HomeMy WebLinkAboutInsurance Certificate: Dry Creek Landfill
ACORD," CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIODlYYYY)
9/29/2009
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Wells Fargo Insurance Services of Oregon. Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
975 Oak Street, Suite 900
Eugene, OR 97401 INSURERS AFFORDING COVERAGE NAIC#
INSURED Dry Creek Landfill. Inc INSURER A Greenwich Insurance Company 22322
PO Box 318,7 INSURER B"
INSURER C
INSURER 0:
Central Point. OR 97502 INSURER E:
ROGUEWAST
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 DR
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
LT. NS. TYPE OF INSURANCE POLICY NUMBER PJlk4~~J~i.f~,W,E Pg~lfl ~X~~~N LIMITS
A ~NERAl LIABILITY GEC001289407 10/1/2009 10/1/2010 EACH OCCURRENCE $ 1,000.000
X COMMERCIAL GENERAL LIABILITY ~~~b~~J9.-~~~T.E~ '-'" S 100,000
I CLAIMS MADE 0 OCCUR MEDEXP(Anyoneperson) \ 5.000
X $1.000BIIPDDeduct PERSONAL & ADV INJURY , 1,000,000
- 2,000,000
GENERAL AGGREGATE $
c- 2,000.000
n'L AGG:EnE LIMIT ApFflPER PRODUCTS. COMPIOp AGG $
POLICY I ~fP;: LOe
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Eaaccident)
f-
f- ALL OWNED AUTOS BODIL Y INJURY
$
SCHEDULED AUTOS lPerpcrson)
f-
r--- HIRED AUTOS BODIL Y INJURY
$
NON-OWNED AUTOS Weraccu:lenl)
-
PROPERTY DAMAGE I
(Peraccodenl)
RRACE LIABILITY AUTO ONLY- EA ACCIDENT S
ANY AUTO OTHER THAN EAACC S
AUTO ONLY: AGG S
A rfJ~SSIUMBRELLA LIABILITY UEC002127603 1 % 1/2009 10/01/2010 EACH OCCURRENCE S 3.000.000
X OCCUR 0 CLAIMS MADE _ AGGREGATE , 3,000.000
S
;:j ~EOUCT"LE ,
X RETENTION S 10,000 S
WORKERS COMPENSATION AND I ,WC SIT,~D~;.I 10J,tl-
EMPLOYERS' lIABIUTY S
ANY, PROpRIETORJPARTNE RJEXECUTlVE E,L. EACH ACCIDENT
- - - --- -- ., ._,.--- ,
OFFICERlMEMBEFf EXCLUDEO'1' E:COISEASE . EA EMPLOYEE S
If yes, des en be under E,L DISEASE - POUCYLlMIT ,
SPECIAL PROVISIONS below,
OTHER
DESCRIPTlON OF OPERATIONS flOCATlONS I VEHICLES I EXCLUSIONS ADOED BY ENDORSEMENT I SPECIAL PROVISIONS
City of Ashland its officers. agents and employees are added as additional insureds.
,
E Ten Day Notice Tor Non-Pa ment
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
-
City of Ashland NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT, BUT FAILURE TO DO SO SHALL
Altn City Administrator IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR
20 E Main REPRESENTATIVES.
Ashland OR 97520 AUTHORIZED REPRESENTATIVE ~ ~
CERTIFICATE HOLD R CANCELLATION
y
ACORD 25 (2001/08) 1 of 2 834000
'" ACORD CORPORATION 1988