HomeMy WebLinkAboutInsurance Certificate: Polaris land Surveying
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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
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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
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