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Home My WebLink AboutZucker Systems ACORDN CERTIFICATE OF LIABILITY INSURANSE. OP 10 27 - o.AIi: (MMlDDIYYYY) ZUCKE-1 05 05 06 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER Kettering-Rose Insurance 3545 Camino Del Rio S., Ste. A San Diego CA 92108 Phone: 619-291-7777 Fax:619-291-7776 INSURED INSURERS AFFORDING COVERAGE INSURER A: Philadelphia Ins. INSURER B: CNA Insurance INSURERC, St. Paul Ins. CO. INSURER 0: INSURER E: NAIC# Co. Zucker Systems 1545 Hotel Circle S. #300 San Diego CA 92108 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. LTR NSR[ TYPE OF INSURANCE POLICY NUMBER ~~,;!~1rirNif.rrME Pgk~E IMrtb'lfiYV'fN LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 f--- B X COMMERCIAL GENERAL LIABILITY 2026553005 04/23/06 04/23/07 PR~;SES (E~~~~';~nce) $1,000,000 I--- :::=J CLAIMS MADE [!J OCCUR I--- MED EXP (Anyone person) $10,000 , PERSONAL & ADV INJURY $100,000 f--- I GENERAL AGGREGATE $2,000,000 I--- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 n .nPRO- n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ~ $1,000,000 B r!- ANY AUTO B2049532422 04/23/06 04/23/07 (Ea accident) ALL OWNED AUTOS BODILY INJURY f--- $ SCHEDULED AUTOS (Per person) f--- X HIRED AUTOS I BODILY INJURY I--- $ I ~ NON-OWNED AUTOS (Per accident) --+---~_._- I i' -- PROPERTY DAMAGE 1$ I i (Per accident) I ~~~~GE LIABILITY AUTO ONLY - EA ACCIDENT $ I,.J ANY AUTO OTHER THAN EA ACC $ i ,- j AUTO ONLY: AGG $ I I EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ Ii OCCUR D CLAIMS MADE AGGREGATE $ 1---" $ -- R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X I TORY LIMITS I IOJ~- C EMPLOYERS' LIABILITY 13706 09/01/05 09/01/06 $1,000,000 I ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE _tb..Q2.~~_ i If ~es, describe under "_...__ ~ m_.______.___.._____..__ S ECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 I OTHER A I PROFESSIONAL LIAB PHSD178186 03/20/06 03/20/07 EACH OCCU 1,000,000 i AGGREGATE 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 Day Notice of Cancellation Due to Non-payment of Premium CERTIFICATE HOLDER City of Ashaland Ci ty Hall 20 E. Main Street Ashland OR 97520 CANCELLATION CITYOF3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL BIl8EM'SR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Ill/T r\lblJRJ;; T9 ~g i9 ilol^I.L I""'SSE: tlS SBLlSAllSIl SR LIABILITY sr AU': ItlUB l:IPSIJ TilE: IIISl:IRER, ITS ASEIllS OR RiPAliiiH:rATI~/i&. Rob Ketterin "':i". ORATION 198 AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) A CORD_ CERTIFICATE OF LIABILITY INSURANCE RECEI SEP 1 8 2 OPID 2 ZUCKE-1 09 12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION E:'A. Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE ~DER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR L TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 06 PRODUCER Kettering-Rose Insurance 3545 Camino Del Rio S., Ste. A San Diego CA 92108 Phone:619-291-7777 Fax:619-291-777 NAIC fI INSURED Zucker Systems 1545 Hotel Circle S. *300 San Diego CA 92108 COVERAGES INSURER B: INSURER C INSURER D INSURER E: Philadel hia Ins. Co. CNA Insurance First Com 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. LTR NSRI TYPE OF INSURANCE POLICY NUMBER ~,;!~1ri~r6'~E DATE (MMIDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 - B X COMMERCIAL GENERAL LIABILITY 2026553005 04/23/06 04/23/07 PREMISES (Ea occurence) $ 1,000,000 I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 10,000 PERSONAL & ADV INJURY $ 100,000 - $2,000,000 GENERAL AGGREGATE - GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2,000,000 I n PRO- nLOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 - B X ANY AUTO B2049532422 04/23/06 04/23/07 (Ea accident) - ALL OWNED AUTOS BODILY INJURY - (Per person) $ SCHEDULED AUTOS - ~ HIRED AUTOS BODILY INJURY (Per accident) $ X NON-OWNED AUTOS - - PROPERTY DAMAGE $ I (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ =1 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESSlUMBRELLA LIABILITY EACH OCCURRENCE $ o OCCUR o CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X I TORY LIMITS I IUE~- C EMPLOYERS' LIABILITY WENOO0323101 09/01/06 09/01/07 E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE -- OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under E. L. DISEASE - POLICY LIMIT $1,000,000 SPECIAL PROVISIONS below OTHER .. ~'T'\(""\T"'I'T"C""t"'~"'''''~~T ,. T"''O T'\T,Tt:"T"1 .-,01 0 ~ ".., ,,.,,, '"r "..",.,,,,,,.., T'I"''''U "V'''roTT 1 """ """ I I I I I AGGREGATE 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS J VEHICLES J EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *10 Day Notice of Cancellation Due to Non-payment of Premium CERTIFICATE HOLDER CITYOF3 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Ci ty of Ashaland City Hall 20 E. Main Street Ashland OR 97520 ~ @)ACORDCORPORATION 1988 ACORD 25 (2001/08)