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Home My WebLink AboutOsmose Utilities Services ~M CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 12/28/2005 PRODUCER (716)505-2600 FAX (716)505-0375 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION First Niagara Risk Management, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 170 Northpointe Parkway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 1010 Amherst, NY 14226-7010 INSURERS AFFORDING COVERAGE NAIC# INSURED Osmose Utilities Services Inc. INSURER A: Arch Insurance Company 11150 980 Ellicott Street INSURER B: Buffalo, NY 14209-2323 INSURER c: RECEIVED JAN 0 3 2006 INSURER 0: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~~~ f..1?:'?:~ TYPE OF INSURANCE POLICY NUMBER P~..L.J.~Y EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 31GPP4928200 01/01/2006 01/01/2007 EACH OCCURRENCE $ 2,000,000 - DAMAGE TO RENTED 50,000 X COMMERCIAL GENERAL LIABILITY $ I CLAIMS MAOt [K] OCCUR MED EXP (Anyone person) $ 5,000 A PERSONAL & ADV INJURY $ 2,000,000 - 4,000,000 GENERAL AGGREGATE $ - 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ I .nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY 3ICAB4928300 01/01/2006 01/01/2007 COMBINED SINGLE LIMIT - $ X ANY AUTO (Ea accident) 2,000,000 - ALL OWNED AUTOS BODILY INJURY - (Per person) $ SCHEDULED AUTOS A X HIRED AUTOS BODILY INJURY - (Per accident) $ X NON-OWNED AUTOS - - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ =1 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY 31ULP0537000 01/01/2006 01/01/2007 EACH OCCURRENCE $ 5,000,000 ~ OCCUR 0 CLAIMS MADE AGGREGATE $ 5,000,000 A $ =;j DEDUCTIBLE $ X RETENTION $ 100,OO( $ WORKERS COMPENSATION AND 31WCI4928500 01/01/2006 01/01/2007 X I T"X~.JT ~Ig~ I 10J~- EMPLOYE~~' :"lAe.ILlTY E.L EACH ACCIDENT $ 1,OOO,UOO A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $ 1,000,000 If yes. describe under E.L DISEASE - POLICY LIMIT $ l,OOO,OO(] SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS onfirmation of coverage City of Ashland 20 East Main Street Ashland, OR 97520 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~11drL Gerard Wenzke/JELLCO ACORD 25 (2001/08) @ACORD CORPORATION 1988 ACORCt CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) 12/08/2006 PRODUCER (716)819-5500 FAX (716)819-5140 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION First Niagara Risk Management, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 726 Exchange Street, Suite 900 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Buffalo, NY 14210 INSURERS AFFORDING COVERAGE NAIC# INSURED Osmose Utilities Services Inc. INSURER A: Arch Insurance Company 11150 980 Ellicott Street INSURER B: Buffalo, NY 14209-2323 INSURER C: INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 11~.f: ~~~I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 31GPP4928201 01/01/2007 01/01/2008 EACH OCCURRENCE $ 2,000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50,OOC I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 5,000 A PERSONAL & ADV INJURY $ 2,000,00 - 5,000,00 GENERAL AGGREGATE $ - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,00 I .nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY 3lCAB4928301 01/01/2007 01/01/2008 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 2,000,000 - ALL OWNED AUTOS BODILY INJURY - (Per person) $ SCHEDULED AUTOS A f-- X HIRED AUTOS BODILY INJURY ~ (Per accident) $ NON-OWNED AUTOS - - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ==1 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY ULPOO1916700 01/01/2007 01/01/2008 EACH OCCURRENCE $ 5,000,000 tKJ OCCUR D CLAIMS MADE AGGREGATE $ 5,000,00 A $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 3lWCI4928501 01/01/2007 01/01/2008 X I T~~.nfJI~S I 10Jb'- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,00 A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,00 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS onfirmation of coverage City of Ashland 20 East Main Street Ashland, OR 97520 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAlL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE .4J/~ Gerard Wenzke/JELLCO ACORD 25 (2001/08) @ACORD CORPORATION 1988