The URL can be used to link to this page

Home My WebLink AboutInsurance Certificate: Keller Associates ACO'RD.. CERTIFICATE OF LIABILITY INSURANCE OP ID NW 1 DATE (MMJDDfYYYY) KELLE-4 OS/27/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Hartwell Corporation - Cal HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Caldwell ID 83606 Phone: 208-459-1678 Fax:208-454-1114 INSURERS AFFORDING COVERAGE - NAIG# - INSURED - INSURER A: Traveler. Indem Co of America - " -- -- _. - INSURER B: Libertv Ins. Underwriters Keller Associates, Inc. INSURER C: Traveler.. Casualty" Surety- .. -. - --.- 131 SW 5th Avenue, Suite A INSURER 0: Phoenix Insurance Co Meridian ID 83642 INSURER E: .. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY PERIOD INDICATED. NOl'NlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO wtllCH 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 SHOVVN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I POLICY NUMBER PDA TE fMMfDDrYY\c P8k~CEY,ijX':'h~,AC?N LIMITS LTR NSR TYPE OF INSURANCE GENERAL LIABILITY EACH OCCURRENCE .1000000 - I ~REM~ES(Ea~ronoo) .1000000 A X X COMMERCIAL GENERAL LIABILITY I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) .10000 680-7877L118 12/01/09 12/01/10 PERSONAL & ADV INJURY .1000000 - .2000000 GENERAL AGGREGATE - .2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 4-txl PRO, n POLICY X JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT .1,000,000 - (Eaaccident) D X ..!. ANY AUTO ALL OVVNED AUTOS BA7877L468 12/01/09 12/01/10 BODILY INJURY - (Per person) . - SCHEDULED AUTOS ..!. HIRED AUTOS BODILY INJURY -- .. (Per.accident) . ..!. NON-OVVNED AUTOS . .. _n. - - . PROPERTY DAMAGE -. (per accident) . . GARAGE LIABILITY AUTO ONLY - EAACCIDENT . =i ANY AUTO OTHER THAN EAACC . AUTO ONLY: AGG . EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE . ~ OCCUR D CLAIMS MADE AGGREGATE . . =i D;DUCTIBLE . RETENTION . . WORKERS COMPENSATION AND X IT~l(,~Ws I IU~~' C EMPLOYERS' LIABILITY UB9722Y081 05(01/10 05/01/11 E.L. EACH ACCIDENT .1,000 000 ANY PROPRIETORJPARTNERJEXECUTlVE OFFICERlMEMBER EXCLUDED? INCL WA STOP GAP E.L. DISEASE - EA EMPLOYEE .1,000,000 ~~Etl~ls~RbOV~s1o~s below E.L. DISEASE - POLICY LIMIT .1,000 000 OTHER B Prof. Liab. AEE196886-0109 12/01/09 12/01/10 Ea. Claim $2,000,000 $50,000 Deduct Ann. Acm. $2,000,000 DESCRIPTION OF OPERATIONS /LOCA TIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS The City of Ashland, Oregon, its elected officials, officers and employees are additional insureds for general liabili ty and auto liabili ty when required by contract and as provided by attached policy forms CGD381 and CAT437. CERTIFICATE HOLDER f. , CANCELLATION Uf , City of Ashland 25 E Main Street Ashland OR 97520 I J 'J:N' ': 2" :: r,~r J I .J SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ 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 ACORD 25 (2001/08) r:!J.oo~ @ACORDCORPORATION 1988 . =- . ~ ,- - - - ..= =- - - -= =- , =- - c- ~- - : , . COMMERICAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement mDdifies insurance provided under the fOIlDwing: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The follDwing is added to WHO IS AN INSURED (Section II): Any person Dr organization that you agree in a "contract or agreement requiring insurance" to in- clude as an additional insured on this Coverage Part, but only with respect to liability for "bodily In- jury", "property damage" or "personal injury" caused, in whole Dr in part, by YDur acts or omis. sions or the acts Dr omissiDns of those acting on your behalf: a. In the perfonnance Df your ongoing opera- tions; b. In cDnnection with premises owned by or rented to you; or c. In connection with "YDur work" and included within the "products-completed operations hazard". Such persDn or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. The insurance provided tD such additional insured is limited as follows: d. This insurance does nDt apply on any basis to any person or organization for which cover~ age as an additional insured specifically is added by another endorsement to this Cover- age Part. e. This insurance does not apply to the render. ing of or failure to render any "professional services" . f, The limits of insurance afforded to the addi- tional insured shall be the limits which you agreed in that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endDrsement does not increase the limits of insurance stated in the LIMITS OF CG 03 81 09 07 INSURANCE (Section III) for this CDverage Part. B. The following is added to Paragraph a. of 4. other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): HDwever, if you specifically agree in a "contract Dr agreement requiring insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non-cDntributory basis, this insurance is primary to other insurance that is available to such additional Insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought DCGUrs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after YDU have entered into that "cDntract or agreement requiring insurance". But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent Dr Dn any other basis, that is available to the insured when the insured is an additiDnal insured under any Dther insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because Df payments we make for "bodily injury", "property damage" Dr "personal injury" arising out of "your work" perfonned by you, or on YDur behalf, under a "contract Dr agreement requiring insurance" with that person or organizatiDn. We waive these rights Dnly where you have agreed to do so as part of the "contract or agreement requiring insur- ance" with such person or organization entered into by you before, and in effect when, the "bodily (Q 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services OffICe, Inc., with its permission. Page 1 of 2 002218 COMMERICAL GENERAL LIABILITY injury" or "property damage" occurs. or the "per- sonal injury" offense is committed. 0, The following definition is added tD DEFINITIONS (Section V): "Contract Dr agreement requiring insurance" means that part of any contract or agreement un- der which you are required to include a person or organizatiDn as an additional insured on this Cov- Page 2 012 i erage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal in- . jury" is caused by an offense committed: a, After you have entered into that contract or ag reement; b. While that part of the, contract or agreement is in effect; and c, Before the end of the policy period. 1tl2007 The Travelers Companies, Inc. Includes the copyrighted material ot Insurance Services Office, Inc., with its permission. CG 03 81 09 07 . . CA T437 0808 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. The following is added to the Section II - Liability Coveralle, Paragraph A.1. Who Is An Insured Provision: Any person or organization that you are required to include as additional insured on the Coverage Form in a written contract or agreement that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II