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Home My WebLink AboutInsurance Certificate: LTM Inc PRODUCER Marsh USA Inc. 333 South 7th Street, Suite 1600 Minneapolis, MN 55402-2400 Attn: contract.reviewCSS@marsh.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE 43750-L TM-GAWX-08-09 COMPANY A LIBERTY MUTUAL FIRE INS. CO. INSURED L TM INCORPORATED PO BOX 1145 MEDFORD, OR 97591 COMPANY C LIBERTY INSURANCE CORPORATION COMPANY B ASSOCIATED ELECTRIC & GAS INSURANCE SERVICES LTD. COMPANY D .'COVSAAGEs ThiS6ertifreate.s!if:ierliE!f:lesa@repl<:lces.any.previoi.ls'Y..issued.certifica.te.fOftne..policypenDdl'll)t$di)eloW, THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DDIYY) DATE (MM/DDIYY) A GENERAL LIABILITY TB2641 005097-048 01/01/08 01/., GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY I I $ X PRODUCTS - COM PlOP AGG CLAIMS MADE [K] OCCUR I PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ $ $ A I AS2 641005097-058 101/01/08 01/01/09 COMBINED SINGLE LIMIT $ X ANY AUTO 1 ALL OWNED AUTOS I BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ B EXCESS LIABILITY iX0259A1A08 101/01/08 01/01/09 EACH OCCURRENCE $ UMBRELLA FORM I AGGREGATE $ X OTHER THAN UMBRELLA FORM $ C WORKERS COMPENSATION AND WC7-641-005097-028 (Guar. Cost) 101/01/08 01/01/09 X 0 EMPLOYERS' LIABILITY ER C WA7-64D-005097-018 (AOS) 101/01/08 01/01/09 $ C THE PROPRIETORI X INCL WC7-641-005097-038 (OR,WI) ,01/01/08 01/01/09 EL DISEASE-POLlCY LIMIT $ PARTNERs/EXECUTIVE a<:CL Includes "Stop-Gap" I E::L DIS"ASE-EACH EMPLOYEE $ OFFICERS ARE: WORKERS COMPENSATION IS EXCLUDED FROM ADDITIONAL INSURED WORDING DESCRIPTION OF OPERATlONS/LOCATIONSIVEHICLESlSPECIAL ITEMS RE: 2004 MISCELLANEOUS CONCRETE PROJECT NO.20Q4-Q4 (L TM JOB #1661103) CITY OF ASHLAND IS/ARE INCLUDED AS ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT. 2,000,000 2,000,000 1,000,000 1,000,000 500,000 10,000 1,000,000 5,000,000 5,000,000 1 ,000,000 1,000,000 1,000,000 CITY OF ASHLAND ATTN: JAMES H. OLSON, PROJECT MGR 20 E. MAIN STREET ASHLAND, OR 97520 SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL E~ MAIL --30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR L1ABIUTY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS CERTIFICATE. ---.....!- -.-- - --------~----------,...~-------.-.- --.--- ~7Nl1~RSH.. ~ i I~Fle,6; ........ ..>-~ ....................,~CE> .. i.' 1/ .......-// CERTIFICATE NUMBER ............>i__ ......... ........ CHI-001208954-12 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Marsh USA Inc, NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE 333 South 7th Street, Suite 1600 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE Minneapolis, MN 55402-2400 AFFORDED BY THE POUCIES DESCRIBED HEREIN. Alln: contract.reviewCSS@marsh.com I COMPANIES AFFORDING COVERAGE COMPANY U43750-L TM-GAWX-OB-09 A LIBERTY MUTUAL FIRE INS. CO. INSURED COMPANY LTMINCORPORATED B ASSOCIATED ELECTRIC & GAS INSURANCE SERVICES LTD. PO BOX 1145 MEDFORD, OR 97591 COMPANY C LIBERTY INSURANCE CORPORATION I COMPANY D (:OVISRAGE$ 1'his.certirlCate$Llper$edesahd.replace$ailypte\liQusly.jsSUed.certificlll~fotthl!..poUCWI>E!I'il>tl.l'll)tl!d~ell>'I(.<... . THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I I CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DDIYY) DATE (MM/DDIYY) A GENERAL UABlLlTY TB2641 005097-048 01/01/08 01/01/09 GENERAL AGGREGATE $ 2,000,000 - X COMMERCIAL GENERAL LIABILITY I PRODUCTS - COMP/OP AGG $ 2,000,000 / I CLAIMS MADE [K] OCCUR PERSONAL & ADV INJURY $ 1,000,000 I--- OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 X PER PROJECT I FIRE DAMAGE (Anyone fire) $ 500,000 l6.GGREGATE MED EXP (Anyone person\ $ 10,000 A A1JTOMOBlLE LIABIUTY AS2 641005097-058 01/01/08 01/01/09 $ 1,000,000 - COMBINED SINGLE LIMIT X ANY AUTO - - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS I (Per person) - X HIRED AUTOS BODILY INJURY - $ X (Per accident) c----- NON-OWNED AUTOS I-- PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ I-- <>< I-- ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ I-- AGGREGATE $ B EXCESS LIABILITY X0259A 1 A08 01/01/08 01/01/09 EACH OCCURRENCE $ 5,000,000 ~ UMBRELLA FORM AGGREGATE $ 5,000,000 X OTHER THAN UMBRelLA FORM $ C WORKERS COMPENSATION AND WC7-641-OO5097-028 (Guar. Cost) 101/01/08 01/01/09 X I T~~~LtJI~S I I-FR ..... > I EMPLOYERS' LIABILITY ............................ C WA7-64D-005097-018 (AOS) 101/01/08 01/01/09 EL EACH ACCIDENT $ 1,000,000 C THE PROPRIETOR! ~INCL WC7-641-005097-038 (OR,WI) 01/01/08 01/01/09 EL DISEASE-POLlCY LIMIT $ 1,000,000 PARTNERs/EXECUTIVE Includes .Stop-Gap. I 1- 1,000,000 OFFICERS ARE: I 1 EXCL I EL DISEASE-EACH EMPLOYEE $ OTHER WORKERS COMPENSATION IS EXCLUDED FROM ADDITIONAL INSURED WORDING DESCRIPTION OF OPERATIONS/LOCATlONSIVEHICLESlSPECIAL ITEMS RE: CITY OF ASHLAND 2004 STREET IMPROVEMENT PROJECT NO. 04-05 (L TM #04371). CITY OF ASHLAND, ITS EMPLOYEES AND ASSIGNS IS INCLUDED AS ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT. ....... <---- ... ..... ....... ......... """"27"--' SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE INSURER AFFORDING COVERAGE V\1LL E~ MAIL ---3fl DAYS WRITTEN NOTICE TO THE CITY OF ASHLAND CERTIFICATE HOLDER NAMED HEREIN. ATTN: JIM OLSON 20 E. MAIN STREET E ASHLAND, OR 97520 MARSH USA INC. .- DeeAnn Hovorka ~~ 11~ - .. L~El&t;\J '= lFH BY: lmmIi i ------ </...... i ....... VAIJD -:: >i ......<... PRODUCER Marsh USA Inc. 333 South 7th Street, Suite 1600 Minneapolis, MN 55402-2400 Attn: contract.reviewCSS@marsh.com CERTIFICATE NUMBER CHI-001204982-13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. COMPANIES AFFORDING COVERAGE 43750-L TM-GAWX-08-09 COMPANY A LIBERTY MUTUAL FIRE INS. CO. INSURED L TM INCORPORATED PO BOX 1145 MEDFORD, OR 97591 COMPANY B ASSOCIATED ELECTRIC & GAS INSURANCE SERVICES LTD. COMPANY C LIBERTY INSURANCE CORPORATION COMPANY D .,-"...........-----------------..--...---- .--....'.........--------.------.---.................---..---,._,-",..,-... -,. ~()"lSRAGES ,.tii$.eei'tjf"i(itesup.rsedesl!nd.tepla~s.any.previousIY.i$$UE!d.certificale.for.the..policy..perio<l.t1l)t~bel~W, THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MMIDDIYY) DATE (MM/DDIYY) A GENERAL LIABILITY TB2641 005097-048 01/01/08 01/01/09 GENERAL AGGREGATE $ 2,000,000 COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 2,000,000 CLAIMS MADE [8] OCCUR PERSONAL & ADV INJURY $ 1,000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 $ 500,000 $ 10,000 A AS2 641005097-058 01/01/08 01/01/09 COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ B EXCESS LIABILITY X0259A1A08 01/01/08 01/01/09 EACH OCCURRENCE $ 5,000,000 UMBRELLA FORM AGGREGATE $ 5,000,000 X OTHER THAN UMBRELLA FORM $ C WORKERS COMPENSATION AND WC7-641-005097-028 (Guar. Cost) 01/01/08 01/01/09 X EMPLOYERS' LIABILITY C WA7-64D-005097-018 (AOS) 101/01/08 01/01/09 1,000,000 C THE PROPRIETORI [8J INCL WC7-641-005097-038 (OR,WI) 01/01/09 EL DISEASE-POLICY LIMIT 1,000,000 PARTNERS/EXECUTIVE ,01/01/08 OFFICERS ARE: I EXCL Includes "Stop~Gap. EL DISEASE-EACH EMPLOYEE' $ 1,000,000 WORKERS COMPENSATION IS EXCLUDED FROM ADDITIONAL INSURED WORDING DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlSPECIAL ITEMS RE: ASHLAND MUNICIPAL AIRPORT AlP PROJECT NO. 3-41-0002-06 (L TM JOB #04341). CITY OF ASHLAND AND THE FEDERAL AVIATION ADMINISTRATION ARE INCLUDED AS ADDITIONAL INSUREDS AS REQUIRED BY WRITTEN CONTRACT. CITY OF ASHLAND ATTN: JIM POLSON 20 E. MAIN STREET ASHLAND, OR 97520 SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE INSURER AFFORDING COVERAGE WLL E~ MAIL -3Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN. E MARSH USA INC. BY: DeeAnn Hovorka Ck a....... 1-1 ~ CITY RECORDER