HomeMy WebLinkAboutInsurance Certificate: Ecology and Environment Engineering and Geology, P.C.CERTIFICATE OF LIABILITY INSURANCE
rATE (M
E(M
O25YY)
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 endorsement(s).
PRODUCER
CONTACT
NAME; AJG Service Team
Arthur J. Gallagher Risk Management Services, LLC
PHONE FAX
300 Madison Avenue
e • 212-994-7020 A/c Nod_
------------
E-MAIL
ADDRESS_ GGB_WSPUS.CertRequests�g_com
28th Floor
New York NY 10017
INSURER(S) AFFORDING COVERAGE
_
NAIC M
_
INSURER A: Zurich American Insurance Company
16535
_ _
INSURED WSPGLOB-01
INSURERS: Liberty Insurance Corporation
_
42404
Ecology and Environment Engineering and Geology, P.C.
f/Wa Ecology and Environment, Inc.
INSURER C : American Guarantee and Liability Ins Co
26247
INSURER D : AXIS Surplus Insurance Company
26620
368 Pleasant View Drive
Lancaster NY 14086
_
24554
_
INSURER E : XL Insurance America, Inc.
INSURER F : Admiral Insurance Company
24856
COVERAGES CERTIFICATE NUMBER: 1496037972 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.
INSR I
LTR
OF INSURANCE
ADDLTYPE
JUM
WVD SUER
POLICYNUMBER
MWDD/YPOLICY YYY
MFF M/DCD/YYYY Y EX
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
GLO9835819-12
5/1/2025
5/1/2026
EACH OCCURRENCE
$3,500,000
CLAIMS -MADE FRI OCCUR
DAMAGE TO RENTED__
PREMISES Ea occurrence
$ 3,500,000
MED EXP (Any one person)
$10,000
PERSONAL & ADV INJURY
$ 3,500,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 14,000,000
POLICY❑ PRO-
X EC
JECT JLOC
PRODUCTS - COMP/OP AGG
$7,000,000
$
OTHER:
B
D
F
AUTOMOBILE
X
LIABILITY
ANY AUTO
AS7-621-094060-035
P-001-001008908-04
UX000001676-01
5/1/2025
5/1/2025
5/1/2025
5/1/2026
5/1/2026
5/1/2026
COMBINED S111NGLE LIMIT
Ea accident
$ 5,000,000
BODILY INJURY (Per person)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
XS COMB. SINGLE LIMIT
$ 5,000,000
C
X
UMBRELLA LIAB
N
OCCUR
AUC0144386-09
5/1/2025
5/1/2026
EACH OCCURRENCE
$5,000,000
AGGREGATE
$ 5,000,000
EXCESS LIAR
CLAIMS -MADE
DED I X I RETENTION $ 17q gnn
$
B
e
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE N
OFFICER/MEMBEREXCLUDED?
N/A
WA7-62D-094060-015
WA7-62D-095609-075
WC7-621-094060-915
5/1/2025
5/1/2025
5/1/2025
5/1/2026
5/1/2026
5/1/2026
X I gTAFI
TUTE ERH
E.L. EACH ACCIDENT
$ 2,000,000
E.L. DISEASE - EA EMPLOYEE
$ 2,000,000
(Mandatory In NH)
If Yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 2,000,000
E
PROPERTY
I US00128642PR25A
5/1/2025
5l1/2026
LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
THIRTY (30) DAYS NOTICE OF CANCELLATION.
E&E's contract number: 1009838 The city of Ashland, Oregon, and its officials, officers and employees are included as additional insured on the General
Liability and Automobile Liability on a primary and non-contributory basis as required by written contract.
CERTIFICATE HOLDER CANCELLATION
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
20 East Main Street
AUTHORIZED PRESENTATIVE
Ashland OR 97520
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Arthur J. Gallagher Risk Management Services, LLC
300 Madison Ave 28th Floor
New York NY 10017
MDG2025 00025860 01
IIIIIII" I1-111III1111111'I'III'1I1I1'III"III I111-I'I'IIIIIII1II
City of Ashland
20 East Main Street
Ashland, OR 97520
We are providing you with a Certificate of Insurance confirming our client's coverage.
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digital copies of certificates via e-mail in the future. Or, do you no longer require a
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COI.UpdateMyEmail@AJG.com and provide the following information for processing:
1. Confirmation that a certificate of insurance is no longer required; or
2. E-mail address to send future certificates of insurance in lieu of U.S. Mail delivery
3. Insured Code: WSPGLOB-01
4. This Certificate Number: 1496037972
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