HomeMy WebLinkAboutInsurance Certificate: Professional Credit Holdings Corporation ACC PROFCRE-01 NBAILE_Y
;,.,..... CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDtYY
6126
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.ER.TI TI
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIC
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZ__
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 Nel Bailey
Christensen Group,Inc. PHONE
9855 W 78th Street (alc,No,Ext):(952)653-1000 FAX No):(952)653-1100
Suite 100 E-MAIL
Eden Prairie,MN 55344-8004 ADDRESS:
_"Setts;
COVERAGE NAIC#
INsuRERA:Massachusetts Ba Ins CO 22306
INSURED INSURER B:Hanover Insurance Co 22292
Professional Credit Holdings Corporation INSURER C:Hanover American 36064
400 International Way,Ste 100 INSURER D:Brid ewa Insurance Com an 12489
Springfield,OR 97477
�EINSURERE:Evanston Insurance Com an —5,78
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.
INSR .. ODL SUBR
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP
MM DD MMJDD/YYYY LIMITS
A X COMMERCIAL GENERAL LIABILITY 1,000,000
� EACH OCCURRENCE $
CLAIMS-MADE FX,OCCUR I X ZHX H672679 04 613012026 6/30/2027 DAMAGE TO RENTED 100,000
PREMISES Ea occurrence $
MEDEXP An one erson $ 10,000
PERSONAL&.ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY PRO- (�� LOC
JECT ( I,
PRODUCTS-COMP/OP AGG $ Included
OTHER: ( JEBL $ 1,000,000
A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea accident g 1,000,000
ANY AUTO X ZHX H672679 04 6/30/2026 6/30/2027 BODILY INJURY Per erson $OWNED r� SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY(Per accident} $
X AUTOS ONLY X AUO O�ONLY PROPERTY DAMAGE
Per accident $
$
B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000
EXCESS LIAB CLAIMS-MADE UHX H672696 04 6/30/2026 6/30/2027 AGGREGATE 10,000,000
QED RETENTION$ 11 $
C WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY XI
STATUTE EORH
ANY PROPRIETOR/PARTNER/EXECUTIVE Yt N WHXH639116 613012026 6/30/2027 I $ 1,000,000
OFFICER/MEMBER EXCLUDED? N t A E.L.EACH ACCIDENT
{Mandatory in NH}If E.L.DISEASE-EA EMPLOYEE $ 1,000,000
DES describe under 1,000,000
.DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT
D (Professional Liab 7GA7PL0002267-01 6/30/2026 6/30/2027 jCLM/AGG 3,000,000
E Cyber Liability IMKLVSPCY000153 6130/2026 6/30/2027 CLM/AGG 3,000,000
I
DESCRIPTION OF OPERATIONS 1 LOCATIONS t VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required)>
Excess Cyber Liability-0613012026 to 06/30/2027-Arch Specialty Ins.Co.-C-4LPY-043447-CEPSME-2025-Limit$9,000,000 xs$3,000,000
Excess Cyber Liability-06/30/2026 to 06/30/2027-Indian Harbor Insurance Company -MTE9049030 00-Limit$4,000,000 xs$6,000,000
Crime/Employee Dishonesty-06130/2026 to 06/30/2026-Travelers Casualty&Surety-108270352-Limit$5,000,000,Deductible$50,000
The City of Ashland,its elected officials, officers&employees are included as an Additional Insured under the General Liability on a
Primary/Non-Contributory basis and Auto Liability when required by written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
20 East Main Street ACCORDANCE WITH THE POLICY PROVISIONS.
Ashland,OR 97520
AUTHORIZED REPRESENTATIVE
ACORD ACORD 25(2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID:PROFCRE-01 NBAILEY
LOC#: 1
AC"RE)'
111,1 --' ADDITIONAL REMARKS SCHEDULE Page 1 of
AGENCY NAMEDINSURED
Christensen Group,Inc. Professional Credit Holdings Corporation
400 International Way,Ste 100
POLICY NUMBER Springfield,OR 97477
SEE PAGE 1
CARRIER NAIC CODE
PEE PAGE 1 SEE P I EFFECTIVE DATE:SEE PAGE 1
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability insurance
MN SLT
THE PROFESSIONAL LIABILITY,CYBER AND EXCESS INSURANCE IS ISSUED PURSUANT TO THE MINNESOTA SURPLUS LINES
INSURANCE ACT.THE INSURER IS AN ELIGIBLE SURPLUS LINES INSURER BUT IS NOT OTHERWISE LICENSED BY THE STATE
OF MINNESOTA.IN CASE OF INSOLVENCY, PAYMENT OF CLAIMS IS NOT GUARANTEED.
ACORD 101 (2008/01) 02008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD