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HomeMy WebLinkAboutInsurance Certificate: Northstar Chemical, Inc DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE Iltl,� 5/30/2025 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(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 NA jE;CT Kelsey Spaniel Arthur J. Gallagher Risk Management Services, LLC PHONE 425-586 1011 FAX 10900 NE 8th St. Ste 750 a NO Bellevue WA 98004 ADDRESS: kelsey_Spaniel@ajg.com INSURERS AFFORDING COVERAGE NAIC a _ INSURER A:Nabonal Interstate Insurance Company 32620 INSURED NORTCHE-07-INSURERS:Vanliner Insurance Company 21172 Northstar Chemical, Inc 1333 S.Mayflower Avenue INSURER C;AIG S cialt�Insurance Com_ an 26883 Suite 300 INSURER D: _ Monrovia CA 91016 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1457103262 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 TYPE OF INSURANCE L UB POLICY EFF POLICY EXP ILTR POLICYNUMBER YY M D/YY LIMITS C X COMMERCIAL GENERAL LIABILITY Y 41238684-00 6/1/2025 6/1/2026 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTEU-- CLAIMS-MADE �OCCUR PREMISES Ea occurrence $300,000 X $50,000 BI1PO DE MED EXP(Any one person) $25,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY a JEST I X1 LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: POLLUTION $1,000,000 A AUTOMOBILE LIABILITY GAL 4840053 02 6/1/2025 6/1/2026 IN IN LE LIMIT $2 000 000 Ea accident) IX ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Peraccident) X MCS-901NC 1 1 $ C UMBRELLA LIAR X OCCUR 41238685-00 6/1/2025 6/1/2026 EACH OCCURRENCE $5,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ B WORKERS COMPENSATION GBW 4840053 02 6/1/2025 6/1/2026 X TH- AND EMPLOY ERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $2,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE EA EMPLOYEE $2,000,000 If as,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Ashland is named as additional insured as it relates to general liability and auto liability in accordance with the terms and conditions of the policy.The above coverage is primary and non-contributory where required by written contract.Umbrella follows form as it relates to additional insureds. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Street Ashland OR 97520 AUTHORIZED REPRESENTATIVE USA ©1988-2015 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 10900 NE 8th St. Ste 750 Bellevue WA 98004 MDG2025 00004283 01 :. 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: NORTCHE-07 4. This Certificate Number: 1457103262 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. 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