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HomeMy WebLinkAboutMarquess & Assoc. ACORD,. CERTIFICATE OF LIABILITY INSURANCE ~b~D S~ DATE (MM/DDfYYVY) MAR U-1 01/11/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Protectors Insurance, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Pilot Rock Ins Agency LLC (CA) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 4669 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Medford OR 97501 Phone:541-773-5358 Fax:541-772-1906 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A SAIF Corporation INSURER B: Marvland Casualty Company Mar~ess & Associates Inc INSURER C: PO ox 490 INSURER 0: l-lI.":,; ( "' C 1\/l""":'n Medford OR 97501 INSURER E: . 'If! Ii..~"',., COVERAGES .IAN 11l ?nn7 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 ISSU~ MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITION U HUNTS PA VAtJ. POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ); NsRi POLICY NUMBER i>OIJ~ir~fFEYJ,!XE PIRA~!gN LIMITS LTR TYPE OF INSURANCE DATE MM/DDfYY DATE' fMMlDDNY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 f--- B ~ COMMERCIAL GENERAL LIABILITY PAS00487480 01/03/07 01/03/08 PREMISES (Ea occurence) $1,000,000 h CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $10,000 PERSONAL & ADV INJURY $1,000,000 - ~ See Other GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 I nPRO- n POLICY JECT LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 B ~ ANY AUTO PAS00487480 01/03/07 01/03/08 (Ea accident) ALL OWNED AUTOS BODILY INJURY - (Per person) $ SCHEDULED AUTOS - 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 EACH OCCURRENCE $1,000,000 B ~ OCCUR D CLAIMS MADE PAS00487480 01/03/07 01/03/08 AGGREGATE $1,000,000 $ Fx=l DEDUCTIBLE $ X RETENTION no 000 $ WORKERS COMPENSATION AND I TORY L1Mtn3 I IUER- A EMPLOYERS' LIABILITY 913785 01/01/07 01/01/08 E.L. EACH ACCIDENT $ 1000000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1000000 ~~EM.tSp~ov~~1o~s below E.L. DISEASE - POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Water Street Bridge Project C\TY RECORDER'S COpy CERTIFICATE HOLDER CANCELLATION CITYAS2 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Ashl~nd 20 E. Main Street Ashland OR 97520 ACORD 25 (2001/08) @ACORD CORPORATION 1988 '-IT' ACORD~ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYV) MAR U-l 01 11 07 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 Protectors Insurance, LLC Pilot Rock Ins Agency LLC (CA) PO Box 4669 Medford OR 97501 Phone:541-773-5358 Fax:541-772-1906 INSURED Marquess & Associates Inc PO Box 490 Medford OR 97501 INSURERS AFFORDING COVERAGE INSURER A: SAIF Co oration INSURER B: Ma land Casual t 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 CONDIT10N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSU~e:GOU NTS PAV'-C, MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITION . .. .". POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRC POLICY NUMBER P_qLJ!:1Y.~fFEg~E P!:?~LC_Y.!':.~PIRAT~~N LIMITS TYPE OF INSURANCE DATE iMM/DDIYY DATE' (MM/DDIYY GENERAL LIABILITY EACH OCCURRENCE $1,000,000 - B X X COMMERCIAL GENERAL LIABILITY PAS00487480 01/03/07 01/03/08 PREMISES (E~~~~~r~nce) $1,000,000 - ~ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10,000 PERSONAL & ADV INJURY $1,000,000 r-- X See Other GENERAL AGGREGATE $ 2,000,000 f-- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 n n PRO- nLOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 f-- B -.!.. ANY AUTO PAS00487480 01/03/07 01/03/08 (Ea accident) ALL OWNED AUTOS BODILY INJURY - (Per person) $ SCHEDULED AUTOS - 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 EACH OCCURRENCE $1,000,000 B !J OCCUR D CLAIMS MADE PAS00487480 01/03/07 01/03/08 AGGREGATE $1,000,000 $ -a DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND I TORY LIMITS I IUJ~- A EMPLOYERS' LIABILITY 913785 01/01/07 01/01/08 E.L. EACH ACCIDENT $ 1000000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1000000 ~~EM.i.spW(M~~~~s below E.L. DISEASE - POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS STREET IMPROVEMENT PROJECT # 2005-34 CERTIFICATE HOLDER CANCELLATION City of Ashland 20 E. Main Street Ashland OR 97520 CITYAS2 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001/08) @)ACORD CORPORATION 1988 ----...- ~