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AC o� CERTIFICATE OF LIABILITY INSURANCE D01/01ATE D2026 )
01/O1/2026
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 poiicy(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 endorsements).
PRODUCER CONTACT Willis Towers Watson Certificate Center
Willis Towers Watson Northeast, Inc. NAME:_PHONE 1-877-945-7378 FAX 1-888-467-2378
c/o 26 Century Blvd A!C No
P.O. Box 305191 E-MAIL
ADDRESS: certificates@willis.com
Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAIC s
-INSURER A: ACE American Insurance Company 22667
INSURED Eurolina Eaton Analytical, LLC INSURERS: Travelers Property Casualty Company of Ame! 25674
750 Royal Oaks Drive, Suite 100, INSURERC: ACE Property 8 Casualty Insurance Company 20699
Nonsovia, CA 91016 INSURERD: Great Northern Insurance Company 20303
INSURERE: Fireman's Fund Indemnity Corporation 11380
INSURER F:
COVERAGES CERTIFICATE NUMBER:W43462549 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.
AODLBUtlR _POLICY EFf POLICY EXP
TYPE OF - - --
R POLICY NUMBER MMID Y MM D VYYY LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000
CLAIMS-MADE X OCCUR 1,000,000
------ - PREMISES Eaoc irrence
A MED EXP(An one arson) $ 10,000
y OGL G46676725 01/01/2026101/01/2027 1,000,000
PERSONAL 8 ADV INJURY $
GE 'L AGGREGATE LIMIT APPLIES PER: 2,000,000
,.._ p �._ i ; GENERAL AGGREGATE $ _
N
POLICY JECT LOC PRODUCTS-COMPIOP AGG $ 2,000,000
OTHER: i$
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
---- Ea aced__J._-._ $ 1,000,000
� (------.ant I -----_ __ _ -----
X ANY AUTO BODILY INJURY(Per person) $
B ' OWNED SCHEDULED HC2JCAP-162D3$22-TIL-26 01/01/2026101/01/2027; BODILY INJURY(Per axidenti $
AUTOS ONLY AUTOS
X PROPERTY DAMAGE $
AUTOS ONLY X NON-OWNED 1Per PERT
AUTOS ONLY
C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 15,000,000
EXCESS LIAB CLAIMS-MADE XOO G46676762 O1/O1/2026101/01/2027; AGGREGATE $ 15,000,000
DED RETENTION$ $
WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY Y!N 1,000,000
B ANYPROPRIETOR PARTNER EXECUTIVE UB-2R857 672-2 6-I2-K 01/01/2026 Ol/01/2027 E.L.EACH ACCIDENT $
OFFICERiMEMBEREXCLUDED? No N!A
(Mandatory In NH) j E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 11000,000
B Workers Compensation 6 U8-2R751620-26-I2-R 01/01/2026i01/01/2027il,. Each Accident $1,000,000
Employers Liability - AZ, MA, MI EL. Disease-EA Empl. �$1,000,000
Per Statute ! IEL. Disease-Vol Lim. !$1,000,000
DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it 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 Main Street
Ashland, OR 97520
®1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
an ID: 29153425 BATCH: 4260228
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AGENCY CUSTOMER ID:
LOC#:
AC R® ADDITIONAL REMARKS SCHEDULE Page 2 Of 2
AGENCY NAMED INSURED
Willis Towers Watson Northeast, Inc. Eurofins Eaton Analytical, LLC
750 Royal Oaks Drive, Suits 100,
POLICY NUMBER Monrovia, CA 91016
See Page 1
CARRIER NAIC CODE
See Page 1 See Page 1 EFFECTIVE DATE:Sea Page 1
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance
The City of Ashland, Oregon and its elected officials, officers and employees are included as Additional Insureds on
the General Liability on a primary and non-contributory basis as required by written caatract with the insured, per
policy terms and conditions.
INSURER AFFORDING COVERAGE: Travelers Property Casualty Company of America NAIC#: 25674
POLICY NUMBER: HJBAP-162D3834-TIL-26 EFF DATE: 01/01/2026 EXP DATE: 01/01/2027
TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:
Auto Physical Damage Comp. Deductible $2,000
Collision Deductible $2,500
INSURER AFFORDING COVERAGE: Great Northern Insurance Company NAICft: 20303
POLICY NUMBER: 9951-0639 EFF DATE: 01/01/2026 EXP DATE: 01/01/2027
TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:
Professional Liability Each Event $5,000,000
Claims-Made Aggregate $5,000,000
Retro Date: January 1, 1990
INSURER AFFORDING COVERAGE: Fireman's Fund Indemnity Corporation NAIC#: 11380
POLICY NUMBER: USL03044324 EFF DATE: 01/01/2024 EXP DATE: 01/01/2027
TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:
Pollution Liability Each Poll Condition: $5,000,000
Aggregate: $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: 29153425 BATCH: 4260228 CERT: W43462549
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