HomeMy WebLinkAboutInsurance Certificate: Diamond Parking
ACORD.
CERTIFICATE OF LIABILITY INSURANCE %~881 I DAT~;M/,";;7;;/
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
LLC
PRODUCER
Lovsted-Worthington
P.O. Box 607
Bothe11 WA 98041
Phone: 425-486-1291
Fax:425-486-6140
INSURERS AFFORDING COVERAGE
INSURER A" Chubb Custom
INSURER B' Federal Insurance
NAIC#
INSURED
Company
Diamond Parking loc
605 First Ave! Suite 600
Seattle WA 98 04-2224
INSURER c:
INSURER 0:
INSURER E:
Enlployer' 5 Insurance Wausau
Scottsdale Insurance COIlIpany
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.
LTR NSR[ TYPE OF INSURANCE POLICY NUMBER DATE iMMIDDlYY1 DATE MM/DDIYYI LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
-
A X COMMERCIAL GENERAL LIABILITY 79572244 07/15/10 07/15/11 PREMISES (Ea occurence) $
1 CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'l AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1 ,000,000
II .n:RO. n,
POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
B ANY AUTO 73547935 07/15/10 07/15/11 (Eaaccident)
-
~ ALL OWNED AUTOS BODilY INJURY
$
SCHEDULED AUTOS (Per person)
-
~ HIRED AUTOS BODILY INJURY
$
~ NON-OWNED AUTOS (Peraccidenl)
PROPERTY DAMAGE $
(Peraccidenl)
GARAGE LIABILITY AUTO ONLY - EA ACCIOENT $150,000
A ~ ",",y AUTO 79572244 07/15/10 07/15/11 OTHER THAN EA ACC $1,000,000
AUTO ONLY: AGG $1,000,000
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 2,000,000
D ~ ~CCUR D CLAIMS MAOE XLS0068100 07/15/10 07/15/11 AGGREGATE $ 2,000,000
$
~ ~EDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND hORY LIMITS I IV ER -
C EMPLOYERS' LIABILITY WCC-Z91-452389-010 07/15/10 07/15/11 $ 1,000,000
ANY l-'ROPRIETORlPARTNERlEXECUTIVE E.L EACH ACCIDENT
OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000
~~~~I~isW~bciv~~?g~s below E.L. DISEASE - POLICY LIMIT $1,000,000
OTHER
r ~-~- 17:; ",=.......-~-;.; -n-; n r.= ~I
DESCRIPTION OF OPERATiONS J LOCATiONS 'VEHICLES' EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS i~r' :: ~ 9-: ~ ~
RE: Station #EA01 - City of Ashland, Ashland, OR
Certificate holder is an additional insured
I ,C/
CERTIFICATE HOLDER CANCELLATION
ASHLA01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Ashland
20 E Main Street IMPOSE NO OBLIGATiON OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Ashland OR 97520 REP~
AUTHORIZED R l}VE
ACORD 25 (2001/08)
@ ACORD CORPORATION 1988