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Home My WebLink AboutInsurance Certificate: OBEC Consulting Engineers ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMJUD(YYYY) 09/24/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Kibble & Prentice, a USI Co, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P,O, Box 370 HOLDER, THIS CERTIFICATE OOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Seattle, WA 98111 206 441-6300 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A" U, S. Specialty Insurance Company 29599 OBEC Consulting Engineers INSURER B: 920 Country Club Rd, #100B INSURER c: Eugene, OR 97401 INSURER D: INSURER E: Client#. 331197 OBECCONE 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 AESPECTTO WHICH THIS CERllFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU THE TEAMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I POLICY NUMBER PDOA~1J~~8~E Pg~fJ ~~!nRt~N LTR NSR TYPE OF INSURANCE LIMITS ~NERAL LIABILITY EACH OCCURRENCE , - OMMERCIAL GENERAL LIABILITY ~~~~~H9<=~~~~D -, $ - CLAIMS MADE D OCCUR MED EXP (My one person) $ - PERSONAL & ADV INJURY $ - GENERAL AGGREGATE , ~'L AGG:EnE LIMIT APP!~tIPER: PRODUCTS - COMPIOP AGG , POLICY j~& LOG ~TOMOBILE UABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Eaaccident) - - ALLOW'NEDAUTOS BODILY INJURY $ - SCHEDULED AUTOS (per person) - HIRED AUTOS SODIL Y INJURY (Peraccidenl) $ - NON-OWNED AUTOS - PROPERTY DAMAGE , (Peraccidenl) ~RAGE UABIUTY AUTO ONLY. EA ACCIDENT , ANY AUTO OTHER THAN EA ACC , AUTO ONLY: AGG , 5ESSlUMBRELlA UABIUTY EACH OCCURRENCE S OCCUR D CLAIMS MADE AGGREGATE S , =i OEDUGTIBLE , RETENTION $ , WORKERS COMPENSATION AND WC STATU:. I IDJ~' EMPLOYERS' LIABILITY ANY PROPRIETOA/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICERlMEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ ~p~~,itS~~~~~1~~s below EL DISEASE. POLICY LIMIT $ A OTHER Professional US091156305 09/25/09 09/25/10 $2,000,000 p_er. c!a)m Liability $2,000,000 annl'aggr,' (- ---- ...; 1::- , '1"" ""'--=-, 11 \' ~ ~ '1-, , - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS AODEl? BY ENDORSEMENT I SPECIAL PROVISIONS '.Jj Re: ARRA Project No, 2007-17, Oak-Ann Street Section (Hersey Street l~~~~ Sidewalk Reconstruction). )9 ' I ~ CERTIFICATE HOLOER CANCELLATION rn J City of Ashland Engineering / Public Works 51 Winburn Way Ashland, OR 97520 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WIlL ENDEAVOR TO MAIL ---4.5..- DAYS WRITTEN NOTICE TO THE CERTlACATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAlL IMPOSE NO OBUGATlON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001/08) 1 of 2 #M4040854 MXTJU @ ACORD CORPORATION 1988 Client#: 331197 OBECCONE ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDOtyYYY) 09/24/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Kibble & Prentice, a USI Co, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P,D, Box 370 HOLDER. THIS CERTIFICATE DOES NOT AMENO, EXTENO OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Seattle, WA 98111 206441-6300 INSURERS AFFOROING COVERAGE NAIC# INSURED INSURER A: U, 5, Specialty Insurance Company 29599 OBEC Consulting Engineers INSURER B: 920 Country Club Rd, #100B INSURER c: Eugene, OR 97401 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUJREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. LTR NSR TYPE OF INSURANCE POUCY NUMBER PDOA~~&~~68~E Pgi!fJ ,~~A~If~N UM1TS ~NERAL UABILJTY EACH OCCURRENCE $ - OMMERCIAl GENERAL LIABILITY ~~~b~HOE~~~~r?en ...\ $ - CLAIMS MADE D OCCUR MED EXP (Anyone person} $ PERSONAl & MJV INJURY $ GENERAL AGGREGATE $ ~'~ AGG~EnE LIMIT APP!~tIPER: PRODUCTS - COMP/OP AGG $ POLICY ~~g LOC ~TOMOBILE UABILlTY COMBINED SINGLE LIMIT $ ANY AlITO (Eaaccident) - - ALL OWNED AlITOS BODILY INJURY (Per person) $ - SCHEDULED AUTOS - HIRED AUTOS BODILY INJURY S NON-0WNED AUTOS (Peraccidenl) - - PROPERTY DAMAGE S (per accident) ~AGE UABIUTY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ 3ESSlUMBRELLA UABILlTY EACH OCCURRENCE $ OCCUR 0 CLAIMS MADE AGGREGATE $ $ ~ DEDUCT"LE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU~ I IOJ~- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTlVE E.L EACH ACCIDENT S OFFICER/MEMBER EXClUDED? E.L DISEASE - EA EMPLOYEE $ ~PEC:11'E~~~~~1~s below E.L DISEASE - POLICY LIMIT $ A OTHER Professional US091156305 09/25/09 09/25/10 $2,000,000 per claim...;J ,--' f.......J - ---- Liability I~\ j -} If . ~~ n\\ 7fs $2,000,000 annl aggr,' -,- -= i ) I . .' - 11 i DESCRIPTION OF OPERATIONS { LOCATIONS {VEHICLES { EXCLUSIONS ADDEO BY ENDORSEMENT { SPECIAL PROVISIONS " I, Re: Project No. 05.15, Railroad Crossing Improvement. OCT - 6 2C 09 , ,'I UI IU I ---1 L-. IT~ II Uil UJJI I I CERTIFICATE HOLOER CANCELLATION City of Ashland Engineering Dept. 20 East Main Street Ashland, OR 97520 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ---A5..... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 8UTFAllURE TO DO SO SHALL IMPOSE NO OBLIGATION OR UABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHO P V . .. .- ~"".rA-U\.~. '3- ACORO 25 (2001{08) 1 of 2 #M4040854 MXTJU @ ACORO CORPORATION 1988