HomeMy WebLinkAboutInsurance Certificate: Applied Geotechnical Engineering
~ Cor"i,')~ CERTIFICATE OF LIABILITY INSURANCE OP ID D~ DATE (MM/DD/YYYY)
APPLI-1 03/18/08
PRODUCER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Jim & Bob Clark Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
620 S.W. 6th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Grants Pass OR 97526
Phone: 476-7715 INSURERS AFFORDING COVERAGE NAIC#
~- n______ ____
INSURED INSURER A: OREGON AUTOMOBILE INS.CO.
>-------
INSURER B:
Applied Geotechnical Engineer- INSURER C:
ini & Geologic Consulting LLC ,-
90 ~stic rive INSURER D:
Grants Pass OR 97527 ,-, , -
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,
PJI~~iJ~fJ~~E PQLlcr(fXPIRA T~N --
LTR NSRd TYPE OF INSURANCE POLICY NUMBER DATE MMIDDIYY LIMITS
! GENERAL LIABILITY EACH OCCURRENCE $1,000,000.
A ffiMERCIAL GENERAL LIABILITY I C03 16-32-15 05/01/07 05/01/08 P~EMISEs (E~~~~~~nce) $100,000.
CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $5,000. -
~J I PERSONAL & ADV INJURY $1,000,09~
:J GENERAL AGGREGATE $ 2,000, OOC>-"_
GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2,000,000.
Ii .nPRO- n
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $
ANY AUTO (Ea accident)
- --
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
- --~- ----
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS (Per accident)
e-- -------
f--- PROPERTY DAMAGE $
(Per accident)
\ GARAGE LIABILITY I AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
--- --
AUTO ONLY: AGG $
I EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
:=J OCCUR D CLAIMS MADE -..----
AGGREGATE $
-----
$
-------
I ==l DEDUCTIBLE $
---
RETENTION $ I $
WORKERS COMPENSATION AND I I TO~v"~I~:i'S I IOTH-
ER
EMPLOYERS' LIABILITY ~:!:::.~~Ii _A~~.IDION_T ___J$_ --
ANY PROPRIETOR/PARTNER/EXECUTIVE ,-, --..-._--
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE! $
If yes, describe under E.L. DISEASE - POLICY LIMIT I $-----
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Engineering
f'~ l'" i""\ n f) r: p
C \,."A,; .-~ ! L-. :.
,/'0 ~
,
v
CERTIFICATE HOLDER
CANCELLATION
CITY OF ASHLAND
20 E MAIN ST
ASHLAND OR 97520
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 DO SO SHALL
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@ACORDCORPORATION 1988
ACORD 25 (2001/08)