insured as described in Paragraph 4., Other Insurance, of Section IV — Commercial General Liability Conditions. c� 2018 The Travelers Indeninity Company, All rights reserved, CG a2 45 04 19 5144: 3 ` of 3 5144! 3 of 3