HomeMy WebLinkAboutInsurance Certificate: Jviation a woolpert company, LLCq
t CERTIFICATE OF LIABILITY INSURANCE
DAT YYY)
OVO4/2025
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(les) 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 endorsemeni(s).
PRODUCER
Aon Risk Services Northeast, Inc.
New York NY Office
CONTACT
NAHONE ME:
{A+C. No. Ex1): {866} 2$3-7122 (AAX (800) 363-0105
EMAIL
ADDRESS'
one Liberty Plaza
165 Broadway, suite 3201
INSURER(S) AFFORDING COVERAGE
NAIC R
New York NY 10006 USA
INSURED
INSURER A: underwriters at Lloyds
32727
aviation a woolpert Company, LLC
720 south Colorado Blvd, Suite 12GO-5
Glendale Co 80246 USA
INSURER8: The Charter oak Fire Insurance Company
25615
INSURER C! The Phoenix Insurance Company
25623
INSUR€RD: Travelers Property Cas Co of America
25674
INSURERE: Endurance American Specialty ins Co.
141718
INSURER F:
COVERAGES CERTIFICATE NUMBER: 570111178256 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 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. Limits shown are as requested
LTR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
IPULIU9
Y
MIA'DoIYYY
LIMITS
X
COMMERCIALGENERALBAOILITY
P R COF
EAGHOGCURRENCE
$1,000,000
CLAIMS -MADE ❑X OCCUR
PREMISES Ea occurrence
$1,000,000
MEO EXP (Any one person}
S151000
PERSONAL & ADV INJURY
$1,000,000
GENLAGGREGATE LVArT APPLIES PER:
GENERAL AGGREGATE
$2,000,000
POLICY � PRO- JECT LOC
PRODUCTS - CO?APiOP AGO
$2 , 000.000
OTHER:
C
AUTOMORILELIABILITY
810-2w206561-25-43-G
03/01/2025
03/01/2026
M4131VEOSINGLE LIMIT
Ea accident
$110001000
BODILY INJURY (Per parson)
X ANYAUTO
BODILY INJURY (Per accident)
OWNED SCHEDULED
AUTOS ONLY AUTOS
HREPAUTOS NON -OWNED
OMY AUTOS ONLY
PROPERTY DAMAGE
(Per accident)
X Cot 8 Corn [kd 1,0
D
X
UMBRELLALIAB
X
OCCUR
CUP2W73426525NF
03/01/2025
03 01/2026
EACH OCCURRENCE
$10,000,000
EXCESS UAB
CLAUAS-MADE
AGGREGATE
S10, 000, 000
DED I X RETENTION $10,000
C
WO RKERSCOMPENSATIONAND
EMPLOYERS'tIABILITY
ANY PROPWLTORIPARTNERIEXECUTIVE Yf N
N
UB4W7689952543E
03/01/2025
0 026
X PER STATUTE OTTH:
E.L. EACH ACCIDENT
S110001000
OFFICER MFJABER EXCLi11JEDi
(Mandatory in NH)
N I A
E.L. DISEASE -EA EMPLOYEE
S1,000,000
If yes, descrbe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE-POUOY LIMIT
Sl, 000 , 000
A
E&O - Professional Liability
PSDEF2501124
03/01/2025
03/01/2026
Per Claim/Aggregate
5,000,000
- Primary
clms Ind - Prof/Pollution
Deductible
5750,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additionat Remarks Schedule, may be attached if more space is required)
The City of Ashland, Oregon, and its elected officials, officers and employees are included as Additional Insured in accordance
with the policy provisions of the General Liability, Automobile Liability and Excess Liability policies.
0
N
t`
0
n
u�
CERTIFICATE HOLDER
CANCELLATION
�%
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
5==
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE MTH THE
POLICY PROVISIONS.
�y
City of Ashland
AUTHORIZED REPRESENTATIVE
20 East main street
�.
Ashland OR 97520 USA
r��'��JL
01986-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: 570000074145
LOG #:
�'�--- ADDITIONAL REMARKS SCHEDULE
Page _ of
AGENCY
Aon Risk Services Northeast, inc.
NWED INSURED
aviation a Woolpert Company, LLC
Po0cy NUMBER
see Certificate Number: S70111178256
cAeaEa
see certificate Number: 570111178256
NAIG coop
EFFECTIVE DATE:
ADDITIONAL REMARKS
f THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liabilitv Insurance
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER
INSURER
INSURER
tN5URER
AI)I)ITIONAL POLICIES if a policy below does not include limit information, refer to the corresponding policy on the ACORD
certificate form for policy limits,
IASR
LTR
TYPEOITUNWRAXCE
ADDL
INSO
SIJBR
WV1)
POLICYNULInER
POLICY
EFFECTIVE
DATE
(NIMIDDlYYYY)
POLICY
EXPIRATION
DATF,
IhiAVDDAr%,%,Y}
LIMITS
OTHER
E
Cyber Liability
CT030080945100
Claims trade
SIR applies per policy to
03/01/2025
ms & condit
03/01/2026
ans
Per
Claim/Aggreg
55,000,000
SIR
$100,000
AUUNU 1U1 tzovuru1 f ® 2008 ACORD CORPORATION. Alt rights reserved.
The ACORD name and logo are registered marks of ACORD