HomeMy WebLinkAboutInsurance Certificate: Eningeered Monitoring
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ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDDIYYYY)
~ . 12/29/2009
..
PRODUCER (503)624-0466 FAX: (503)624-0846 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Slater & Associates Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Box 1469 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
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Tuala1::in OR 97062-1469 INSURERS AFFORDING COVERAGE NAIC#
INSURED , ". ,~- ; ~ ,<i.L. ,. , INSURER A: SAI'F Corp 36196
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, . .' INSURER s'
~Engi~eerea~M6nitoring Sblutions LLC INSURER C: - _. ... " +-_.. . !
,617. ,~: Ma':L'iitfH:,W3 , I
I INSURER 0: ""
Newb'lrg' OR 97132 INSURER E: .. - i -. . ...
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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 1$ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOIJVN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN~: ~~~ii TYPF 0" POLICY NUMBER .fP~JCY EFFECTIVE POLICY EXPIRATION I LIMITS
~NERAL UABILI~ ~~t!..O_r;:~URRENCE $
DAMAGE TO RENTED
COMMERCIAL GENERAL LlABILlTY .EEJ;l'1~!S~S-Lg~ occwTenc'jIi $
I CLAIMS MADE D OCCUR MED EXP (Anyone person) $
- PERSONAL & ADV INJURY $
- GENERAL AGGREGATE $
4'L AGG~EnE LlMIT APFIS PER: PRODUCTS. COMPIOP AGG $
POLICY ~~PT LOC
~.TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
., ANY AUTO (Eaaccidenl)
" ..- "'....'-'..."
'~- ALL OWNED AlJTOS '. ",)'.1 <BODILY INJURY -. --~.... '~'~'. .
SCHEDULED AUTos . _.' -- -. .. (Per,person) , $'
.. ..: , -- -: .~ .. ..
- -' .,..
HIRED AUTOS .. -_. .. ,
- , , BODILy'INJURY ---..._.~_., _._-
',,' .(Peraccident) $
- NON~o.WNED ~~!OS .' , r _ _.. - ..
..:. .. -
-- -
- PROPERTY DAMAGE .. .,
r (Peraccidenl) $
~RAGE LIABILITY I AUTO ONLY. EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
~ESSI UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR D CLAIMS MADE I AGGREGATE $
~ DEDUCTIBLE $
$
I RETENTION $ I I $
A WORKERS COMPENSATION X I T~~JT~I~J~-
AND EMPLOYERS' LIABILITY VIN
ANY PROPRIETORJPARTNERIEXECUTIVE 0 E.L EACH ACCIDENT $ 1.,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) 958900 12/1/2009 12/1/2010 E.L. DISEASE - EA EMPLOYE $ 1,000,000
If yes, describe under 1 000 000
SPECIAL PROVISIONS below E.L DISEASE - POLlCY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ~(LA'~
This Certificate replaces Certificate dated 12/10/2009, RECORDER
CITY t/h"tfU--. c(L
PW/E/t <,1-)
CERTIFICATE HOLDER
CANCELLATION
(541)488 5320 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF ASHLAND DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
90 N Mountain Ave NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Ashland, OR 97520
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~ --ru.d.c;-Y
Dee Tudor/DMT A.
ACORD 25 (2009/01)
INS025 (200901)
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