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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. Want to get certificates of insurance faster? "Go Green with Gallagher" by receiving digital copies of certificates via e-mail in the future. Or, do you no longer require a certificate of insurance for our client? Please contact us at 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 To learn more about the Insurance and Risk Management Services offered by Gallagher, please visit us at www.ajg.com/us/about-us/how-we-work/core-360. Gallagher does not share your e-mail as detailed in our privacy policy found at https:// www.ajg.com/us/privacy-policy/.