Loading...
HomeMy WebLinkAboutInsurance Certificate: TruView BSI, LLC TRUVBSI-01 EDURHAM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 4/1512026 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 License#0757776 04A TACT Elizabeth Durham HUB International Insurance Services Inc. PHONE N,Extl: FAX No): W Cromwell Avenue Suite101 E ppMAIL :elizabeth.durham@hubinternational.com Fresno,CA 93711 INSURE S AFFORDING COVERAGE NAIC# INSURMA_Sammit Specialty Insurance Company 16889 INSURED INSURER B:,lames River Insurance Company. 12203 TruView BSI,LLC INSURER c:Hartford Accident and Indemnily Corn Pany 22357 225 Broadhollow Road Suite 304 INSURER D,At-Bay Specially Insurance Company 19607 Melville,NY 11747 ENSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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. ADDL SUBR POLICY EFF POLICY EXP 1N T. TYPE OF INSURANCE N POL.ICYNUMBER MMlDD MMI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 71 CLAIMS-MADE � I OCCUR X X SCGLOOSOD0216500 811/2025 8/1/2026 DAMAGE TO RENTED nce s 100,000 X Ded:$2,500 MED EXP(Any oneperson) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GN'LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE S 2,000,000 E PRO- LOC PRODUCTS $ 2,000,000 POLICY OTHER: Error&Omissi $ Included CO Ea aBI itleM $SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY ANY AUTO CA43602508 10/3/2025 $1112026 BODILY INJURY Perperson) $ OWNED 7—OS ONLY AU705U�➢ BO➢€LYINJURY Peracc6eni $ Ix HIRgD X NON-OWNED ROP.ERZ�AMAGB s ALIT OS ONLY AUTOS ONLY A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X ExcEssLIAB CLA€MS-MADE SXCS005000086300 81112025 8/112026 AGGREGATE $ 5,000,000 DED X I RETENTIONS 10,000 $ C WORKERs COMPENSATION X PEAT EORH AND EMPLOYERS'LIABILITY 16 WE QY502P 8/1/2025 811/202fi 1,000,000 ANY PROPRIETORIPARTNERIEY.EGUTIVE YIN X E.L.EACH ACCIDENT $ OFFICERMIEMBER F�CCLl3DEA? N f A 1,000,000 (Mandatory in NH) E.I_DISEASE-FA EMPLOYE $ ifyyIS,des-beunler 1,000,000 DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT $ D CyberlPrivacylNetwor AB-6748201-05 4/1512026 4/15/2027 Limit 5,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) City of Ashland,Oregon,and its elected officials,officers and employees are Additional insured with regard to the General Liability policy,when required by written Contract,per the attached endorsement forms CG2010 04113 and CG203712119,Primary&Non-Contributory included.Waiver of Subrogation applies to the General Liability policy,when required by written contract,per the attached endorsement form CG2404 05109,Waiver of Subrogation applies to the Workers Compensation policy,when required by written contract,per the attached endorsement form WC000313. 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. 90 N_Mountain Ave. Ashland,OR 97520 AUTHORIZED REPRESENTATIVE 41A ACORD 25(2016103) ®1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III--Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the applicable required by a contract or agreement, the most we Limits of Insurance shown in the Declarations. will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 ©Insurance Services Office, Inc., 2012 CG 20 10 0413 0 Insured name: TruView BSI, LLC Policy number: SCGL005000216500 Policy term: 8/1/2025 to 8/1/2026 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modes insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: As per written, and properly executed, contract prior to loss, if required by the agreement Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or"your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 06 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 0