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Home My WebLink AboutC.F. Malm Engineers C F MALM ENGINEERS LLC 5511 Sixth Avenue South Seattle, Washington 98108 Phone (206) 2700450 Fax (206) 270 0449 E-mail cfmc(alcfmalm.com November 8, 2007 Kari Olson City of Ashland 90 N. Mountain Avenue Ashland, OR 97520 Reference: Certificate of Liability Insurance Enclosed is the renewed certificate for liability insurance naming you as certificate holder. Please feel free to contact us with any questions or concerns. Regards, C F Maim Engineers LLC SERVING HYDRO CLIENTS SINCE 1985 Marion S. McCullum CITY RECORDER RG-Ccrlificate or Liahilily Insurance Novcmhcr X. 2007 Page I of 1 ACORD", CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDFYYYY) 11/08/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Kibble & Prentice, a USI Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 370 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Seattle, WA 98111 206 441-6300 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Houston Casualty Company 42374 C. F. Maim Engineers, llC. INSURER B: 5511 6th Avenue S INSURER C Seattle, WA 98108 INSURERD INSURERE Client#. 329135 CFMAL 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 DR 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 CUIIMS I~{: ~~~~ TYPE OF INSURANCE POLICY NUMBER Pc?Al}~\i~~~8~~ Pg~fJ ~;'~~N LIMITS ~NERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S I CLAIMS MADE D OCCUR MED EXP (Anyone person) $ f-- PERSONAL & ADV INJURY $ f-- GENERAL AGGREGATE $ n'L AGG~EnE ILlMIT APPlS PER PRODUCTS. COM PlOP AGG $ PRO- POLICY JECT LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Eflaccidenl) - - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - - HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Peraccidenl) - - PROPERTY DAMAGE $ (Per accident) ==i~GE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY AGe s :3~SSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR D CLAIMS MADE AGGREGATE S $ R ~EDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I _ WC STATU;, I IOJ~- EMPLOYERS' LIABILITY EL EACH ACCIDENT S ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE S If yes, describe under EL DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below A OTHER Professional HC07509301 09/30107 09/30/08 $1,000,000 per claim liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 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: Kari Olson NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, BUT FAILURE TO DO SO SHALL 90 N. Mountain Ave. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Ashland, OR 97520 REPRESENTATIVES, AUTHORIZED REPRESENTATIVE - 5~ J./-1M1-r;;... ACORD 25 (2001108) 1 of 2 #M 1804654 lKWJU @ 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 te"ms 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 25-5 (2001/08) 2 012 #M 1804654