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HomeMy WebLinkAboutInsurance Certificate: Polaris land Surveying ~ ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY) ~ 6/17/2010 PRODUCER (303)454-9562 FAX: (303)454-9564 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Assurance Risk Managers, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2851 S. Parker Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 760 Aurora CO 80014 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:. Beazley Insurance 37540 Polaris Land Surveying, LLC INSURER B: 151 Clear Creek Dr. INSURER c: Suite 101 INSURER 0: Ashland I OR 97520 INSURER E: THE POLlCIES,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. ~ ~ powev NUMBER ~P#:~Y EFFECTIVE I ~~UCY EXPIRATION ~NERAL UABIUTY COMMERCIAL GENERAL LIABILITY I CLAIMS MADE D OCCUR COVERAGES - - ~'L AGGREGATE LIMIT APPLIES PER: I POLICY n ~~9,: n lOC ~TOMOB[l.E LIABILITY _ ANY AUTO ;. _ AlL OWNED AUTOS _ SCHEDULED Al,JTOS _ HIREDAU:rOS _ NON-OWNED AUTOS - - nil i~:~\ fUN 2. 1 2011 \ tUJ\ .I ~RAGE UABIUTY H ANY AUTO ~XCESS I UMBRELLA LIABILITY OCCUR D CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y f N ANY PRQPRIETORIPARTNERlEXECUTIVE 0 OFFICERlMEMBER EXCLUDeD? (Mandatory In NH) If yes, describe under SPECIAL PROVISIONS below A OTHER PROFESSIONAL LIABILTIY CLAIMS-MADE POLICY DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES J EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAl.. PROVISIONS \1\\\ '-- L.--. 15U9AI00401 6/2B/2010 6/2B/2011 CERTIFICATE HOLDER CANCELLATION LIMITS EACH OCCURRENCE ~~~~~J9~~J~~nce\ MED EXP (Anyone person) . . . PERSONAL & ADV INJURY . GENERAL AGGREGATE . PRODUCTS.COMP~PAGG . COMBINED SINGLE LIMIT . (Eaaccident) . BODILY INJURY . (Per person) .- BODILY INJURY . (Per accident) PROPERTY DAMAGE . (Peraccidenl) AUTO ONLY. EA ACCIDENT . OTHER THAN EAACC . AUTO ONI.. Y: AGG . EACH OCCURRENCE . AGGREGATE . . . . I.WC STATU-.I IOJbl- E.L. EACH ACCIDENT . E.L. DISEASE - EA EMPLOYE . E.L. DISEASE - POUCY UMIT . EACH CLAIM 500,000 AGGREGATE 1,000,000 . SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN City of Ashland, Oregon and It's NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Elected Officials, Officers & .Employees IMPOSE NO OBUGATION OR UABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 E. Main St. REPRESENTATIVES. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE Lisa I.om/SRS .-:~:~~. ~_-----.::> ACORD 25 (2009/01) INS025 (200901).01 @1988-2009ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD