HomeMy WebLinkAboutInsurance Certificate: Marquess & Associates Inc
ACORDTM CERTIFICATE OF LIABILITY INSURANCE OP I?O'SW I DATE (MMlDDNYVY)
MAR U-1 12/16/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Protectors Insurance, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Pilot Rock Ins Agency LLC (CA) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Box 4669 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford OR 97501
Phone: 541-773-5358 Fax:541-772-1906 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: SAIF Corporation
INSURER B: Marvland Casualty Company
Mar~ess & Associates Inc INSURER c:
PO ox 490 INSURER 0:
Medford OR 97501
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 BYTHE 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.
IN5H ~~~~ POLICY NUMBER PD~,;!~1MMlDD,yy'- P8ktCEY(~~H.f~N LIMITS
LTR TYPE OF INSURANCE
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
-
B X COMMERCIAL GENERAL LIABILITY PAS00487480 01/03/09 01/03/10 PREMIS~s (E~~~~~nce) $1,000,000
- n CLAIMS MADE [!] OCCUR
MED EXP (Anyone person) $10,000
PERSONAL & ADV INJURY $1,000,000
-
GENERAL AGGREGATE $2,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000
I n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
-
B X ANY AUTO PAS00487480 01/03/09 01/03/10 (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=1 lU<Y AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $1,000,000
B !J OCCUR D CLAIMS MADE PAS00487480 01/03/09 01/03/10 AGGREGATE $1,000,000
$
~ DEDUCTiBlE $
X RETENTION $10,000 $
WORKERS COMPENSATION AND IT~~l~~Ws I IOTH-
ER
A EMPLOYERS' LIABILITY 913785 01/01/09 01/01/10 E.L. EACH ACCIDENT $ 1000000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1000000
~~~:,sP~~V~~~Nsbelow I. E.Il.: lJtS~S~:~l?b~TC.Y\IMIT $1000000
\ ~ -.,\. -- -~- .. ~
OTHER \ \
I
;1' 1""1-(\ Q ,)(){\Q i
. .
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PR(NISIPNS UL-V '-vvv . :
Water Street Bridge Project : j
.J 1
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CERTIFICATE HOLDER
CANCELLATION
CITYAS2 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
City of Ashland IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
20 E. Main Street
Ashland OR 97520 REPRESENT A TIVES. ,
A~ t(JtJlXJ
ACORD 25 (2001/08)
@ ACORD CORPORATION 1988