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ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
06/19/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Kibble & Prentice, a USI Company ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
601 Union Street, Suite 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Seattle, W A 98101
206441-6300 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Hartford Casualty Insurance Company 29424
SERA Architects, Inc. (Ares Investment) INSURER B: Lexington Insurance Company 19437
338 NW Fifth Avenue, Suite 100 INSURER C Hartford Underwriters Insurance Comp 30104
Portland, OR 97209 INSURER D.
INSURER E
Client#: 19747
SERAARC
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~i: ~~~~ TYPE OF INSURANCE POLICY NUMBER PJ''}+~~~~J~~I~)E P~~fJ (~~~?~6"~I~N LIMITS
A GENERAL LIABILITY 52SBAPQ9969 10/01/06 10/01107 EACH OCCURRENCE $1.000.000
- ~~~~~H9E~~~J~?pnre\
COMMERCIAL GENERAL LIABILITY $1 000.000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $10000
1L Business liability PERSONAL & ADV INJURY $1 000,000
GENERAL AGGREGATE $2.000.000
I--
GEN'L AGGRE~E LIMIT APPLIES PE:R: PRODUCTS - COMP/OP AGG $2 000,000
I X PRO- n
POLICY JECT LOC
C ~TOMOBILE LIABILITY 52UECUM6222 10/01/06 10/01/07 COMBINED SINGLE LIMIT
X ANY AUTO (Ea accident) $1,000,000
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
1L HIRED AUTOS BODILY INJURY
$
X 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 $
~ESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
rl DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I T~~N~~s I IOJ!;l-
EMPLOYERS' LIABILITY EL EACH ACCIDENT $
I\NY PROPR!ETOR1PARTNERIFX'OCUTIVF
OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $
If yes, describe under EL DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
B OTHER Professional 1156820 06/15/07 06/15/08 $3,000,000 per claim
liability $5,000,000 annl aggr.
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Re: Project No. 982171, Ashland Public library.
As required by written contract the Certificate Holder is named as an
additional insured and coverage is primary and non-contributory per the
Business liability Coverage form SS0008, attached to the policy. Those
usual to the Insureds Operations.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Ashland DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .....A5- DAYS WRITTEN
Attn: Kathy Griffin NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
20 E Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Ashland, OR 97520 REPRESENTATIVES.
AUTHORIZE~EPRESENT A TIVE
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ACORD 25 (2001/08) 1 of 2
#M219328
6MOJU
@ ACORD CORPORATION 1988