HomeMy WebLinkAboutInsurance Certificate: Brenntag Pacific (3)
A~R1J CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDOIYYYY)
~ 12/21/2009
PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION
Marsh USA Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
TWO LOGAN SQUARE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PHILADELPHIA, PA 19103-2797 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
At1n: PH ILADELPHIA.CERTS@MARSH.COMlFAX-212-948-0360
424780-.ALL-GAW-10-11 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Insurance Company Of The State Of PA 19429
BRENNTAG PACIFIC, INC.
10747 PATTERSON PLACE INSURER B: Greenwich Insurance Company 22322
SANTA FE SPRINGS, CA 90670 INSURERC:XL Specialty Insurance Company
INSURER D:
INSURER E:
"
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOlWlTHSTANDING 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.
NS ADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE I PO~ICY EXPIRATION LIMITS
LTO INSR OATE (MMilXlIYYYY) DATE (MMlDOJYYYY)
A GENERAL L1ABIUTY 0696955 01/01/2010 01/01/2011 EACH OCCURRENCE 2 000 000
-
X COMMERCIAL GENERAL LIABILITY g~~~~J~:~~~nce\ $ 1,000,000
I CLAIMS MADE [KJ OCCUR MED EXP (Anyone person) $ 10.000
- PERSONAL & ADV INJURY $ 2,000,000
- GENERAL AGGREGATE $ 2.000,000
GENERAL AGGREGATE LIMIT APPLIES PER PRODUCTS. COMP/OP AG 2 000 000
Xl POLlCy-n-- j:& n LOC
B AUTOMOBILE L1ABILllY RAD943713305 (AOS) 01/01/2010 01/01/2011 COMBINED SINGLE LIMIT
X ANY AUTO RAD943713105 (MA) (Eaaccldent) $ 1.000,000
B 01/01/2010 01/01/2011
= ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
- HIRED AUTOS
- BODILY INJURY $
NON-QWNED AUTOS {per accident)
- PROPERTY DAMAGE
- {Per accident) $
GARAGE LIABILITY AUTO ONLY. EAACCIDE.NT $
~ ANY AUTO OTHER THAN EAACC $
AUTO ONLY: $
AGG
EXCESS 1 UMBRELLA LIABILITY EACH OCCURRENCE $
~ OCCUR 0 CLAIMS MADE AGGREGATE $
$
==i DEDUCTIBLE $
RETENTION $
WORKERS COMPENSATION AND X IT,:("~T~I);!~ I IOJ);'-
C EMPLOYERS' LIABILITY RWR943509005 (WI) 01/01/2010 01/01/2011 $
ANY PROPRIETOR!PARTNERJEXECUTIVE Y I N RWD943509105(AOS) 01/01/2010 01/01/2011 .L EACH ACCIDENT 1.000,000
C OFFICERlMEMBER EXCLUDED? 0 .L DISEASE. EA EMPLOYE $ 1.000.000
~~ngl~~~o~7~1~~e;.~~=ibe under .L DISEASE. POLICY LIMIT $ 1.000.000
OTHER
,
DESCRIPTION OF OPERATlONSlLOCATIONSNEH1CLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS -
RE: SUPPLYING CHEMICALS TO THE WATER TREATMENT PLANT LOCATED AT: 90 N. MOUNTAIN AVENUE. ASHLAND, OR 97520
THE CITY OF ASHLAND, OREGON. AND ITS ELECTED OFFICIALS. OFFICERS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED, EXCEPT
FOR WORKERS COMPENSATION, WHERE REQUIRED BY WRITTEN CONTRACT.' ~ "'_
~ITV ReCORDER
,
COVERAGES
CERTIFICATE HOLDER
CLE-002376989-06
CANCELLATION
CITY OF ASHLAND, OR
A TTN: KARl OLSON
90 NORTH MOUNTAIN AVENUE
ASHLAND, OR 97520
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND
UPON THE INSURER, AGENTS OR REPRESENTATIVES.
'glAA~~6gll'~SENTAT1VE d~~
Mary Radaszewski
ACORD 25 (2009/01)
@1998-2009ACORD CORPORATION. All Rights Reserved
The ACORD name and logo are registered marks of ACORD
MARSH USA INC.
TWO LOGAN SQUARE
PHILADELPHIA. PA 19103-2797
ATTN: PHILADELPHIA.CERTS@MARSH.COM/FAX-
CITY OF ASHLAND, OR
ATTN: KARl OLSON
90 N MOUNTAIN AVE
ASHLAND OR 97520-2014
11,1"1,,,1,1,1,,.1,111,,,,,1,111,,,,,,11,1,,11,1,,11,,,,,,111
016789
M.Q167S9
191
031268
PRESORTED
/ Taylor v. Sprint Solutions ARST-CLASS MAIL
UNITED STATES DISTRICT COURT clo Gilardi & Co. LLC U.~ POSTAGE
SOUTHERN DISTRICT OF CALIFORNIA P.O. Box 1549 PAID
Carol Stream, IL
NOTICE OF PENDENCY OF Bolln9brook, IL 60440-7249 Permit No. 7025
CLASS ACTION AND PROPOSED
SETTLEMENT
UTI LIlY CONSUMERS' ACTION NElWORK I ~IU II mill il~ lIillll n~nlllll~ I~~ II ~I~ Imll~lllm III~I m 1111
and ERIC TAYLOR, on behalf of themselves,
their members andlor all others similarly TUCAN-28D4292-1
situated, as applicable, Plaintiffs, Postal Service: Please Do Not Mark Barcode
v. ***_..........-*.....**MIXED AADC 601
SPRINT SOLUTIONS, INC. and SPRINT 01251696
SPECTRUM L.P., CllY OF ASHLAND
Defendants. CITY OF ASHLAND 90 MOUNTAI A N
ASHLAND, OR 97520
.' It
Website PIN#: H7S9P9
TUCAN .11,1..11111,1,11111.111111111111
JI,I,;/", /,MII,J,Hi,...nJ.JIJ I.. ".IJ,J,.JI.JIlIi" ,..,IJI
SUMMARY CLASS NOTICE
THIS NOTICE ADVISES YOU OF A PROPOSED CLASS ACTION SETTLEMENT WITH SPRINT.
THIS NOTICE MAY AFFECT YOUR LEGAL RIGHTS - PLEASE READ IT CAREFULLY.
This summary notice informs you about the settlement of Utilitv Consumers' Action Network and Eric Tavlor. on
beha~ of themselves. their members andlor all others similarlv situated v. Sorin! Solutions. Inc.: Sorint SoectnJm. LP.,
UnITed States District Court, Southem District of CaI~omia, Case No. 07 -CV-2231-RJB. Eric Taylor represents a class of
Sprint wireless data connection card customers who were billed and paid certain State Taxes, SMS Text Message
Charges, E911 Charges, and WLNP Charges between September 1, 2006 and October 28, 2009 (the 'Class Period").
"you are a class member, you already have received, or will receive, a full refund or credIT of State Taxes
'assessed on your wireless data connection card services. In addition, if you submit a Proof of Claim Form by March
27, 2010, you may be eligible to receive a full refund of SMS Text Message Charges (billed at 1 O~, 15~, and 20~ per
text message) for the Class Period, one-ha~ of the E911 Charges (billed at 40~ per month) from 9/1/06 through
12/31/07, and one-half of the WLNP Charges (billed at 15~ per month) from 9/1/06 through 12/31/07. (Please note
that E911 and WLNP Charges were no longer a.ssessed after December 31,2007.) You may submit a Proof of
Claim Form online at www.sorintdatacardsettIEkrient.com or request a Proof of Claim Fonn from the Claims
Administrator at the address below. i~~{
To exclude yourself from this settlement, or t?~object to the settlement, you must follow the instructions in the Notice
described below. The deadline to opt out of the s@lemen!orsubmITanyobjection is Thursday, January 28, 2010.
This is only a swnmary of the setUement For additional infonnatjon regarding this setUemen!, the full Notice
of Pendency of Class Action and Proposed Settlement r'Notice'1, including a description of the taxes and
charges in Issue, is available at WWW.SDrintdalacardsetUement.com. or from the Claims Administrator at Taylor v.
Sprint Solutions, clo Gilardi & Co. LLC, P.O. Box 808054, Pelaluma, CA 94975-a054. You may also call Class
Counsel at (800) 695-6750 ff you have any questions.
-~:--
,
PRESORTED
UNITED STATES DISTRICT COURT Taylor v. Sprint Solutions ARST-CLASS MAll
c/o Gilardi & Co. LLC U.S POSTAGE
SOUTHERN DISTRICT OF CALIFORNIA P.O. Box 1549 PAID
CarolStream,ll
NOTICE OF PENDENCY OF Bolin9brook, IL 60440-7249 Permit No. 7025
CLASS ACTION AND PROPOSED
SETTLEMENT
UTILITY CONSUMERS' ACTION NETWORK I ~III ~ mllll ~Ii ~illll ~IU mil om 1M Ilmll iUl~ lilil m ~II
and ERIC TAYLOR, on behalf of themselves,
their members and/or all others similarly TUCAN-2804:292-1
situated, as applicable, Plaintiffs, Postal Service: Please Do Not Mark Barcode
v. """,-**",*-*",uMIXED AAOO 601
SPRINT SOLUTIONS, INC. and SPRINT 01251696
SPECTRUM L.P., CiTY OF ASHLAND
Defendants. CITY OF ASHLAND 90 MOUNTAI A N
ASHLAND, OR 97520
.. ,1
Website PIN#: H7S9P9
TUCAN .11,1,,11111,1,11111,111111111111
Ji,l, ;./", I,J1I,.,i.JI/ II .nJ,/II ,II,.,U,J,IIl,'"lJu ,."J!i
ij
SUMMARY CLASS NOTICE
THIS NOTICE ADVISES YOU OF A PROPOSED CLASS ACTION SETTLEMENT WITH SPRINT.
THIS NOTICE MAY AFFECT YOUR LEGAL RIGHTS - PLEASE READ IT CAREFULLY.
This summary notice informs you about the settlement of Utilitv Consumers' Action Network end Eric Tavlor on
beha~ of themsewes their members andlor ail others similarlv situated v. Sorint Solutions. Inc: Sorint Soectrum. LP.,
Untted States District Court, Southem District of Califomia, Case No. 07-CV-2231-RJB. Eric Taylor represents a class of
Sprint wireless data connection card customers who were billed and paid certain State Taxes, SMS Text Message
Charges, E911 Charges, and WLNP Charges between September 1,2006 and October 28,2009 (the 'Class Period").
If you are a class member, you already have received. or will receive, a full refund or credit of State Taxes
'assessed on your wireless data connection card services. In addition, if you submit a Proof of Claim Form by March
27,2010, you may be eligible to receive a full refund of SMS Text Message Charges (bilied aI10~, 15~, and 20~ per
text message) for the Ciass Period, one-half of the E911 Charges (billed at 40~ per month) from 9/1/06 through
12/31/07, and one-half of the WLNP Charges (billed at 15~ per month) flOm 9/1/06 through 12/31/07. (Please note
that E911 and WLNP Charges were no longer 8:SSessed after December 31,2007.) You may submit a Proof of
Claim Form online at www .sDrintdatacardsettl~ment.com or request a Proof of Claim Form from the Claims
Administrator at the address below. . i~,::
To exclude yourself from this settlement, or t~J?bject to the settlement, you must follow the instructions in the Notice
described below. The deadline to opt out of the "'itt!emenl or submtt any Objection is Thursday, January 28, 2010.
This is only e summary of the settlement. For additional infonnation regarding this settlement, the full Notice
of Pendency of Class Action and Proposed SetUement ("Notice'?, including a description of the taxes and
charges in issue, is available at www.sorintdatacardsettJementcom, or from the Claims Administrator at Taylor v.
Sprint Solutions, c/o Gilardi & Co. LLC, P.O. Box 808054, Pelaluma, CA 94975-8054. You may also call Class
Counsel at (800) 695-6750 n you have any questions.
"." .\,'
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