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HomeMy WebLinkAboutInsurance Certificate: Alta Planning + Design, Inc. �.� Page 1 of 2 ACORO DATE(MMIDDNYYY) ` 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 -- 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 14007: 2 of 2 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 14007: 2 of 2