HomeMy WebLinkAboutInsurance Certificate: Marquess & Associates
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~RD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/OOIYYYY)
OP ID SAW
MARQU-1 12/10/09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Protectors Insurance, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Pilot Rock Ins Agency LLC (CAl HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Box 4669 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford OR 97501
Phone: 541-773-5358 Fax:541-772-1906 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: SAIF Corporation
INSURER B:
MarWoess & Associates Inc INSURER c:
PO ox 490 INSURER D:
Medford OR 97501
, 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.
LTR NSR TYPE OF INSURANCE POLlCY NUMBER b~TL~IMMIDDNYYY b2i~crM~b~i LIMITS
~NERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY ~~~r:;ffi~s YE~~du~~nce) $
I CLAIMS MADE D OCCUR MED EXP (Anyone person) $
- PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/O? AGG $
-'-l, .hPRO. n,
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $
ANY AUTO (Eaaccidenl) .
-
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
SCHEDULED AUTOS
-
- HIRED AUTOS BODILY INJURY
(Per accident) $
- NON-OWNED AUTOS
- PROPERTY DAMAGE $
(Per accident)
~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
3ESS I UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
=j DEDUCT'BLE $
RETENTION $ $
WORKERS COMPENSATION ITO',\'lLIt:.WS I IUE~'
AND EMPLOYERS' LIABILITY VIN
A ANY PROPRIETORJPARTNERJEXECUTIVD 913785 - __01/01/10 _01/01/11 EL. EACH ACCIDENT $ 1000000
OFFICER/MEMBER EXCLUDED? -
(Mandatory in NH) E.L DISEASE - EA EMPLOYEE $ 1000000
~~EC:I~Lsp~~VIS~ONS below EL. DISEASE - POLICY LIMIT $ 1000000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Water Street Bridge Project
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITYAS2 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
City of Ashland REPRESENTATIVES.
20 E. Main Street
Ashland OR 97520 AUTH~:ED REP~
,
ACORD 25 (2009/01) @1988-2009ACORDCORPORATION. All rj hts reserved.
9
The ACORD name and logo are registered marks of ACORD
.....--,
~RD" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDfYYYY)
OP ID SAW I 12/10/09
MARQU-1
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Protectors Insurance, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Pilot Rock Ins Agency LLC (CA) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Box 4669 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford OR 97501
Phone: 541-773-5358 Fax:541-772-1906 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: SAIF Corporation
INSURER B:
Mar~ess & Associates Inc INSURER c:
PO ox 490 INSURER 0:
Medford OR 97501
, 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
LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE1MM/DD~1 DATE'lMM/DDIYYYY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
- PREMISES (E~~~~~nce)
X COMMERCIAL GENERAL LIABILITY $
I CLAIMS MADE D OCCUR MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
-
- GENERAl AGGREGATE $
GEN'l AGGREAE LIMIT APAS PER: PRODUCTS - COMP/OP AGG $
I PRO-
POLICY JECT lOC
~TOMOBllE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Eaaccldenl)
~
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
- SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
- $
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(per accident)
~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $
:=J OCCUR D CLAIMS MADE AGGREGATE $
$
==1 DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION ITOR'ilIMlrS I IVEFt
AND EMPLOYERS' lIABILITY VIN
A ANY PROPRIETORlPARTNERlEXECUTlVD 913785 01/0:lci!0 01/01/11 E.L. EACH ACCIDENT $ 1000000
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1000000
If yes, describe under $ 1000000
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
STREET IMPROVEMENT PROJECT # 2005-34
CERTIFICATE HOLDER CANCELLATION
City of Ashland
20 E. Main Street
Ashland OR 97520
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITYAS2 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEn, BUT FAILURE TO 00 SO SHALL
IMPOSE NO OBLIGATION OR lIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25 (2009/01)
@ 988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD