HomeMy WebLinkAboutInsurance Certificate: VSS Emultech
ACORD", CERTIFICATE OF LIABILITY INSURANCE OP ID MY I DATE (MM/DDIYYYY)
BASIC-1 02/24/09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Andreini & Company-San Mateo ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
License 0208825 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
220 West 20th Ave ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
San Mateo CA 94403
Phone:650-573-1111 Fax: 650-378-4361 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: National Union Fire Ins Co PA 19445
INSURER B:
VSS Emultech INSURER c:
Oregon Division
P.O. Box 981150 INSURER 0:
W. Sacramento CA 95798
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.
IN5K ~~~~ POLICY NUMBER ~QldCY EJ:f_E.PJI~E . P9!.-~Y. EXPIRA T.!gN LIMITS
LTR TYPE OF INSURANCE DATE iMM/DDIYY DATE' (MM/DDIYY
GENERAL LIABILITY EACH OCCURRENCE $ 2000000
I- Uf\MA~1: I u_ ~t:N I I:U
A X COMMERCIAL GENERAL LIABILITY 1617555 03/01/09 03/01/10 PREMISES (Ea occurence) $ 100000
I---- o CLAIMS MADE [!] OCCUR
MED EXP (Anyone person) $ 10000
I----
PERSONAL & ADV INJURY $ 2000000
I----
GENERAL AGGREGATE $ 4000000
I----
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4000000
I [Xl PRO- nLOC
POLICY X JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2000000
-
A X ANY AUTO 8262963 03/01/09 03/01/10 (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
-
X HIRED AUTOS BODILY INJURY
- (Per accident) $
X NON-OWNED AUTOS
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=1 ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5000000
A ~ OCCUR D CLAIMS MADE BE5685985 03/01/09 03/01/10 AGGREGATE $ 5000000
$
~ OEOUCTIBLE $
X RETENTION $10000 $
WORKERS COMPENSATION AND I. we ~TATU- I IOTH-
TORY LIMITS ER
EMPLOYERS' LIABILITY EL. EACH ACCIDENT $
ANY PROPRIETOR/PARTNER/EXECUTIVE PERMISSIVELY SELF INSURED
OFFICER/MEMBER EXCLUDED? CERTIFICATE #2106 E,L. DISEASE - EA EMPLOYEE $
If yes, describe under E.L. DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
The CANCELLATION notice herein is amended to read 10 DAYS as respects any
cancellation due to non payment of premium.
I
CERTIFICATE HOLDER
Ci ty of Ashland;!
20 East Main DrLve.
Asbland OR 975~O .
ACORD 25 (2001/08)
CANCELLATION
H,' .,
I\'! i", i'!
3 2009
i:
~3i
I
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.
AmDREP~;;;: ~
@ ACORD CORPORATION 1988