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Home My WebLink AboutValley View Transfer Station ACORDTM CERTIFICATE OF LIABILITY INSURANCE ) DATE (MMIDDIYY) 09/05/2006 ~\, "UCER (533)692-1520 FAX (503)692-1299 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION KBI Insurance, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 888 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 18660 S.W. Boones Ferry Rd. Tualatin, OR 97062 INSURERS AFFORDING COVERAGE INSURED Ashland Sanitary & Recycling Service INSURER A: STONINGTON INSURANCE COMPANY Valley View landfill, Inc. dba: Valley View INSURER B: Transfer Station INSURER C: 170 Oak St INSURER D: As~land, OR 97520 INSURER E: 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: TYPE OF INSURANCE POLICY NUMBER P~k}~~~~~g;Wf GENERAL LIABILITY I)WSP0008675-02 09/07/2006 X COMMERCIAL GENERAL LIABILITY J CLAIMS MADE 0 OCCUR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOS~ OBLIGATION OR LIABILITY OF ANY KIND UPON TH~ !IIPAjlY, IJlilllltElllTS~EP&ESENTATIVES. AUTHORIZED REPRESE ~, t6~ ~ ( !LJ' ;~ v COVERAGES Pg~!fI{~~:t~N 09/07/2007 EACH OCCURRENCE $ $ $ $ $ PRODUCTS - COMP/OP AGG $ FIRE DAMAGE (Anyone fire) A MED EXP (Anyone person) - PERSONAL & ADV INJURY - GEN'L AGGREGATE LIMIT APPLIES PER: ----, r---l PRO- n I POLICY I I JECT LOC AUTOMOBILE LIABILITY ~ X ANY AUTO - GENERAL AGGREGATE ::>WSP0008675-02 09/07/2006 09/07/2007 COMBINED SINGLE LIMIT (Ea accident) - ALL OWNED AUTOS A- SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per person) t- BODILY INJURY (Per accident) t-- I--- NON-OWNED AUTOS PROPERTY DAMAGE (Per accident) GARAGE LIABILITY R ANY AUTO EXCESS LIABILITY :!J OCCUR 0 CLAIMS MADE ::>WSU0008676-02 A AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY' 09/07/2007 EACH OCCURRENCE AGGREGATE 09/07/2006 n DEDUCTIBLE rx1 RETENTION $ 10, OOC WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I TO'R~ L~M~S I IOJ~- EL. EACH ACCIDENT $ EL. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS E: ASHLAND RECYCLING CENTER ~EE ATTACHED ENDORSEMENT CG20-10 CERTIFICATE HOLDER I X I ADDITIONAL INSURED: INllllRFR LETTER: A t1!::L-=~Vt:U SEP 0 8 2006 CANCELLATION CITY OF ASHLAND 20 E MAIN ST ASHLAND, OR 97520 ACCOUNTS PAYABLE ACORD 25-5 (7/97) LIMITS EA ACC $ AGG $ $ $ $ $ $ 1,000,00C 100,00C 1O,00C 1,000,000 2,000,000 2,000,000 $ 1,000,000 $ $ $ 1,000,000 1,000,000 @ACORD CORPORATION 1988 POLICY NUMBER SWSP0008675-02 COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: CITY OF ASHLAND 20 E MAIN ST ASHLAND, OR 97520 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II - Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than Service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another con-tractor or subcontractor engaged in performing operations for a principal as a part of the same project. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to "bodily in- jury" or "property damage" occurring after: CG 20 10 1001 @ ISO Properties, Inc., 2000 Page 1 of 1 APR-24-07 rUE 01:20 PM KBI INS p, 01 PRODUCER 503)692-1520 KBI Insurance, Ine P.O. Box 81& 18660 S.W. Boones Ferry Rd. Tualat1n, OR 97062 ~SURED Ash and Sanitary. Recycling Service Valley View Landfill, Inc. dba: Valley View Transfer Station 170 Oak St As land, OR 97520 CoVERAGES THE POLICIES or. INSlJRANCE llSTeo BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA Tf.D, NOTWITHSTANDING ANY r~l:QVIREMeNT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CElmflCATE w. Y BE ISSUED OR MAY PERTAIN, THE INsuRANce ArFORDEO DY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POI.ICIES, AGGREGJ\t'f LIMITS SHOWN MAY HAVE DEEN REDUCED BY PAID CLAIMS, iNtR TV'" 01' INsuRANCE I'OI.ICV NUM"" . P~LICV :',. GENERAL.L.IABllnV WSP0008675-0Z 09/07/2006 X COMMtRCIAL GeNeRAL LIABILITY . CLAIMS MAD!: m ocCUR FAX NO. ACORD,. CERTIFICA-r-: OF LIABILITY INSUP-",NCE FAX (503)692-1299 IS CERTIFICATE IS I SUED AS A MA ER OF INFORMATION ONl V AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR At TER THE COVERAGE AFFORDED BY THE POLICIES BEL.OW. DATE IIoIM/ODIVY) 09/0S/2006 INSURERS AFFORDING COVERAGE STONINCTON INSURANCE COMPANY-"' SAIF C'ORPORATION - INliUlU!R A; INSURER II: INSUR~R c: INsuAER 0' INSUReR E: tACH OCCURRENCE FIRe OAMAGIi (My ono rw.) MIO~~,~ I'ERSONAL & ArJoIlNJUt\V _.._"<r G~N~L~GGREOAlE --' PRODUCTS . CO~IOP AGO I 1,000.00 I 100 \~O I. 10 00 . .._--..h...~, 00 J---.!!.. 000,00 I 2.1000,00 09/07/Z006 09/07/2007 COMalNED SINGI E LIMIT , (fe ecQcIIlnl) !,OOO,~o FA 1I0UIL v INJURY . (PlOt p8llOnl A APR 2, 4 2007 Doell v INJURY S (Pu, acc:d4itll) PROPEHN DAMAGe (Po' occMllII\l1 EIICEII LIAllI~ITV ]] OCCUR 0 CLAlMG MADE 09/07/2006 09/07/2007 AU10 ONLY ,EAIICCIOt!N"r I .. . EAI\CC $ - .---. MOC S ,_ 1.000.00 ,!..-.-!.l 000 , 00 . Ol~~R THAN AUTO ONLY' .!tRAGf UADlLITV ANY AU' 0 ~ 9/7/u(o 07 DeSCRIPTION Of' OPEIlA11ONS/I,OCATlONSNEHICLESlEXCLUSIONS ADDeD rrt ENOOR5I!Mf:NTI&PEClA~ PROVISIONS E: ASHlAND RECYCLING CENTER EE ATTACHED ENDORSEMENT CG20-10 ~ ~ C~~ GJ ~ ~~'"' (~ (Vy" , ~5't1 - SSC).- ~017 Lf/~'l-Io? EACH OCCUI\REHCll AGGREGAJE A OTHER ~~ c=, IS/~J ~ I --.-- OIlDUCTIIILE X RI!Tt:NTION. 10 , 00 WORMERS COMPENSATION",." I:MPLOVl!ftS' LI~D1UTV t 07/01/Z006 07/01/2007 500,0~ 500".0 500 0 B CANCEL.LATION CITY OF ASHLAND 20 E MAIN ST ASHLAND, OR 97520 &IiOU~D "NV or TH~ ADOVE DUCIII8F.l'l I'OI.ICllS DE CANCELLEO IIFORE TtI_ I!XPIIlATlOII OMI: TIlERI!OF. TM; ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ 04'1'S WRITTEN NOTICE TO THE CEft1'IFICAT~ HOLDER NAM"D TO THI! UiFT, BUT FAILURe! TO MAIl SUCH NOTIC!! S"A~L IMPOSE NO OBLIGATION OR LlAlIlLlTV OF ANY 1<1"0 UPON THE COMI'AN ITa AGIIlT 0 RII'IIE AlIVU. AUT1l0IllZED REPRI!IIENTA'IlVl , ~ ACORD 25-$ (7/97) APR-24-07 TUE 01:21 PM KBI INS ~ FAX NO. r"', POLICY NUMBER SWSP0008675-02 COMMERCIAL GENERAL LIABILITY CG 20 10 1001 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Nam!L~f Person ~ Organi~a!ion: CITY OF ASHLAND 20 E MAIN 51 ASHLAND, OR 97520 (Ii no entry appears ~bove."i;'fo(mation required to complete this endorsement wUi"be shown-f,,- the Declarations as applicable to this endorsement.) A. Section 11- Who Is An Insured is amended to include as an insured the person or organization shown in the Schedute. but only with respect to liability arising out of your ongoing operations performed for that insured. (1) All work. including malerials, parts or equipment furnished in connection with such work, Of) the project (other than Service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been compleled; or (2) That portion of "your work" out of which tho injury or damage arises has been put to its intended use by any person or organization other than another con-tractor or subcontractor engaged in performing operations for a principal as a part of the same project. B. With respect to the insurance afforded to these additional insureds. the (ollowlng exclusion is added: 2. Exclusions This Insurance does not apply to "bodily in- jury" or "property damage" occurring after: CG 20101001 @ ISO Properties, Inc.. 2000 Page 1 of 1 p, 02