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0 DATE(MM/DDIYYYY)
A
C CERTIFICATE OF LIABILITY INSURANCE 12/03/2025
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 endorsement(s).
PRODUCER CONTACT WTN Certificate Center
NAME:
Willis Towers Watson Northeast, Inc. FAX
PHONE 1-677-945-7378 1-888-467-2378
c/o 26 Century Blvd A/C No:
P.O. Box 305191 A DRL • certificates@wtwco.com
Nashville, TN 372305191 usA INSURERS AFFORDING COVERAGE NAICe
INSURERA: Liberty Mutual Fire Insurance Company 23035
INSURED INSURERS: LM insurance Corporation 33600
Guidehouse LL4
1676 International Dr Ste 800 INSURERC: Liberty Insurance Corporation 42404
McLean, VA 22102 INSURER D: --
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:W42061539 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 ADbL,BiiaR POLICY NUMBER POLICY
YFY MM/UDC YYYY LIMITS
TR
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000
DAMAGE TOR ENT CLAIMS-MADE X OCCUR �EMISES(Eaoccurrence) $ 1,000,000
MED EXP(Any one person) $ 25,000
Y T22-Zil-C3a77D-035 12/14/2025 12/14/2026 1,000,000
i PEHSONAI&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
GENE---
X POLICY X JECOT- X LOC PRODUCTS-COMP/OP AGG I S 2,000,000
OTHER: $
AUTOMOBILE LIABILITY OMBIN D SINGLE LIMIT $ 1,000,000
_ _LEa accidenq_-_ _
ANY AUTO BODILY INJURY(Per person) $ Included
B OWNED 7-7 SCHEDULED ASS-Z11-C3a77D-025 12/14/2025'12/14/20261 BODILY INJURY(Per accident) $ included
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTYDAMAGE $ Included
X AUTOS ONLY X AUTOS ONLY I LPer accidenlj____,_-
$
C X UMBRELLA UAB X OCCUR EACH OCCURRENCE 1$ 15,000,000
EXCESS UAB CLAIMS-MADE TH7-Z11-C3N77D-055 12/14/2025 12/14/2026II AGGREGATE 1$ 15,000,000
-
DED RETENTION$
WORKERS COMPENSATION X
STATUTE
B ANYPROPRIETOR/PARTNER/EXECUTIVE No NIA WC5-LIS-C3R77D-015 12/14/2025 12J34/2026 E.L. ER
AND EMPLOYERS'LIABILITY Y/N 1,000,000
_EACH ACCIDENT
OFFICER MEMBEREXCLUDED.
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 11000,000
II yes.describe under E.L.DISEASE•POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS J LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
City of Ashland, Oregon is included as Additional Insured in accordance with the policy provisions of the General
Liability policy.
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, Oregon
AUTHORIZED REPRESENTATIVE
Attn: Dick Nanderscheid
20 Zest Main Street
Ashland, OR 97520
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
aR ID: 28976988 BATCH: 4229584
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