HomeMy WebLinkAboutInsurance Certificate: Marquess & Associates (3)
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AE~RD' I DATE (MM/DDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE 05/13/2010
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 ~~;cDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
19660 10TH AVENUE N.E. l ER THE COVERAGE 4..nRDED BY THE POLICIES REI nw.
POULSBO WA 98370
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Travelers Casualty and Surety Co of America 31194
MARQUESS & ASSOCIATES INC INSURER 8: 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 ADO' TYPE OF INSURANCE POLICY NUMBER Pgii~~:~~ POUCY EXPIRATION LIMITS
LTR INSR DATE MMIODNY
GENERAL LIABILITY 6806146N63A 05/29/10 05/29/11 EACH OCCURRENCE . 1,000,000
-,,-
X COMMERCiAl GENERAL LIABILITY DAMAGE TO RENTED . 300,000
PREMISES {Ell occurence)
I CLAIMS MADE[!] OCCUR MED. EXP (Anyone person) . 5,000
B X XCU, BFPD, OCP PERSONAL & ADV INJURY . 1,000,000
-
GENERAL AGGREGATE . 2,000,000
GEN'L AGGREGATE LIMIT APPn :ER: PRODUCTS - COMPIOP AGG . 2,000,000
--, Ixl PRO-
POLICY X .I'::~T LOC .
~OMOB[LE LIABILITY BA6148N401 05/29/10 05/29/11 COMBINED SINGLE LIMIT
X ANY AUTO (Eaaccident) . 1,000.000
-
ALL OWNED AUTOS BODILY INJURY
- (Per person) .
SCHEDULED AUTOS
B X
HIRED AUTOS BODILY INJURY
X NON-OWNED AUTOS {Per accident) .
-
- PROPERTY DAMAGE .
{Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT .
==i ANY AUTO OTHER THAN EA ACC .
AUTO ONLY: AGG .
EXCESS J UMBRELLA LIABILITY CUP3196T698 05/29/10 05129111 EACH OCCURRENCE . 5,000,000
~ OCCUR D CLAIMS MADE AGGREGATE . 5.000,000
C .
~ IDEDUCTIBLE .
RETENTION $ 10,000 .
WORKERS COMPENSATION AND I ~gR~T~~~S I I OTHER
EMPLOYERS' LIABILITY Y<N E.L. EACH ACCIDENT .
ANY PROPRIETORlPARTNERlEXECUTlVE 0
OFFICERlMEMBER EXCLUDED? E.L. DlSEASE-EA EMPLOYEE .
(Mandatory In NH)
Ifyes,desctibeunder E.L. DISEASE.POllCY LIMIT .
SPECIAL PROVISIONS below
OTHER Professional Liability 105320158 07/26/09 07/26/10 $1,000,000 Per Claim
A Claims Made Form $1,000,000 Aggregate
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS
Street Improvement Project #2005-34
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CERTIFICATE HOLDER
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Attention:
ACORD 25 (2009/01)
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Certificate # 115216 @ 1988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER Will ENDEAVOR TO MAil 30 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 REPRESENTATIVES.
l'urUij'
City of Ashland
20 E. Main Street
Ashland, OR 97520
JUN I I
AUTHORIZED REPRESENTATIVE