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Home My WebLink AboutInsurance Certificate: Waters Consulting Group ACORD,M CERTIFICATE OF LIABILITY INSURANCE OP 10 KO I DATE (MM/DDIYYYY) WATER-1 11/13/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lewis Henderson Insurance Agen HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1245 Southridge Ct. #101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hurst TX 76053 Phone: 817-282-3234 Fax: 817-282-9046 INSURERS AFFORDING COVERAGE NAIC# -------------- INSURED INSURER A HARTFORD LLOYDS INSURANCE CO INSURER B ADMIRAL INSURANCE COMPANY The Waters Consultin~ Group INSURER c: HARTFORD UNDERWRITERS INS CO 5050 QUORUM DRIVE, S E 625 INSURER D: Dallas TX 75254 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. IN5ft ~~~ -~---------~- ~~Lfi1M~rJ~J!XE Pgk~Cl(~~b~~N LTR TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2000000 I--- LJJ\I\IIA~~ ~ u_ KI:;N II:;U A X ,X COMMERCIAL GENERAL LIABILITY 46SBARK0324DX-TX 05/08/08 05/08/09 PREMISES (Ea occurence) $ 300000 I--- [] CLAIMS MADE ~J OCCUR MED EXP (Anyone person) $ 10000 I--- PERSONAL & ADV INJURY $ 2000000 I--- -'---'-"---'~------'-'--"---- GENERAL AGGREGATE $ 4000000 1----- --- -- --'---~-'--------''---''-'- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $ 4000000 11 il PRO- r-l LOC I POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2000000 1--- A X 1 ANY AUTO 46SBARK0324DX 05/08/08 05/08/09 (Ea accident) :_~ ALL OWNED AUTOS BODILY INJURY $ : SCHEDULED AUTOS (Per person) :~ HIRED AUTOS I I BODILY INJURY $ I-Jt-I NON-OWNED AUTOS I (Per accident) H -------------~--- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ~ ANY AUTO I OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY I EACH OCCURRENCE $ CI OCCUR CJ CLAIMS MADE AGGREGATE $ $ f-=I DEDUCTIBLE $ I . RETENTION $ $ WORKERS COMPENSATION AND I ~P'~ ~TATU-! 1OTH- I X T9RY LIMITS I X EFLe-. EMPLOYERS' LIABiLITY I I -- C ANY PROPRIETOR/PARTNER/EXECUTIVE 46WECGD9092 04/16/08 I 04/16/09 E.L. EACH ACCIDENT $ 1000000 OFFICER/MEMBER EXCLUDED? I E.L. DISEASE - EA EMPLOYEE $ 1000000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1000000 SPECIAL PROVISIONS below OTHER I B ERRORS & OMMISSION EOOOOOO0738-12 I 11/07/08 I 11/07/09 EA CLAIM 1000000 I * (SEE BELOW) I AGGREGATE 1000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS * CLAIMS MADE FORM RETRO DATES: 11-7-97 12-12-00 REF: RECRUITMENT FOR FIRE CHIEF CITY OF ASHLAND, OREGAN AND ITS OFFICERS ARE SHOWN AS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY/AUTO CERTIFICATE HOLDER CANCELLATION CITY OF ASHLAND 20 EAST MAIN STSREET ASHLAND OR 97520 CIOFASH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 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 IN GENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATI ACORD 25 (2001/08) **ONLY WITH RESPECT TO THE CONTRACTOR'S SERVICES TO BE PROVIDED UNDER THIS CONTRACT (ADDITIONAL INSURED) . PLEASE BE ADVISED THAT THE INSURANCE COMPANY WILL NOT ALLOW THE CANCELLATION CLAUSE TO BE ALTERED. THERE IS ALSO NO ENDORSEMENT ALLOWED TO THE CANCELLATION CONDITIONS FOR THE POLICY THE FOLLOWING GENERAL LIABILITY COVERAGE PART INCLUDES THE ADDITIONAL INSURED WORDING, WAIVER OF SUBROGATION AND PRIMARY-NON CONTRIBUTORY WORDING