HomeMy WebLinkAboutInsurance Certificate: Tornton Engineering
ACORD_ CERTIFICATE OF LIABILITY INSURANCE OPID AS I DATE (MMlDDNYYY)
9THOREN 05/10/10
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO'
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Hart Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3389 Crater Lake Hwy ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Medford OR 91504 -.. --- .-
Phone:5~1-1I~~~~32 '...
. Fax :.541-772-3963 INSURERS AFFORDING COVERAGE.. : NAIC#
INSURED J -- ,
.- INSURER A Travelers Ca.ual ty,.., c Sur.ty
, l ".~""'01.'.l;EC' ".;l~"'::: i : Mutual of Enumclawi, J
..- INSURER B"
, .-' ........l.::~; i i f. :" ~--- - ,
- --Thornton Engineering Inc INSURER c:
PO Box 476 INSURER 0: 'S:.'} ",';'1.',.
- iJacks.,,-nv:i.11e OR 97530 --
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 LlMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR TYPE OF INSURANCE POLICY NUMBER I D'i,;!~ 1MMlDDIYY 8k'TCEY/~':h~~~N LIMITS
~NERAL LIABILITY EACH OCCURRENCE .1000000
B X ~ 3MMERCIAL GENERAL LIABILITY NC955347 07/01/10 07/01-/11 I ~R~~~~ ~E~l:o~~~r~ncel .300000
- CLAIMS MADE [!J OCCUR MED EXP (Anyone person) ,10000
A X Professional E&O 105350491 10/01/09 10/01/11 PERSONAL & ADV INJURY , 1000000
GENERAL AGGREGATE .2000000
i-l'~ AGG~EnE LIMIT APPlS PER: PRODUCTS. COMP/OP AGG .2000000
X POLICY rr8i LaC P E & 0 1000000
. ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT
B ~ ANY AUTO CP20053077 07/01/10 07/01/11 (Eaaccidenl) '1,000,000
. -- .
, - .ALL OWNE.o~ Al!IOS " (y. " :'!",", .... BODILY INJURY
.. - .~. - . .- .---- .
"SCHEDui.~D AUTOS .,4_,. - ';. .. - (Per person) .: I
I - :q?' - !":","Il
,'_ 'TI"J~ ..J:~..,. '. ... .. ':..':'.', __ u .. ,
HIRED AUTOS j,._ - - n.' .. ..
- ,j,'!'; ~ ..; ~': , BODILY INJURY .-.- .---.-. , .- .-.'
, NON-OWNED AUTOS ~J '~'r\(': , . . - ..-::~:-c: . "(Per,aCCident).. ,
- .. ....-
-' . -. - .--. J
~ ..-_.......- - . . . ..--- . .- PROPERTY DAMAGE
.. .. .
, -. ". .- (Peraccidenl)
~RAGE UABIUTY . AUTO ONLY. EA ACCIDENT .
ANY AUTO OTHER THAN EA ACC .
AUTO ONLY: AGG .
.=JESS/UMBRELLA LIABILITY . EACH OCCURRENCE ,
OCCUR D CLAIMS MADE AGGREGATE ,
,
~ DEDUCTIBLE .
RETENTION , ,
WORKERS COMPENSATION AND I TORY LIMITS I I U E~-
EMPLoYERe' L1ABIUTY
ANY PROPRtETORIPARTNERlEXECUTIVE E.l. EACH ACCIDENT .
OFFICERIt.1EMBER EXCLUDED? E.l. DISEASE - EA EMPLOYE .
~~~~11tS~~v~~~~s below E_l. DISEASE. POLICY LIMIT .
OTHER
DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES f EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS
The C:i.ty of Ashland is named as an additional insured as respects to general
l:i.ab:i.l:i.ty.
CERTIFICATE HOLDER
CANCELLATION
i)) .. 'i ,\\/; u: fn1: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRATlOI
"
-- . -'u DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
J: _I; NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
C:i.ty of Ashland. MAY 1 1 2010 IW! IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
20 E Main Street: REPRESENTATIVES.
Ashland OR 97520"1 AUTHORIZED REPRESENTATIVE
Tom Kaldunski
ACORD 25 (2001/08) J I @ ACORD CORPORATION 1