HomeMy WebLinkAboutInsurance Certificate: Marquess (2)
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY)
TM, 08103/2009
PRODUCER Phone: (360) 598-3700 Fax: (360) 598-3703 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MICHAEL J. HALL & COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HALL & COMPANY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
19660 10TH AVENUE N.E. At fER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
POULSBO WA 98370
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Travelers Casualty and Surety Co of America 31194
MARQUESS & ASSOCIATES INC INSURER B: The Travelers Indemnity Company 25658
P.O. BOX 490 INSURER c: Travelers Insurance Company 39357
MEDFORD OR 97501
INSURER 0:
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.
INSR ADD
LTR INSR
PgA~~:~g~
05129109
TYPE OF INSURANCE
POLICY NUMBER
P~~;EY ~~~~N
OS/29/10
B
GENERAL LIABiliTY
X COMMERCIAL GENERAL LIABILITY
- ~l CLAIMS MADE [!] OCCUR
X XCU, BFPO, OCP
-
-
GEN'L AGGREGATE LIMIT APPLIES PER:
I POLICY rxl ~:gT n LOC
AUTOMOBILE LIABILITY
~ ANY AUTO
X ALL OWNED AUTOS
-
_ SCHEDULED AUTOS
-
-
-
PROPERTY DAMAGE
(peraccldenl)
6806146N63A
EACH OCCURRENCE
~~~~~~~~E~~~~nC~)
MED. EXP (Anyone person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS-COMP/OP AGG.
OS/29/10
BA6148N401
OS/29/09
COMBINED SINGLE LIMIT
(Eaaccidenl)
BODilY INJURY
(Per person)
B
HIRED AUTOS
BODILY INJURY
(Peraccidenl)
NON-oWNED AUTOS
C
GARAGE lIABILITY
~ AN'( AUTO
EXCESS J UMBRELLA lIABILITY
~ OCCUR D CLAIMS MADE
I DEDUCTIBLE
I RETENTION $ 10,000
CUP3196T698
AUTO ONLY - EA ACCIDENT
OTHER T1-IAN
AUTO ONLY;
OS/29/09
OS/29/10
EACH OCCURRENCE
AGGREGATE
WORKERS COMPENSATION AND
EMPLOYERS' LIABIUTY
ANY PROPRIETORIPARTNERlEXECUTlVE
OFFICERlMEMBER EXCLUDED?
lfye., d.tcribe u"der
SPECIAL PROVISIONS below
I ~R~T~~~rs I -.1 O~ER
E,l. EACH ACCIDENT $
E.l. DISEASE-EA EMPLOYEE $
E.l. DISEASE-POLICY LIMIT $
OTHER:
A Professional liability
Claims Made Form
10S3201S8
07/26/10
$1,000,000 Per Claim
$1,000,000 Aggregate
07/26109
LIMITS
$
EAACC S
AGG S
$
$
$
.
$
.
.
.
.
.
1,000,000
300,000
5,000
1,000,000
2,000,000
2,000,000
.
1,000,000
.
.
$
S,OOO,OOO
5,000,000
.
r
~~:::~::=o~TI"m~'~"'=""'_o ~'''''''''~, ""~'~m" :;;?: '.
9-: ~ ~~'J
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CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ashland EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAil 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE
20 E. Main Street TO DO SO SHAll IMPOSE NO OBLIGATION OR lIABILITY OF ANY KIND UPON THE INSURER,
Ashland, OR 97520 ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~hle:r.Hul~
Attention:
ACORD 25 (2001/08)
Certificate #
100309 fL,...."'cJ... ~ /1Z,/oq ,
@ACORD CORPORATION 1988