HomeMy WebLinkAboutInsurance Certificate: Marquess & Associates
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD!YYYY)
TM. 06/11/2009
PRODUCER Phone: (360) 598-3700 Fax: (360) 59S-3703 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MICHAEL J. HAll & COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HAll & COMPANY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
19660 10TH AVENUE N.E. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
POULSBO WA 98370
INSURERS AFFORDING COVERAGE NAtC #
INSURED INSURER A: St Paul Fire and Marine Insurance Company 24767
MARQUESS & ASSOCIATES INC INSURER B: The Travelers Indemnity Company 25658
P.O. BOX 490 INSURER C.
MEDFORD OR 97501
INSURER 0:
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 I~~ TYPE OF INSURANCE POLICY NUMBER Pg;~~~:~~~~ P~i~EYI~:~=N LIMITS
Lm
~ERAl LIABILITY 6806146N63A OS/29/09 OS/29/10 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAl LIABilITY ~~~~~~~E~~l $ 300,000
I CLAIMS MADE 0 OCCUR MED. EXP (Anyone person) $ 5,000
B ~ OCP, XCU, BFPD PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2.000,000
-
~l AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ 2,000,000
!Xl PRO- n
POLICY X JECT LOC
AUTOMOBILE LIABILITY BA6148N401 OS/29/09 OS/29/10 COMBINED SINGLE LIMIT
X ANY AUTO (Eaaccidenl) $ 1,000.000
-
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
B X
HIRED AUTOS BODILY INJURY
X $
NON-QWNED AUTOS (Peraccidenl)
-
- PROPERTY DAMAGE $
(Peraccidenl)
GARAGE lIABILITY AUTO ONLY - EA ACCIDENT $
==J ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
~ESS I UMBRELLA LIABILITY CUP3196T698 OS/29/09 OS/29/10 EACH OCCURRENCE $ 5,000,000
X OCCUR D CLAIMS MADE AGGREGATE $ 5,000,000
$
==J DEDUCTIBLE $
RETENTION $ 0 $
WORKERS COMPENSATION AND - I ~OCR~TL~~YTs I I OTHER
EMPLOYERS' LIABILITY
ANY PROPRIETORtPARTNERlEXECUTIVE E.L. EACH ACCIDENT $
OFFICERlUEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYEE $
l'y..,d.acrlbtounHr E.L. DISEASE-POLICY LIMIT $
SPECIAl. PROVISIONS b<tlow
I OTHER. PROFESSIONAL LIABILITY I QP03807081 I 07/26/08 I 07/26/09 I $1,000,000 PER ClAIM
A POLICY $1,000,000 AGGREGATE
CLAIMS MADE FORM
DESCRIPTION OF OPERATIONS/lOCATIONSNEHIClES/EXClUSIONS ADDED BY ENDORSEMENT/ SPECiAl PROVISIONS
Water Street Bridge Project
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ashland EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE
20 E. Main Street TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,
Ashland, OR 97520 ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~hle,{Hul~
Attention:
ACORD 25 (2001108)
Certificate #
97299
@ACORD CORPORATION 1988