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HomeMy WebLinkAboutInsurance Certificate: Newco, Inc. dba Cascade Columbia ,4c R CERTIFICATE OF LIABILITY INSURANCE 7E(MWDD/YYYY) /11/2025 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 endorsemen s). PRODUCER NAME;CT Kelsey Spaniel Arthur J.Gallagher Risk Management Services,LLC PHONE 425 586 loll ac No;a25 451-3718 10900 NE 8th St. IAIC Ste 750 ADDRIEss: kelsey spanieliMaig.com Bellevue WA 98004 INSURERS AFFORDING COVERAGE NAICe INSURER A:Aspen Specialty Insurance Company 10717 INSURED NEWCINC-02 INSURER B:AIG Specialty Insurance Company 26883 NewCo, Inc.dba Cascade Columbia Distribution Company INSURER c:National Union Fire Insurance Company of Pittsburg19445 6900 Fox Ave. S INSURER D: Seattle WA 98108 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1843218692 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 POLICY NUMBER MWDADDLSUOR POLICY EFF YY POLICYM/DD/YYYY LIMITS TR B X COMMERCIAL GENERAL LIABILITY Y EG 14260808-04 10/31/2025 10/31/2026 EACH OCCURRENCE $1,000,000 DAMAGET CLAIMS-MADE a OCCUR PREMISES Ea occurrence $1,000,000 MED EXP(Any one person) $25,000 X Vendors Liab. PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑PRO LOC JECT PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ C AUTOMOBILE LIABILITY Y 184-12-558 10/31/2025 10/31/2028 Ea acddeM)SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ B X UMBRELLALIAB X OCCUR EGU14260809-04 10/31/2025 10/31/2026 EACH OCCURRENCE $10000000 EXCESS LIAR CLAIMS-MADE AGGREGATE $10000000 DIED I I RETENTION $ B WORKERS COMPENSATION EG 14260808-04 10/31/2025 10/31/2028 R X TH- AND EMPLOYERS'LIABILITY Y/N STATUTE R WA Stop Gap ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $10000()0 OFFICERIMEMBEREXCLUDED? -- - - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1000000 M Yas,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1000000 A Excess Liability EXOOXYF25 11/10/2025 11/10/2026 Per Occurrence 10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Regarding current project and contract,The City of Ashland is listed as an additional insured for General Liability and Automobile Liability 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 E Main 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 00016573 01 City of Ashland r 20 E Main 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: NEWCINC-02 4. This Certificate Number: 1843218692 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/. a m 8 N N O r N O O O ti'4 0 0 0 8 0 0