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HomeMy WebLinkAboutInsurance Certificate: GFT Infrastructure, Inc DATE(MM/DD/YYYY) A`oRo° CERTIFICATE OF LIABILITY INSURANCE 76/5/2026 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 NAME: Stefania Ruiz Gunn-Mowery PHONE FAX P.O. Box 900 A/C No Ext: 717-761-4600 A/C,No:717-761-6159 Camp Hill PA 17001-0900 ADDE-MRESS: sruiz@gunnmowery.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: PA Manufacturers Indemnity Co. 41424 INSURED 6895 INSURER B: PA Manufacturers'Assoc Ins Co. 12262 GFT Infrastructure, Inc INSURERC: Manufacturers Alliance Ins.Co. 36897 300 Sterling Parkway Suite 200 Mechanicsburg, PA 17050 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:359254829 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICYNUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y Y 3026012907384A 2/1/2026 2/1/2027 EACH OCCURRENCE $1,000,000 B 3026012907384B 2/1/2026 2/1/2027 DA CLAIMS-MADE OCCUR PREMM ETORENTED PREMISES Ea occurrence $1,000,000 X Contractual Liab MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY� PECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y Y 1526012907384 2/1/2026 2/1/2027 COMBINED SINGLE LIMIT $2,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED FIR ER DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident L $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION Y 2026012907384A 2/1/2026 2/1/2027 X PER OTH- B AND EMPLOYERS'LIABILITY Y/N 2026012907384B 2/1/2026 2/1/2027 STATUTE ER C ANYPROPRIETOR/PARTNER/EXECUTIVE N N/A 2026012907384C 2/1/2026 2/1/2027 E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Blanket Additional Insured applies per written contract. A0002623 Hosler Dam Breach Inundation Analyses and Mapping.The following are covered as Additional Insureds for General Liability and Automobile Liability policies as per written contract:City of Ashland, Oregon, its elected officials,officers,and employees.Coverages apply on a Primary and Non-Contributory basis per policy language.Thirty(30)day notice of cancellation applies except for non-payment of premium,which is ten(10)days per policy language. CERTIFICATE HOLDER CANCELLATION 90 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 20 EAST MAIN STREET AUTHORIZED REPRESENTATIVE ASHLAND OR 97520 (' �' ,Sete •_.�` ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD