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ACORO DATE(MMIDDNYYY)
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CERTIFICATE OF LIABILITY INSURANCE 12/30/2025
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 CONTACT
WTW Certificate Center
Hillis Towers Watson Insurance Services Nest, Inc. NAME_.
PHONE
c/o 26 Century Blvd 1-877-945-7378 FAX 1-888-467-2370
P.O, Box 305191 ADDRL certificatesewtwco.com
Nashville, TH 372305191 USA INSURERS)AFFORDING COVERAGE NAICY
INSURER A: National Union Fire Insurance Company of P, 29445
INSURED Alta Planning + Design, Inc. INSURERS: Allied World Insurance Company 22730
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101 Sw Hain St., Ste 2000 INSURERC: AIU Insurance Company 19399
Portland, OR 97204 INSURERD: Allied World Surplus Lines Insurance Compa 24319
INSURERE: Lexington Insurance Company 19437
INSURER F:
COVERAGES CERTIFICATE NUMBER:W43354184 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 A6DC$ti8i _ POLICY EFF j POLICY EXP
POLICY NUMBER MMIDD/YY MM D YYVY LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $ 2,000,000
CLAIMS-MADE X' OCCUR _PRE_MIES(EaEOrrence $ 2,000,000
A 10,000
MED EXP(Any one person) $
Y 042670158 12/31/2025 12/32/2026, 2,000,000
PERSONAL&ADV INJURY $
- PRO - - - - - -- -
'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000
X POLICY JECT LOC F PRODUCTS-COMPIOP AGG $ 4,000,000
OTHER: $
AUTOMOBILE LIABILITY �'L(EanaccidpnI)_._
BINED SINGLE LIMIT I$ 5,000,000
- ANY AUTOX DILY INJURY(Per person) !$
A OWNED SCHEDULED 042670159 12/31/2025 12/31/20261 BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTYDAMAGE $
AUTOS ONLY AUTOS ONLY (Per agcidentZ__.____-
$
B UMBRELLA LIAB X! OCCUR EACH OCCURRENCE $ 5,000,000
EXCESS LIAO 0314-9729 12/31/2025112/31/2026, AGGREGATE 5,000,000
CLAIMS-MADE $
QED X RETENTION$ 10,000 $
WORKERS COMPENSATION PER OTH.
LIABILITY
-0FNFDICEFiMEMBEREXCLU D? 042670162 12/31/2025 12/31/2026, X( STATUTE ER
C ANYPROPRIETOR;PARTNEFUEXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000
No 'NIA __ _...._. ------------..-t---------.____-_-_--
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE!$ 1,000,000
11 yes,describe under
DESCRIPTION OF OPERATIONS bebw E.L.DISEASE-POLICY LIMIT $ 1,000,000
D 'Professional Liab incl Pollution 0313-8987 12/31/2025I12/31/20261!Each Claim Limit ;$5,000,000
Policy Aggregate $5,000,000
i
DESCRIPTION OF OPERATIONS/LOCATIONS i VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
SEE ATTACHED
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 AUTHORIZED REPRESENTATIVE
20 EAST ►LAIN 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
ax M 29127467 BATCH: 4258614
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AGENCY CUSTOMER ID:
LOC#:
ACO ADDITIONAL REMARKS SCHEDULE Page 2 of 2
AGENCY NAMED INSURED
Willis Towers Watson Insurance Services West, Inc. Alta Planning + Design, Inc.
101 SW Main St., Ste 2000
POLICY NUMBER Portland, OR 97204
See Page 1
CARRIER NAIC CODE
See Page 1 See Page 1 1 EFFECTIVE DATE:See Page 1
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance
PROJECT #00-2017-310 - ASHLAND, OR BEAR CREEK GREENWAY EXTENSION FEASIBILITY STUDY. CITY OF ASHLAND IS AN ADDITIONAL
INSURED WITH RESPECTS TO GENERAL LIABILITY, IF REQUIRED BY WRITTEN CONTRACT.
INSURER AFFORDING COVERAGE: National Union Fire Insurance Company of Pittsburgh NAIC#: 19445
POLICY NUMBER: 042670160 EFF DATE: 12/31/2025 EXP DATE: 12/31/2026
TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:
Auto Liability - MA Combine Single Limit $5,000,000
Any Auto Each Accident
INSURER AFFORDING COVERAGE: AIU Insurance Company NAIC#: 19399
POLICY NUMBER: 042670161 EFF DATE: 12/31/2025 EXP DATE: 12/31/2026
TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:
Workers Compensation (WI) E.L. EACH ACCIDENT $1,000,000
6 Employers Liability E.L. DISEASE - EA EMP $1,000,000
Per Statute E.L. DISEASE-POL LMT $1,000,000
INSURER AFFORDING COVERAGE: Lexington Insurance Company NAIC#: 19437
POLICY NUMBER: 012147867 EFF DATE: 12/31/2025 EXP DATE: 12/31/2026
TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:
Excess Liability Each Occurrence $5,000,000
excess of $5,000,000
ACORD 101 (2008/01) ®2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SR ID: 29127467 BATCH: 4258614 CERT: W43354184
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