HomeMy WebLinkAboutInsurance Certificate: Osmose Utilities
ACOBCt CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY)
12/18/2007
PRODUCER (716)819-5500 FAX (716)819-5140 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
First Niagara Risk Management, Inc ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
726 Exchange Street, Suite 900 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Buffalo, NY 14210
INSURERS AFFORDING COVERAGE NAlC#
INSURED Osmose Util ities Services Inc INSURER A: Arch Insurance Company 11150
980 Ellicott Street INSURER B:
Buffalo, NY 14209-2323 INSURER C:
INSURER D:
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.
I~~: ~~~~ TYPE OF INSURANCE POLICY NUMBER P~.&~Y EFFECTIVE P2Y~J EXPIRATION
GENERAL LIABILITY 31GPP4928202 01/01/2008 01/01/2009 EACH OCCURRENCE
X COMMERCIAL GENERAL LIABILITY DAMAGE T9~~E~~~~_ ._\
= =:J CLAIMS MADE 00 OCCUR
LIMITS
A
~
-
GEN'l AGGREGATE LIMIT APPLIES PER:
I n PRO- nlOC
POLICY JECT
AUTOMOBILE LIABILITY
X ANY AUTO
-
All OWNED AUTOS
-
A SCHEDULED AUTOS
-
X HIRED AUTOS
~
X NON-DWNED AUTOS
~
-
GARAGE LIABILITY
==1 ANY AUTO
EXCESSIUMBRELLA LIABILITY
[K] OCCUR D CLAIMS MADE
A
$
$
$
$
$
PRODUCTS - COMP/OP AGG $
MED EXP (Anyone person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
31CAB4928302 01/01/2008
01/01/2009
COMBINED SINGLE LIMIT
(Ea accident)
BODilY INJURY
(Per person)
BODilY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
AUTO ONLY - EA ACCIDENT $
$
$
$
$
$
$
$
EA ACC
OTHER THAN
AUTO ONLY:
AGG
01/01/2009
UlP002414600 01/01/2008
EACH OCCURRENCE
AGGREGATE
n DEDUCTIBLE
rxl RETENTION $ 10,000
WORKERS COMPENSA nON AND
EMPLOYERS-UABlUTY
A ~~I~~~~~1~~~~I~5~gECUTIVE
If yes, describe under
SPECIAL PROVISIONS below
OTHER
31WCI4928502 01/01/2008
01/01/2009 X I ~~~T~JIU~ I IOJ~-
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.l. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERA nONS I LOCA liONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
:onfirmation of coverage
2,000,000
50,000
5,000
2,000,000
5,000,000
4,000,000
$
2,000,000
$
$
$
5,000,000
5,000,000
1,000,000
1,000,000
1,000,000
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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
City of Ashland
20 East Main Street
Ashland, OR 97520
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
/4I/1tkA-
Gerard Wenzke JEllCO
@ACORD CORPORATION 1988
ACORD 25 (2001108)