HomeMy WebLinkAboutInsurance Certificate: Neathamer Surveying Inc DATE(MM/DD/YYYY)
A�" CERTIFICATE OF LIABILITY INSURANCE
03/23/2026
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 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 Thomas Sprinkle
NAME:
Assurance Risk Managers,Inc. pAHCNr o Ext: (303)454-9562 FAAic,No): (303)454-9564
10651 East Bethany Drive E-MAIL Tom.Sprinkle@arm-i.com
ADDRESS:
Suite 300 INSURER(S)AFFORDING COVERAGE NAIC#
Aurora CO 80014-2688 INSURERA: RLI Insurance Co 13056
INSURED INSURER B: Hanover Insurance Company 22292
Neathamer Surveying Inc INSURER C:
P.O.Box 1584 INSURER D:
INSURER E:
Medford OR 97501-0120 INSURER F:
COVERAGES CERTIFICATE NUMBER: 25-26 GL BAXS PL 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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 POLICY EFF POLICY EXP
LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDrence $ 1,000,000
MED EXP(Any one person) $ 10,000
A Y PSB0003288 07/25/2025 07/25/2026 PERSONAL&ADV INJURY $ 2,000,000
MOTHER
LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 4,000,000
POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 4'000'000
JECT: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
Ea accident
X ANYAUTO BODILY INJURY(Per person) $
A OWNED SCHEDULED Y PSA0002584 07/25/2025 07/25/2026 BODILY INJURY(Pe r accide nt) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000
A X EXCESS LAB CLAIMS-MADE Y PSE0003546 07/25/2025 07/25/2026 AGGREGATE $ 2,000,000
DED I I RETENTION $ PROF.LIABILITY $ EXCLUDED
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE ElN/A E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
PROFESSIONAL LIABILITY PER CLAIM $2,000,000
B CLAIMS MADE POLICY LH4 9618470 13 07/25/2025 07/25/2026 AGGREGATE $3,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
The City of Ashland is an additional insured as their interest may appear when required by written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS.
20 E.Main Street
AUTHORIZED REPRESENTATIVE
Ashland OR 97520
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
www.saif.com
■
saif Oregon.Work.
Life.
Oregon Workers' Compensation
Certificate of Insurance
Mail to: Certificate holder:
NEATHAMER SURVEYING INC CITY OF ASHLAND
PO BOX 1584 20 E MAIN ST
MEDFORD, OR 97501-0120 ASHLAND, OR 97520
The policy of insurance listed below has been issued to the insured named below for the policy period
indicated.The insurance afforded by this policy is subject to all the terms, exclusions and conditions of
such policy; this policy is subject to change or cancellation at any time.
Insured Producer/contact
Neathamer Surveying Inc SAIF Corporation
PO Box 1584 SAIF Corporation
Medford, Or 97501-0120
Issued 03/23/2026 Limits of liability
Policy 911273 Bodily Injury by Accident $2,000,000 each accident
Period 10/01/2025 to 10/01/2026 Bodily Injury by Disease $2,000,000 each employee
Body Injury by Disease $2,000,000 policy limit
Description of operations/locations/special items
Important
This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate
does not amend, extend or alter the coverage afforded by the policies above.This
certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the
certificate holder.
Authorized representative
7
Chip Terhune
President and CEO
400 High Street SE
Salem,OR 97312
P:800.285.8525
Policy_OLCA_CertificateOflnsurance F: 503.584.9812