HomeMy WebLinkAboutInsurance Certificate: OBEC Consulting Engineers
A CORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY)
09/22/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Kibble & Prentice, a USI Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O. Box 370 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Seattle, WA 98111
206 441-6300 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: U. S. Specialty Insurance Company 29599
OBEC Consulting Engineers INSURER B:
920 Country Club Rd, #100B INSURER C:
Eugene, OR 97401 INSURER D:
INSURER E:
Client#: 331197
OBECCONE
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 OFANY 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.
IINSR ~~~~ TYPE OF INSURANCE POLICY NUMBER PJ>}J~1~~r68~,E P~~flfif,.t~~N LIMITS
LTR
GENERAL LIABILITY EACH OCCURRENCE $
- DAMAGE T9~RENTED
COMMERCIAL GENERAL LIABILITY $
1 CLAIMS MADE D OCCUR MED EXP (Anyone person) $
~ " PERSONAL & ADV INJURY $
I-- t..,.; ),,,,
>-- GENERAL AGGREGATE $
n'L AGGRnE LIMIT APnS PER: PRODUCTS - COM PlOP AGG $
POLICY r~gT LOC
~TOMOBILE LIABILITY ;'"'\ ~ t:1~ I::: 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)
-
- PROPERTY DAMAGE $
(Per accident)
~E UABIUTY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
=:J OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I T~~.J;r~~s I IOJ~-
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $
ANY PROPRIETOR/PARTNERi=:X=:CUTI'fE
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under E.L. DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
A OTHER Professional US081156304 09/25/08 09/25/09 $2,000,000 per claim
Liability $2,000,000 annl aggr.
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Re: Project No. 05-15, Railroad Crossing Improvement.
CERTIFICATE HOLDER
CANCELLATION
City of Ashland
Engineering Dept.
20 East Main Street
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
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08) 1 of 2
#M3036591
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MXT JU
@ ACORD CORPORATION 1988