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Home My WebLink AboutDay Wireless Systems ACOB!t CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY) 06/27/2006 PRODUCER (503)224-5170 FAX (503)221-0540 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Durham and Bates Agencies Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 720 SW Washington HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 250 Portland, OR 97205-3554 INSURERS AFFORDING COVERAGE NAIC# INSURED Day Management Corporation INSURER A: Atlantic Specialty Ins. Co. DBA: Day Wireless Systems INSURER B: 4700 SE International Way INSURER c: Milwaukie, OR 97222 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~: ~'?,~~ TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL UABILlTY 711008458-0000 07/01/2006 07/01/2007 EACH OCCURRENCE $ I,OOO,OO( f-- X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ I,OOO,OO( f-- I CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ 10,00( A PERSONAL & ADV INJURY $ I,OOO,OO(] r-- 2 ,000 , OO(] GENERAL AGGREGATE $ f-- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $ 2 ,000 , OO(] 11 POLICY n ~rc?i [Xl LOC AUTOMOBILE LIABILITY 711008458-0000 07/01/2006 07/01/2007 COMBINED SINGLE LIMIT rx (Ea accident) $ I,OOO,OO( ANY AUTO r-- ALL OWNED AUTOS BODILY INJURY f-- $ SCHEDULED AUTOS (Per person) A I--- HIRED AUTOS BODILY INJURY I-- $ NON-OWNED AUTOS (Per accident) - - PROPERTY DAMAGE $ (Per accident) GARAGE UABILlTY 711008458-0000 07/01/2006 07/01/2007 AUTO ONLY - EA ACCIDENT $ 250,000 A ~ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY 711008458-0000 07/01/2006 08/01/2006 EACH OCCURRENCE $ 9,OOO,OO(] ~ OCCUR D CLAIMS MADE AGGREGATE $ 9,OOO,OO(] A $ ~ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I T~~~Tf'JI~~ I IOJ~- EMPLOYERS' UABILlTY E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE $ OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER tftESCRIPTlON OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS HE CITY OF ASHLAND, ITS OFFICERS , EMPLOYEES AND AGENTS SHALL BE NAMED AS ADDITIONAL INSURED SUBJECT ~O THE TERMS, CONDITIONS AND EXCLUSIONS OF THE POLICY. T CITY OF ASHLAND CITY HALL 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 ;F- David Hearns LDH ACORD 25 (2001108) @ACORD CORPORATION 1988 ---"~----r--'---' .... ACOBQM CERTIFICATE OF LIABILITY INSURANCE - PRODUCER (503)241-9221 FAX (503)221-0540 Durham and Bates Agencies Inc 720 SW Washington Suite 250 Portland, OR 97205-3554 INSURED Day Management Corporation DBA: Day Wireless Systems 4700 SE International Way Milwaukie, OR 97222 08/01/2006 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOr AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: Atlantic Specialty Ins. CO. INSURER B: Navi gators Insurance COlTpany INSURER c: INSURER D: INSURER E: NAIC# 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 DO' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 711008458-0000 07/01/2006 07/01/2007 EACH OCCURRENCE $ 1,000,00(] I-- X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1,000,00(] -: -' CLAIMS MADE [K] OCCUR MED EXP (Any onl~ person) $ 10,000 A X $IMM Umbrella PERSONAL & ADIIINJURY $ 1,000,000 - GENERAL AGGREGATE $ 2,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 n D PRO- [XlLOC POLICY JECT AUTOMOBILE LIABILITY 711008458-0000 07/01/2006 07/01/2007 COMBINED SINGLE LIMIT X (Ea accident) $ 1,000,00(] ANY AUTO I--- ALL OWNED AUTOS BODILY INJURY I--- (Per person) $ SCHEDULED AUTOS A I-- HIRED AUTOS BODILY INJURY I--- (Per accident) $ NON-OWNED AUTOS - - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY SF06EXCl61165NV 08/01/2006 07/01/2007 EACH OCCURRENCE $ 8,000,000 m OCCUR D CLAIMS MADE AGGREGATE $ 8,000,000 B $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I T~~,JT~JN~.I IOJ~- EMPLOYERS' LIABILITY E.L. EACH ACCIDI::NT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OF~ICERlMEIABER EXCLUDED? E.l. DISEASE - Ell :::r,:PLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER 711008458-0000 07/01/2006 07/01/2007 $250,000 Comp - $500 Oed. A LJaragekeepers $250,000 Collision - $500 Oed. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS HE CITY OF ASHLAND, ITS OFFICERS , EMPLOYEES AND AGENTS SHALL BE NAMED AS ADDITIONAL INSURED SUBJECT o THE TERMS, CONDITIONS AND EXCLUSIONS OF THE POLICY. CITY OF ASHLAND CITY HALL 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 CERTIFICATI, HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE I~O OBLIGATION OR LIABILITY OF AlW KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE c~ Joanna Brown JCB ACORD 25 (2001/08) @ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY) TM 05/03/2007 PRODUCER (503)241-9221 FAX (503)221-0540 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Durham and Bates Agencies Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 720 SW Washington HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 250 Portland, OR 97205-3554 INSURERS AFFORDING COVERAGE NAIC# INSURED Day Management Corporation INSURER A: Atlantic Specialty Ins. Co. DBA: Day Wireless Systems INSURER B: Navigators Insurance Company 4700 SE International Way INSURER c: Milwaukie, OR 97222 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~~~ ~~~~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 711008458-0000 07/01/2006 07/01/2007 EACH OCCURRENCE $ 1,000,000 - X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ l,OOO,OO( I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 10,000 ^ X $lMM Umbrella PERSONAL & ADV INJURY $ 1,000,000 1"\ - GENERAL AGGREGATE $ 2,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 I POLICY n j~8T rxl LOC AUTOMOBILE LIABILITY 711008458-0000 07/01/2006 07/01/2007 COMBINED SINGLE LIMIT - $ X ANY AUTO (Ea accident) 1,000,000 - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) A - HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS (Per accident) - - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ =1 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESS/UMBRELLA LIABILITY SF06EXCl61165NV 08/01/2006 07/01/2007 EACH OCCURRENCE $ 8,000,00( ~ OCCUR D CLAIMS MADE AGGREGATE $ 8,000,000 B $ =1 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 711008458-0000 07/01/2006 07/01/2007 I WC STATU- I IO.J~- EMPLOYERS' LIABILITY WASHINGTON STOP GAP 500,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? EMPLOYERS LIABILITY E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 500,000 SPECIAL PROVISIONS below OTHER 711008458-0000 07/01/2006 07/01/2007 $250,000 Comp - $500 Ded. A ~aragekeepers $250,000 Collision - $500 Ded. ~ESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS HE CITY OF ASHLAND, OREGON, AND ITS ELECTED OFFICIALS, OFFICERS AND EMPLOYEES ARE NAMED AS ADDITONAL ~NSUREDS ON THE GENERAL LIABILITY INSURANCE PER FORM VCG211 (10/98) ATTACHED, BUT ONLY WITH RESPECT TO ~ONTRACTORS SERVICES TO BE PROVIDE UNDER THIS CONTRACT, SUBJECT TO POLICY TERMS, CONDITIONS AND XCLUSIONS .*10 DAY NOC FOR NON-PAYMENT OF PREMIUM. ~EPLACES PREVIOUS CERTIFICATE DATE 8/01/06. ERTIFICATE H LDER CITY OF ASH LAND 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 MAlL 30'" 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 ~ Joanna Brown/MJK ACORD 25 (2001/08) @ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSUREDS BY CONTRACT, AGREEMENT OR PERMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The WHO IS AN INSURED section is amended to include as an insured any person or organization with whom you agreed in a written contract, written agreement or permit to provide insurance such as is afforded under this Coverage Part, but only with respect to your operations, "your work" or facilities owned or used by you. This provision does not apply: 1. Unless the written contract, agreement or permit has an effective date and has been issued prior to the "bodily injury", "property damage", "personal and advertising injury" or "personal injury" or "advertising injury" (whichever definitions are used in your policy); 2. To any person or organization included as an insured under the Additional Insured - Broad Form Vendors provision of this endorsement; 3. To any person or organization included as an insured by an endorsement issued by us and made part of this Coverage Part; 4. To any lessor of equipment; a. After the equipment lease expires; or b. If the "bodily injury", "property damage", "personal and advertising injury" or "personal injury" or "advertising injury" (whichever definitions are used in your policy), arises out of the sole negligence of the lessor; 5. To any person or organization if the "bodily injury", "property damage", "personal and advertising injury" or "personal injury" or "advertising injury" (whichever definitions are used in your policy), arises out of the rendering of or failure to render professional services by or for you; 6. To any: a. Owners or other interests from whom land has been leased; or b. Managers or lessors of premises if: (1) The "occurrence" takes place after you cease to be a tenant in that premises; or (2) The "bodily injury", "property damage", "personal and advertising injury" or "personal injury" or "advertising injury" (whichever definitions are used in your policy), arises out of structural alterations, new construction or demolition operations performed by or on behalf of the owners or other interests from whom land has been leased. VCG 21110 98 Includes copyrighted material of Insurance Services Office, Inc. Copyright 1998, Atlantic Specialty Insurance Company INSURED Page 1 of 1