Loading...
HomeMy WebLinkAboutInsurance Certificate: Professional Underground Srvcs ~ ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDfYYYYl 07/23/2010 PRODUCER (360) 892-5840 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Post Insurance Services, Inc. DNL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR' 1499 SE Tech Center Place ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 150 Vancouver WA 98683- INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Bi tuminous Fire , Marine Professional Underground Services, Inc. INSURER 8: P,O, Box 2641 INSURER c: INSURER 0: Euaene OR 97402- INSURER E: 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 IMTH 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 REOUCEO BY PAID CLAIMS. 1~~:I~~~l TYPE OF INSURANCE POLICY NUMBER ~NERALLlABIUTY CLP 3 540 559 X COMMERCIAL GENERAL LIABILITY I CLAIMS MADE [X] OCCUR COVERAGES P~;+i~:~68~IE Pg~W,~~~~N 07/22/2010 07/22/2011 A / / / / / / / / A ~N'LAGGRE~E ,LIMIT ~ES PER: I POLICY I X I r~8T I IlOC ~TOM08ILE LIABILITY K ANY AUTO _ AlL DV\'NED AUTOS _ SCHEDULED AUTOS ..!. HIRED AUTOS ..!. NON.Q\MIlED AUTOS / CAP 3 540 560 / / / / 07/22/2010 07/22/2011 / / / / / / / / / / / ~~GE UABILlTY I ANY AUTO / / / / A 07/22/2010 07/22/2011 CUP 2 588 118 ~~SSIUMBRELLA LIABILITY ..!...J OCCUR 0 CLAIMS MADE I DEDUCTIBLE X1 ~ETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERlEXECUTIVE OFFICERlMEMBER EXCLUDED? If yes, describe under SPECiAl PROVISIONS below OTHER Inland Marine / / / / / / / / / / / / CLP 3 540 559 07/22/2010 07/22/2011 / / / / / / / / A LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMISES Ea occurrence MED EXP /Anv one nerson\ PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMPJOP AGG $ COMBINED SINGLE LIMIT (Eaaccident) BODILY INJURY {Per person) BODILY INJURY (Peraccidenl) PROPERTY DAMAGE (Peraccidenl) AUTO ONLY. EA ACCIDENT $ OTHER THAN AUTO ONLY: EAACC $ AGG $ 1,000,000 100,000 10,000 1,000,000 2,000,000 2,000,000 1,000,000 5,000,000 5,000,000 300,000 421,000 500 DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: IS/Exit l4/Hwy 66 relocation of electric facilities from overhead to underground. The City of Ashland is included as an additional insured with respects to the operation of the named insured. CERTIFICATE HOLDER ( ) CANCELLATION EACH OCCURRENCE $ AGGREGATE $ . . . I T~~I~Hs I IOJ~' E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L DISEASE - POLICY LIMIT $ Rent9d/Leased Schedulad Daductible SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TH REOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 Ci ty of Ashland 90 N Mountain Ave , HA IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE \ PRESENTATlVES. Ashland ACORD 25 (2001/08) INS0251010B).06 OR 97520- @ACORD CORPORATION 1988 Page 1 of2