HomeMy WebLinkAboutInsurance Certificate: Garda CL Northwest
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ACORDw CERTIFICATE OF. LIABILITY INSURANCE DATE (MM/DDNVVV)
--~ 06/16/2009
PRODUCER . .' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Chicago Risk-Management ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
HUB Illlernalional Midwest L1miled ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
55 Easl Jackson Boulevard
Chicago, IL 60604 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Lexington Insurance Company 19437
Garda CL Northwest, Inc. INSURER B- New Hampshire Insurance Co. 23841
301 North Lake, Suite 600 INSURER c: National Union Fire Ins. Co 19445
Pasadena, CA 91101 INSURER D: Ironshore Specialty Insurance C 25445
INSURER E:
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.
LTR N'R j TYPE OF INSURANCE POLICY NUMBER PJ>if~Y J~~~R~IE p~~fJI~X~~~N LIMITS
A ~NERAL LIABILITY 084196666 06/15/09 06/15/10 EACH OCCURRENCE .3 000 000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED '100000
X I CLAIMS MADE D OCCUR MED EXP (Anyone person) .
c1'- Errors & Omissions PERSONAL & ADV INJURY .3 000 000
~ SIR:$1,000,000 GENERAL AGGREGATE .3 000 000
ril'L AGG~EnE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $3 000 000
X POLICY ~~9T LOC
C ~TOMOBILE LIABILITY CA0912345 06/15/09 12/15/09 COMBINED SINGLE LIMIT
C ~ ANY AUTO CA0912346 06/15/09 12/15/09 (Ea accident) '5,000,000
D f- ALL OWNED AUTOS 01 DW80906001 06/15/09 06/15/10 BOOIL Y INJURY
(Per person) .
- SCHEDULED AUTOS
~ HIRED AUTOS BODILY INJURY
.
~ NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
l (Per accident)
iAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACe .
AUTO ONLY: AGG .
A LiJESSIUMBRELLA LIABILITY 015437836 06/15/09 06/15/10 EACH OCCURRENCE .10 000 000
X OCCUR W CLAIMS MADE AGGREGATE $10000000
.
~ DEDUCTIBLE .
X RETENTION $ 25 000 .
B WORKERS COMPENSATION AND WC004375253 06/15/09 12/15/09 . X I we STATU. I IOJ~.
EMPLOYERS' LIABILITY WC004375254 .1 000,000
ANY PROPRIETORJPARTNERJEXECUTIVE E.l. EACH ACCIDENT
QFFH"':ERlMEMBEP. E)'.CLUnED? ..-- WC004375255 E.L. '(JiS~A~ - EA EMPLOYEE .1 000,000
lfyes.describeunder WC004375256 E.l. DISEASE - POLICY LIMIT .1,000,000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS
The City of Ashland, Oregon, and its elected officials, officers and
employees are Iisled as addilional insured under general liability and auto
liability where required by written contract.
_.---~- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Cily of Ashland r.:~' '.=: I( : "'."\V7I?-'D DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -3D- DAYS WRITTEN
90 N. Mounlain Ave. 0 t - . . NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL
,
Ashland, OR 97520, . IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER,ITS AGENTS OR
luui I
AUG 2 6 2009 lW REPRESENTATIVES
I AUTHORIZED REPRESENTATIVE
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ACORD 25 (2001/OB) 1 of 2
IIIS209715/M209682
NXB
@ ACORD CORPORATION 19BB
COVERAGES
CERTIFICATE HOLDER
CANCELLATION
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