HomeMy WebLinkAboutInsurance Certificate: Water Consulting Group
ACORD.
CERTIFICATE OF LIABILITY INSURANCE'
OP 10 KO I DATE. (MMIOOIYVYY)
WATER-1 08/26/09
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER
Lewis Henderson Insurance Agen
1245 Southridge Ct, #101
Hurst TX 76053
Phone:817-282~3234 Fax:817-282-9046
INSURED
INSURERS AFFORDING COVERAGE
NAIC#
, The Waters Consulting Group
'5050 QUORUM DRIVE, STE 625
Dallas TX 75254 .
INSURER A
INSURER B:
INSURER c:
INSURER 0
HARTFORD LLOYOS INStmANCE co
ADMIRAL INSURANCE COMPANY
HARTFORD UNOERWRITERS INS CO
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.
~~",DD' POLICY NUMBER POLl~iriFFECT!X1E I POllCi;~XPII~A'r~~N LIMITS
LTRINSR~ TYPE OF INSURANCE DATE MM/DDIVY DATE MM/DDIVY
~NERAL LIABILITY EACH OCCURRENCE $ 2000000
A X X COMMERCIAL GENERAL LIABILITY 46SBARK0324DX-TX 05/08/09 05/08/10. g~~~~~~~~~~~~nce) $ 300000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000
PERSONAL & ADV INJURY $ 2000000
-
GENERAL AGGREGATE $ 4000000
-
~'L AGGREGATE LIMIT APnS PER PRODUCTS - COMPIOP AGG $ 4000000
nPRO-
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $ 2000000
A X ANY AUTO 46SBARK0324DX 05/08/09 05/08/10' (Eaaccident)
-
ALL OWNED AUTOS - -
- BODilY INJURY $
SCHEDULED AUTOS (Per person),
-
.!.. HIRED AUTOS BODILy INJURY
$
.!.. NON.OWNED AUTOS (Peracodent). --
- PROPERTY DAMAGE $
(Peracodent)
RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
EXCESs/UMBRELLA LIABILITY EACH OCCURRENCE $
~ OCCUR D CLAIMS MADE AGGREGATE $
,
=j DEDUCTIBLE ,
RETENTION $ ,
- WORKERS COMPENSATION AND X ITC)Ry'rIMITS I XjUER-
EMPLOYERS' LIABILITY
C ANY PROPRIETOR/PARTNER/EXECUTIVE 46WECGD9092 04/16/09 04/16/10 E.l. EACH ACCIDENT $ 1000000
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE , 1000000
If yes, describe under , 1000000
SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT
OTHER
B ERRORS & OMMISSION EOOOOO11508-01 07/24/09 07/24/10 EA CLAIM 1000000
* (SEE BELOW) AGGREGATE 1000000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS
* CLAIMS MADE FORM RETRO DATES: 11-7-97 SEE ATTAHCED ENDORSEMENT
12-12-00
REF: INFORMATION TECHNOLOGY DIRECTOR
CITY OF ASHLAND, OREGAN AND ITS OFFICERS ARE SHOWN AS ADDITIONAL INSURED AS
RESPECTS THE GENERAL LIABILITY/AUTO
CERTIFICATE HOLDER
CANCELLA nON
COFASH2
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
CITY OF ASHLAND
20 EAST MAIN STREET
ASHLAND OR 97520
LEWIS P. H
ACORD 25 (2001/08) .
**ONLY WITH RESPECT TO THE CONTRACTOR'S SERVICES TO BE PROVIDED
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
PAGE 3
DATE 08/26/09