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HomeMy WebLinkAboutInsurance Certificate: LAZ Parking Northwest, LLC P ATE(MMIDDIYYYY) ACC R" CERTIFICATE OF LIABILITY INSURANCE 7/30/2026 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: SterlingRisk PHONE FAX P.O. Box 9017 AlC No EXt: 516-487-0300 A/C No):516-487-0372 Woodbury NY 11797 ADDRIEsS: re nest sterlin risk.com INSURER S AFFORDING COVERAGE I NAIC# License#:BR-1418528 INSURERA: National Union Fire Ins Ca Of Pittsbur h, PR 19445 INSURED LAZPARKING INSURER B:AIU Insurance Com an 19399 LAZ Parking Northwest, LLC 255 Stewart Street INSURER:Berkle Insurance Com an 32603 Seattle,WA 98101 INSURER D: Mercer Insurance Com an 14478 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:177008315 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. INSft TypE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR WVp POLICY NUMBER MMIDDIYYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY Y Y 3609369 7/31/2026 7/31/2027 EACH OCCURRENCE $3,000,000 DAMAGE-TO RENTED CLAIMS-MADE a OCCUR PREMISES(Ea occurrence $1,000,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $3,000,000 I GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $6,000,000 POLICY� JECOT- D LOC PRODUCTS-COMP/OP AGG $6,000,000 OTHER: $ A AUTOMOBILE LIABILITY Y Y 3135689 7/31/2026 7/31/2027 COMBINED SINGLE LIMIT $5,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident D UMBRELLA LIAR OCCUR Y Y See Schedule Below 7/31/2026 7/31/2027 EACH OCCURRENCE $25,000,000 X. EXCESS LIAR �IMS-MADE AGGREGATE $25,000,000 DED RETENTIO $ B WORKERS COMPENSATION Y 014111735 7/31/2026 7/31/2027 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANYPROPRIETORIPARTNERtEXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED? NIA (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 A Garagekeepers Liability Y Y 13609369 7/31/2026 7/31/2027 Limit $1,000,000 C Crime Liability BCCR-45002892-29 7/31/2026 7131/2027 Limit $5,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS t VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) See Page 2 for Additional Information. See 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, Public Works Department 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 AGENCY CUSTOMER ID: LAZPARKING LOC#: ACC A?" ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED SterlingRisk LAZ Parking Northwest,LLC 255 Stewart Street POLICY NUMBER Seattle,WA 98101 CARRIER NAIL CORE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 — FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Additional Insurers Affording Coverage: Insurer Letter D Mercer Insurance Company(UFG)---Lead Excess ---Policy#22200934100 ---7/31/26-7/31/27---Aggregate$3,000,000 Insurer Letter E Palomar Excess and Surplus Insurance —$2M xs$3M---Policy#CEPXP26000033300 ---7/31/26-7/31/27---Aggregate$2,000,000 Insurer Letter F Liberty Surplus Insurance Corporation --- $51M p/o$10 xs$5M--Policy#100081592801 ---7131/26-7/31/27---Aggregate$5,000,000 Insurer Letter G United Specialty Insurance Company --- $51M p/o$10 xs$5M---Policy#BTM2624367 ---7/31/26-7/31/27---Aggregate$5,000,000 Insurer Letter H Everest National Insurance Company --- $5M p/o$10 xs$15M---Policy#XW9EX00031-261 ---7/31/26-7/31127---Aggregate$5,000,000 Insurer Letter G United Specialty Insurance Company --- $5M p/o$10 xs$15M---Policy#BTM2624366 ---7/31/26-7/31/27---Aggregate$5,000,000 If agreed upon in a written contract or agreement,The City of Ashland,Oregon,its officers,agents and employees are included as an additional insured,but only with respect to the operations of the named insured.RE:L28300-City of Ashland ACORD 101 (2008/01) 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD