The URL can be used to link to this page

Home My WebLink AboutInsurance Certificate: Ashland Sanitary A'CORDTJj CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDDIYY) 09/03/2008 PRODUpeR (503)692-1520 FAX (503)692-1299 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION KBI Insurance, Inc ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 888 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 18660 S.W. Boones'Ferry Rd. INSURERS AFFORDING COVERAGE Tualatin, OR 97062 INSURED Ashland Sanitary & Recycl in9 Service INSURER A: NORTH PACIFIC INSURANCE COMPANY Valley View Landfill, Inc. dba: Valley View INSURER B: SAIF CORPORATION Transfer Station INSURER C: 170 Oak St INSURER D: As~land, OR 97520 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. INSR TYPE OF INSURANCE POLICY NUMBER P~k+~~~~68~E Pg~!fJ(~~~~tgN LIMITS LTR GENERAL LIABILITY ~02 170064 09/07/2008 09/07/2009 EACH OCCURRENCE $ 1,000,000 X COMMERCiAl GENERAl LIABILITY FIRE DAMAGE (Anyone fire) $ 100,00] J CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 5,000 A PERSONAL & ADV INJURY $ 1,000,000 - 2,000,000 GENERAl AGGREGATE $ - 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $ I nPRO- un POLICY JECT lOC AUTOMOBILE LIABILITY ~02 170064 09/07/2008 09/07/2009 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1 , 000 , OOJl t-- ALL OWNED AUTOS BODilY INJURY - (Per person) $ SCHEDULED AUTOS A r-- HIRED AUTOS BODilY INJURY r-- (Per accident) $ NON-OWNED AUTOS - - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $ =j ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY ~02 170064 09/07/2008 09/07/2009 EACH OCCURRENCE $ 1 , 000 , OOJl t!J OCCUR D CLAIMS MADE AGGREGATE $ 1 , 000 , 00] A $ l:;i OEOUCTIBLE $ X RETENTION $ 10,00~ $ WbRKERS COMPENSATION AND 930859 07/01/2008 07/01/2009 1 TO~~ L~I~s I IOJ~- EMPLOYERS' LIABILITY E.L. EACH ACCIDENr $ SOO,OOO B E.L DISEASE. EA EMPL.9YEE SOQ'cQQO $ .... 500,000 E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENOORSEMENT/SPECIAL PROVISIONS tE: ASHLAND RECYCLING CENTER rHE CITY OF ASHLAND IS ADDED AS ADDITIONAL INSURED PER FORM CG 32 61 10 05. CERTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL --.1L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, CITY OF ASHLAND BU~~ MAil SUCH NOTIC~L IMPOSE NO OBLIGATION OR LIABILITY 20 EAST MAIN STREET OF KINO PON THE C9M~NY, AGetJTS OR REPRESENTATIVES. ASHLAND, OR 97520 AUTH.riDZRESENTm ...L- ( _--:?7/../../; , __~ .,,;, - r ACORD 25-S (7/97) @ACORD CORPORATION 1988 POLICY NUMBER: C02 170064 COMMERCIAL GENERAL LIABILITY CO 32 61 10 05 THJS ENDORSf.:MENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OREGON ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZA-fION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): CITY OF ASHLAND Location(s) Of Covered Operations: ALL LOCATIONS REQUIRED BY WRITTEN CONTRACT Information reQuired to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property - ---damage" or "personal and--advertising injury" caused by your ongoing operations for the addi- tional insured(s) at the location(s) designated above and only to the extent that such "bodily in- jury", "property damage" or "personal and advertis- ing injuryll is caused by your negligence or the neg- ligence of those performing operations on your behalf. CG 32 61 10 05 B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sion applies: This insurance does not apply to "bodily injury" or fjtopettyaamage~ oeeurri"rlgan-er.-m. -------- 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. @ ISO Properties, Inc., 2005 [J Page 1 of 1