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HomeMy WebLinkAboutVSS Emultech ACORDN CERTIFICATE OF LIABILITY INSURANCE OP ID A9 DATE (MM/DDIYYYY) BASIC 1 03/01/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Gallagher Construction ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Services HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 580 California St., Suite 1100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. San Francisco CA 94104-1098 Phone: 800-500-7202 Fax:415-391-1882 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. Arch Insurance Company INSURER B Arch Special ty Insurance Co. -~ VSS Emultech INSURER C 7701 - 11th Street INSURER 0 White City, OR 97503 f--- 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 lNSR ~~~[ PD'l~~iJ~rJg~E P~k~EY,~~,%~~~N -- LTR TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $2,000,000 - -- A X COMMERCIAL GENERAL LIABILITY 71PKG2119402 03/01/07 03/01/08 UAMAGe I U KeN I eU $2,000,000 PREMISES (Ea occurence) ..1 CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ EXCLUDED I PERSONAL & ADV INJURY ~ 2 [000 1.QQQ..___ -- ---_._--~---------_.- - _.._-~--- c-- GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 h !xl PRO- n POLICY X JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT C------- $2,000,000 A C-:X: ANY AUTO 71PKG2119402 03/01/07 03/01/08 (Ea accident) ALL OWNED AUTOS BODILY INJURY -- $ SCHEDULED AUTOS (Per person) --- ~- .- X HIRED AUTOS BODILY INJURY -- $ :x:_ NON-OWNED AUTOS (Per accident) ~~~---- ~ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO --- OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $5,000,000 B I ~] OCCUR D CLAIMS MADE ULPOO04324-02 03/01/07 03/01/08 AGGREGATE $5,000,000 I $ c-:l DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND I TORY LIMITS I 1DJF ER EMPLOYERS' LIABILITY E.L EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE PERMISSIVELY SELF INSURED OFFICER/MEMBER EXCLUDED? CA-CERTIFICATE #2106 02/01/07 ! 02/01/08 E.L. DISEASE - EA EMPLOYEE $ If yes, describe under -.---- --~-_. --- -- --- - - ----.. .- ~_..- -- SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS * 10 day notice for nonpayment of premuim. CERTIFICA TE HOLDER CANCELLA TION CITASHL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ~MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT ~SHALL City of Ashland IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 East Main Drive Ashland OR 97520 REPRESENTATIVES. AUT~ATIVE ACORD 25 (2001/08) @ACORDCORPORATION 1988