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Home My WebLink AboutInsurance Certificate: Alta Planning + Design, Inc. Page 1 of 3 n 7DATE{MMtDDIYYYY} LCERTIFICATE OF LIABILITY INSURANCE 1/v0t2a26 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 GOES 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 poliey(ies)merit have ADDITIONAL INSURED provisions or be endorsed. if SUBROGATION IS WAIVER, 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 NAME: Willis Towers Watson insurance Services West, Inc. PHONE -------_. ---_--_ —_ _____- --- FAX c/o 26 Century Blvd A'C Na.E 1, 1-877-945-7378 A/C,No: 1-888-467-2378 [24p.o, Box 305191 ADDRESS: certificates@wtwc0.com Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIL k iNSURERA: National Union Faze Ins Co of Pittsburgh 19445 INSURED Allied World Insurance company 22730 Alta Planning + Design, Inc. INSURERB. p y 101 5W Main St., Ste 2000 IN_SURERC:._AID Insurance Company - 19399 por+land, OR 97204 INSURERD: Allied World Surplus Lines Insurance Compa?. 24319 - INSURER E: At-13ay Specialty Insurance Company 19607 INSURERF; Travelers Excess & Surplus Lines Company 29696 COVERAGES CERTIFICATE NUMBER:W43876986 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 TYRE OF lNdURANCE ADDL 5UBR POLICY EFF ' POLICY EXP LIMITS Lift: I V POLICY NUMBER MMlDDtYYYY ''., MM/DDIYYYY COMMERCIAL GENERAL LIABILITY _ EACH OCCURRENCE $ 21000,000 CLAIMS MADE OCCUR DAMAGETOREN D 2,000,000 PREMISES(La oCCUrrence) $ A MED EXP(Any one person) `$ 10,000 y 042670158 12/31/2025.12/31/2026 PERSONAL S ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY PRO' LOC PRODUCTS-COMP/OPAGO $ -__ 4,000,000 JE.;i v OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Eaaccidenl) 5,000,000 -_.._. _._ 0 X ANY AUTO BODILY INJURY(Per person) $' _ A OWNED �.SCHEDULED 042670159 12/31/2025'12/31/2026 BODILY INJURY(Peraccident)I$ AUTOS ONLY AI7TOS —�HIRED _-- NON-OWNED PROPERTY DAf,4AGE AUTOS ONLY AUTOS ONLY P I accidard? $ r—, ' UMBRELLALIAB '' OCCUR EACHOCCURRENCE $ �,0U0,O0tl EXCESS LIAB CLAIMS MADE 0314-9729 12/31/2025:12/31/2026 AGGREGATE g 5,000,000 DED X. RETENTION,$ 10,000 $ WORKERS COMPENSATION PER OTH AND EMPLOYERS`LIABILITY _ ` STATUTE_ ER -� — C "ANYPROPRIETCIRCPARTNERCEXECUTIVE Y/N EL EACH ACCIDENT $ 1,000,00() OFFICERiMEMBEREXCLUDED No PICA 042670162 12/31/2025:12/31/2026' {Mandatary in NH} E.L.DISEASE EA EMPLOYEE $ 1,000,000 It yes,describe under ---------------_ _ DESCRIPTION OF OPERATIONS beew E.L.DISEASE POLICY LIMIT $ 1,000,000 D '.Professional Liar incl Pollutions - 0313-8987 12/31/2025.12/31/2026"Each Claim Limit ':.$510001000-. - --- -. Policy Aggregate j$5,000,090 DESCRIPTION OF OPERATIONS,LOCATIONS VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached it more space is required) SSE 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 M41N STREET xi ASOLAND, OR 97520 �._... � C 1988-2016 ACORD CORPORATION. All rights reserved, ACORD 25(2016/03) The ACCORD name and logo are registered marks of ACORD sn sa: 25333872 rca: 4304027 6305: 2 of 3 AGENCY CUSTOMER ICE: LOC#: ACC>RV ADDITIONAL REMARKS SCHEDULE Page 2 Of 3 AGENCY NAMED INSURED - - Willis Towers Watson insurance Services West, Inc. Alta Planning + Design, Inc. 101 SW Main S4., Ste 2000 POLICY NUMBER Portland, DR 97204 See Page 1 CARRIER NAIL CODE see Page i ISee Page 1 EFFECTWEDATE: See Page I ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO.ACORD FORM, FORM NUMBER: 25 _ F€R M TITLI : certificate of Liability insurance PROJECT #I00--2017-310 - ASH LAND, OR BEAR CREEK GREENWAY EXTENSION FEASIBILITY STUDY. CI9'.� OF ASHLAND IS AN ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY, IF REQUXRED BY WRITTEN CONTRACT, INSURER AFFORDING COVERAGE: At-Bay Specialty Insurance Company NAIC##_ 19607 POLICY NUMBER,: -6739091-02 REP DATE: 12/31/2025 BAR DATE: 12/31/2026 TYPE OF INS CE: LIMIT DESCRIPTION: LIMIT AMOUNT: Cyber Liability Per Occurrence $1,000,000 Aggregate $1,000,000 INSURER AFFORDING COVERAGE: Travelers Excess & Surplus Limes Company NAIC#: 29696 POLICY NUMBER: QT-630-5XS47200-TXS-25 EFF DATE: 12/31/2025 EXP DATE: 12/31/202C TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMITAMOUNT: Valvable Papers Limit $500,000 Electronic Data Processing & Limit $1,000,000 Media INSURER AFFORDING COVERAGE: National Union Fire Ins Co of Pittsburgh NAIC##: 19445 POLICY NUMBER: 042670160 EFF DATE: 12/31/2025 EXP DATE: 12/31/2026 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMITAMOUNT: Auto Liability - MA Combine Single Limit $5,000,000 y Auto Each Accident ACORD 101 (2008/01) O 2008 ACC3 t�CORPORATION, All rights reserved. The ACORD name;and logo are registered marks of ACORD SR ID: 29333872 TC€; 4304027 CERT: W4387698 : 6305: 2 of 3 AGENCY CUSTOMER ID: LOC#: AC"RL> ADDITIONAL REMARKS SCHEDULE Page 3 Of 3 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 Sec. Page 1 CARRIER =CCSee Page 1 EFFECTIVE DATE:See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACCORD FORM, FORM DUMBER: 25 FORM TITLE: Certificate of Liability Insurance INSURER AFFORDING COVERAGE: AID Insurance Company NAIC#: 19399 POLICY N ER: 042670161 EFF DATE: 12/31/2025 EXP DATE: 12/31/2026 TYPE OF INSURANCE: LIMIT DESCRIPTION: .LIMITAMOUNT: Workers Compensation (WI) E.L. EACH ACCIDENT $11000,000 & Employers Liability E.L. DISEASE - EA E $1,000,000 Per Statute E.L. DIS SE-POL LMT $1,000,000 INSURER AFFORDING COVERAGE: Lexington Insurance Company NAIC#: 19437 POLICY NUMBER: 012147867 Err DATE: 12/31/2025 EEP DATE: 12/31/2026 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMITAMOUNT: Excess Liability Each Occurrence $5,000,000 excess of $5,000,000 AC RD 101 (2008101) C7 2008 ACCRD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 29333872BATCH: 4304027 CERT: W43876986 6305: 3 of3 a 6305: 3 of 3 i 5