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Home My WebLink AboutDiamond Parking ACORQM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 07/15/2005 FRODUCER (206).545 -4800 FAX (206)545-4849 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION C. Don. Filer Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4201 Roosevelt Way NE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Seattle, WA 98105-6608 Shari Lofquist INSURERS AFFORDING COVERAGE NAIC# INSURED Diamond Parking, Inc. INSURER A: Chubb Custom Insurance Co 3161 Elliott Ave. INSURER B: Commerce & Industry Seattle, WA 98121 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. I~~: ~9.~~ TYPE OF INSURANCE POLICY NUMBER PR4l{~Y EFFECTIVE POUCY EXPIRATION LIMITS GENERAL LIABILITY 79491919 07/15/2005 07/15/2006 EACH OCCURRENCE $ I,OOO,OO~ X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100, OOC I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ A PERSONAL & ADV INJURY $ 1,000,000 f-- GENERAL AGGREGATE $ 2,000,000 f-- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 n nPRO- n POLICY JECT LOC AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT I-- (Ea accident) $ ANY AUTO f-- ALL OWNED AUTOS BODILY INJURY f-- (Per person) $ SCHEDULED AUTOS f-- HIRED AUTOS BODILY INJURY f-- (Per accident) $ NON-OWNED AUTOS f-- f-- PROPERTY DAMAGE $ (Per accident) GARAGE LIABIUTY 79491919 07/15/2005 07/15/2006 AUTO ONLY- EA ACCIDENT $ 150,OO~ A ~ ANY AUTO OTHER THAN EAACC $ 1,000,000 X Garagekeepers AUTO ONLY: AGG $ 1,000,000 EXCESS/UMBRELLA UABILITY EACH OCCURRENCE $ tJ OCCUR D CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC3288137 03/31/2006 03/31/2007 I WC STATU- IOJ~- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,000 8 ANY PROPRIETOR/PARTNER/EXECUTIVE 1,000,000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ ~~~~li~sPR~V~~?O~S below E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS \E: Station EAOl - City of Ashland, Ashland, OR ~ertificate Holder is hereby named as additional insured. CE City of Ashland Lee Tuneberg 20 E 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 S~.~ Shari Lof uist/SHARI ACORD 25 (2001/08) @ACORD CORPORATION 1988 ---r---- P&OBQM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 07/14/2006 PROOUCER (206) 545 -4800 FAX (206)545-4849 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION C. Don Filer Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4201 Roosevelt Way NE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Seattle, WA 98105-6608 Lofquist, Shari INSURERS AFFORDING COVERAGE NAIC# INSURED Di amond Parking, Inc. INSURER A: Chubb Custom Insurance (0 3161 Elliott Ave. INSURER B: U.S. Fire Insurance Company Seattle, WA 98121 INSURER c: Commerce & Industry INSURER D: I 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. INSR DD' TYPE OF INSURANCE POLICY NUMBER PRH~Y EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 79572244 07/15/2006 07/15/2007 EACH OCCURRENCE $ 1,000,00 ~ COMMERCIAL GENERAL LIABILITY I ~~~~~E TO RENT~~ '~o\ $ I CLAIMS MADE [K] OCCUR MED EXP (Any on,~ person) $ A PERSONAL & ADIIINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,00 n .nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY 133-721664-3 07/15/2006 07/15/2007 COMBINED SINGLE LIMIT ~ (Ea accident) $ l,OOO,OOC ANY AUTO f-- ALL OWNED AUTOS BODILY INJURY I--- (Per person) $ SCHEDULED AUTOS B ~ HIRED AUTOS BODILY INJURY X (Per accident) $ NON-OWNED AUTOS - r-- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY 79572244 07/15/2006 07/15/2007 AUTO ONLY - EA ACCIDENT $ 150,00 A R ANY AUTO OTHER THAN EA ACC $ 1,000,000 AUTO ONLY: AGG $ 1,000,00 EXCESS/UMBRELLA LIABILITY 79572245 07/15/2006 07/15/2007 EACH OCCURRENCE $ 1,000,00 ~ OCCUR D CLAIMS MADE AGGREGATE $ 1,000,000 A $ 0 =1 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC3422697 07/15/2006 07/15/2007 X I T~~T':ug~, I 10J~- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EI\ 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 ~e: Station 175-1754 20 E Main Street rertificate holder is hereby named as additional insured. City of Ashland Lee Tuneberg 20 E Main Street Ashland, OR 97520 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES lIE 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 '2>l~' ~~ Shari Lof uist/SHARI ACORD 25 (2001/08) @ACORDCORPORATION 1988 ACORQM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 07/14/2006 PRODUCER (206) 545 -4800 FAX (206)545-4849 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION C. Don Filer Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4201 Roosevelt Way NE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Seattle, WA 98105-6608 lofquist, Shari INSURERS AFFORDING COVERAGE NAIC# INSURED Diamond Parking, Inc. INSURER A: Chubb Custom Insurance Co 3161 Elliott Ave. INSURER B: U.S. Fire Insurance Company Seattle, WA 98121 INSURER c: Commerce & Industry INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD It-IDICATED. 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~~~ ~9:?;~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE Pgk!fl EXPIRATION LIMITS GENERAL LIABILITY 79572244 07/15/2006 07/15/2007 EACH OCCURRENCE $ 1,000,000 t-;{ COMMERCIAL GENERAL LIABILITY DAMAGE TO REN'~ED 'c~, $ I CLAIMS MADE [K] OCCUR MED EXP (AnyonE' person) $ A PERSONAL & ADV INJURY $ 1,000,000 - 2,000,000 GENERAL AGGREGATE $ - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 I .nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY 133-721664-3 07/15/2006 07/15/2007 COMBINED SINGLE LIMIT X (Ea accident) $ 1,000,000 ANY AUTO - ALL OWNED AUTOS BODILY INJURY - (Per person) $ SCHEDULED AUTOS B X HIRED AUTOS BODILY INJURY X (Per accident) $ NON-OWNED AUTOS - - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY 79572244 07/15/2006 07/15/2007 AUTO ONLY - EA ACCIDENT $ 150,000 A ==1 ANY AUTO OTHER THAN EA ACC $ 1,000,000 AUTO ONLY: AGG $ 1,000,000 EXCESS/UMBRELLA LIABILITY 79572245 07/15/2006 07/15/2007 EACH OCCURRENCE $ 1,000,000 ::!J OCCUR D CLAIMS MADE AGGREGATE $ 1,000,000 A $ 0 R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND \'/C3422697 07/15/2006 07/15/2007 X I WC STATU;, I IO~~- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE 1,000,000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ~E: Station EA01 - City of Ashland, Ashland, OR ertificate Holder is hereby named as additional insured. City of Ashland lee Tuneberg 20 E Main Street Ashland, OR 97520 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES EIE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER 'WILL ENDEAVOR TO MAIL ~ DAYS 'WRITTEN NOTICE TO THE CERTIFICATIE 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 '2>l~' o(e~ ACORD 25 (2001/08) @ACORDCORPORATION 1988