HomeMy WebLinkAboutInsurance Certificate: Zucker Systems
ACORDN CERTIFICATE OF LIABILITY INSURANCE OP ID S~ DATE (MM/DDIYYYY)
ZUCKE-1 03/24/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Kettering-Rose Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3545 Camino Del Rio S. , Ste. A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
San Diego CA 92108
Phone: 619-291-7777 Fax: 619-291-7776 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A Hartford Casualty Ins. CO.
INSURER B p & C Insurance Co of Hartford
Zucker Systems INSURER C Endurance Workers Camp Ins Co. 11551
1545 Hotel Circle South, #300 INSURER o' Philadelphia Ins. Co.
San Diego CA 92108
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.
LTR NSR[ TYPE OF INSURANCE POLICY NUMBER DATE lMM/Dorm' I "8hE IMM/DDIYYi" LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
- PREM~~S (E~~~~~~nce)
A X COMMERCIAL GENERAL LIABILITY 72SBATU3227 04/23/07 04/23/08 $ 300,000
! CLAIMS MADE ~ OCCUR r,IED EXP (Any on& person) $ 10,000
PERSONAL & AOV INJURY $ 1,000,000
-
GENERAL AGGREGATE $ 2,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000
Ii .nPRO- n
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
I--
B ANY AUTO 72UECVZ4638 04/23/07 04/23/08 (Ea accident)
I--
All OWNED AUTOS BODILY INJURY
I-- $
X SCHEDULED AUTOS (Per person)
I--
X HIRED AUTOS BODILY INJURY
I-- $
~ NON-OWNED AUTOS (Per accident)
I-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND ~ a_ IOTH-
TORX.bIMlD? ER
C EMPLOYERS' LIABILITY WENOO0323102 09/01/07 09/01/08 E.L EACH ACCIDENT $ 1000000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? EL. DISEASE - EA EMPLOYEE $ 1000000
If yes, describe under EL. DISEASE - POLICY LIMIT $ 1000000
SPECIAL PROVISIONS below
OTHER
D Professional Liab PHSD316094 03/20/08 03/20/09 Aggregate 1000000
Per Claim 1000000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
*10 days notice of cancellation for non-payment of premium.
CERTIFICATE HOLDER
CANCELLATION
ACORD 25 (2001/08)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL 30 * DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZE REPRESENTATIVE ~
@ACORDCORPORATION 1988
CITYOF3
Ci ty of Ashaland
City Hall
20 E. Main Street
Ashland OR 97520