HomeMy WebLinkAboutInsurance Certificate: Marquess & Associates (6)
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AE~RD' I DATE (MMlDDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE 08/03/2010
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 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
19660 10TH AVENUE N.E. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
POULSBO WA 98370 INSURERS AFFORDING COVERAGE NAlC #
INSURED INSURER A: Travelers Casualty and Surety Co of America 31194
MARQUESS & ASSOCIATES INC INSURER S; The Travelers Indemnity Company 256S8
P.O. BOX 490 INSURER C: Travelers Insurance Company 39357
MEDFORD OR 97501
INSURER D:
INSURER E: .
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
Atf'f 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.
.'R ADD TYPE OF INSURANCE POLICY NUMBER r-g;~~Y :~r;;;~~ P~~~:,~:~~~N LIMITS
LTR INSR
~NERAL LIABILITY 6806146N63A OS/29/10 OS/29/11 EACH OCCURRENCE , 1,000,000
DAMAGE TO RENTED
X COMMERCIAL GENERAl LIABILITY PREMISES Ea occurence , 300,000
I CLAIMS MADE 0 OCCUR MED. EXP (Anyone person) , S,OOO
B ~ XCU,BFPD,OCP PERSONAL & ADV INJURY , 1,000,000
GENERAL AGGREGATE , 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG , 2,000,000
4 ~fx1 PRO- nL
POLICY X n=rT LOC ,
AUTOMOBILE LIABILITY BA6140N401 OS/29/10 OS/29/11 COMBINED SINGLE LIMIT
::K Am AUTO (Eaaccidenl) , 1,000,000
- ALL OWNED AUTOS BODILY INJURY
(Per person) ,
SCHEDULED AUTOS
B -
~ HIRED AUTOS BODILY INJURY
,
X NON-OWNED AUTOS (Peraccidenl)
-
- PROPERTY DAMAGE ,
(Peraccidenl)
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT ,.
==i ANY AUTO OTHER THAN EA ACC ,
AUTO ONLY: AGG ,
EXCESS I UMBRELLA LIABILITY CUP3196T698 OS/29/10 OS/29/11 EACH OCCURRENCE , 5,000,000
~ OCCUR D CLAIMS MADE AGGREGATE , S,OOO,OOO
C ,
=i ~EDUCTLBLE ,
RETENTION $ 10,000 ,
WORKERS COMPENSATION AND fOCR~Tt~~s I I OTHER
EMPLOYERS' lIABIlITY Y<. E,L. EACH ACCIDENT .
ANY PROPR1ETORIPARTNERlEXECUTIVE 0
OFFICERlMEIIBER EXCLUDED? Fl DISEASE-EA EMPLOYEE ,
(M.ndlllorylnNH) --
If yes, desaibe under E:LJ"~EAs";pQOCy LLMri n MfS
SPECIAL PROVISIONS below . . . \... ~., " I
OTHER Professional liability 10S320158 07/26/10 07/26/11 $1!OPPlOOO'PerClalm 1
A Claims Made Form ilflio'o!ooO Ag9regate I
I 1\1 Allr. - a ?n1n I
DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT 1.5"~IAL PROVISIONS I
Street Improvement Project #2005-34 I~
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ashland 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
20 E Main St DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, Irs
Ashland, OR 97S20-1814 AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~ShleY'L Hul~
Attention:
ACORD 2S (2009/01)
Certificate # 119714 @1988-2009ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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Marquess & Associates Inc
Policy #6806146N63A
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
(ARCHITECTS, ENGINEERS AND SURV~YORS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. The following is added to WHO IS AN INSURED
(Section II):
Any person or organization that you agree in a
"contract or agreement requiring insurance" to in-
clude as an additional insured on this Coverage
Part, but only with respect to liability for "bodily in-
jury", "property damage" or "personal injury"
caused. in whole or in part. by your acts or omis-
sions or the acts or omissions of those acting on
your behalf:
a. In the performance of your ongoing opera-
tions;
b. In connection with premises owned by or
rented to you; or
c. In connection with "your work" and included
within the "products-completed operations
hazard" .
Such person or organization does not qualify as
an additional insured for "bodily injury", "property
damage" or "personal injury" for which that per-
son or organization has assumed liability in a con-
tract or agreement.
The insurance provided to such additional insured
is limited as follows:
d. This insurance does not apply on any basis to
any person or organization for which cover-
age as an additional insured specifically is
added by another endorsement to this Cover-
age Part.
e. This insurance does not apply to the render-
ing of or failure to render any "professional
services".
f. The limits of insurance afforded to the addi-
tional insured shall be the limits which you
agreed in that "contract or agreement requir-
ing insurance" to provide for that additional
insured, or the limits shown in the Declara-
tions for this Coverage Part, whichever are
less. This endorsement does not increase the
limits of insurance slated in the LIMITS OF
CG 0381 0907
INSURANCE (Section III) for this Coverage
Part.
B. The following is added to Paragraph a. of 4.
OIher Insurance in COMMERCIAL GENERAL
LIABILITY CONDITIONS (Section IV):
However, if you specifically agree in a "contract or
agreement requiring insurance" that the insurance
provided to an additional insured under this Cov-
erage Part must apply on a primary basis, or a
primary and non-contributory basis, this insurance
is primary to other insurance that is available to
such additional insured which covers such addi-
lional insured as a named insured, and we will not
share with the other insurance, provided that:
(1) The "bodily injury" or "property damage" for
which coverage is sought occurs; and
(2) The "personal injury" for which coverage is
sought arises out of an offense committed;
after you have entered into that "contract or
agreement requiring insurance". But this insur-
ance still is excess over valid and collectible other .
insurance, whether primary, excess, contingent or
on any other basis, that is available to the insured
'lNhen the insured is an additional insured under
any other insurance.
C. The following is added to Paragraph 8. Transfer
Of Rights Of Recovery Against Others To Us
in COMMERCIAL GENERAL LIABILITY CON-
DITIONS (Section IV):
We waive any rights of recovery we may have
against any person or organization because of
payments we make for "bodBy injury", .property
damage" or "personal injury" arising out of "your
work" pertormed by you, or on your behalf, under
a "contract or agreement requiring insurance" with
that person or organization. We waive these
rights only where you have agreed to do so as
part of the "contract or agreement requiring insur-
ance. with such person or organizatiDn entered
into by YDU before, and in effect when, the "bodily
@2007 The Travelers Companies. Inc.
Includes the copyrighted material of Insurance Services Office. Inc., with its permission
Page 1 of2
COMMERCIAL GENERAL LIABILITY
injury" or "property damage" occurs, or the "per-
sonal injury" offense is committed.
D. The following definition is added to DEFINITIONS
(Section V):
"Contract or agreement requiring insurance"
means that part of any contract or agreement un-
der which you are required to include a person or
organization as an additional insured on this Cov-
Page 2 of 2
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erage Part, provided that the "bodily injury" and
"property damage" occurs, and the .personal in-
jury" is caused by an offense committed:
a. After you have entered into that contract or
agreement;
b. While that part of the contract or agreement is
in effect; and
c. Before the end of the policy period.
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@2007The Travelers Companies, Inc.
Includes the copylighted material of Insurance Services Office, Inc., with its permission
CG D3 81 09 07
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COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
AUTO COVERAGE PLUS ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorse-
ment, the provisions of the Coverage Fonn apply
unless modified by the endorsement.
A. PERSONAL EFFECTS COVERAGE
SECTION III - PHYSICAL DAMAGE COVER-
AGE, A. Coverage, 4. Coverage ExIenslons is
amended by adding the fDllowing:
Personal Effects Coverage
We will pay up to $400 for "loss" to wearing ap-
parel and other persDnal effects which are:
(1) owned by an "insured": and
(2) in or on your covered "auto";
in the event Df a total theft "loss" of your covered
"auto",
No deducUbles apply to Personai Effects Cover-
age.
B. AUTO LOAN LEASE GAP COVERAGE
SECTION III - PHYSICAL DAMAGE COVER-
AGE, A. Coverage, 4. Coverage ExIensions is
amended by adding the following:
Auto Loan Lease Gap Coverage for Private
Passenger Type Vehicles
In the event of a total "loss" to a covered "autD" of
the private passenger type shown in the Schedule
Dr DeclaraUDns fDr which Physical Damage Cov-
erage is provided, we will pay any unpaid amount
due on the lease or loan for such covered "auto"
less the following:
(1) The amount paid under the Physical Damage
Coverage Section of the pDlicy for that "auto":
and
(2) Any:
(a) Overdue lease/ioan payments at the time
of the "loss";
(b) Financial penalties imposed under a
lease for excessive use, abnormal wear
and tear or high mileage:
(c) Security deposits not returned by the les-
sor;
CA T4 20 07 06
(d) Costs for extended warranties, Credit Life
Insurance, Health, Accldent or Disabilily
Insurance purchased with the IDan or
lease; and
(e) Carry-over balances from previous loans
or leases.
C. COVERAGE EXTENSION - AUDIO, VISUAL
AND DATA ELECTRONIC EQUIPMENT NOT
DESIGNED SOLELY FOR THE PRODUCTION
OF SOUND
SECTION III - PHYSICAL DAMAGE COVER-
AGE, B. Exclusions, exception paragraph a. to
exclusions 4.c & 4.d is deleted and replaced with
the following:
a. Equipment and accessories used with such
equipment, except tapes, records or discs,
provided such equipment is pennanently in-
stalled in the covered "auto" at the time of the
"loss" or is removabie from a housing unit
which is permanently installed in the covered
"auto" at the time of the "loss., and such
equipment is designed to be solely operated
by use of the power from the "autD's" electri-
cal system, in or upon the covered "auto"; or
D. WAIVER OF DEDUCTIBLE - GLASS
SECTION III - PHYSICAL DAMAGE COVER-
AGE, D. Deductible is amended by adding the
following:
No deductible for a covered "auto" will apply to
glass damage W the glass is repaired rather than
replaced.
E. HIRED AUTO PHYSICAL DAMAGE COVER-
AGE
SECTION III - PHYSICAL DAMAGE COVER-
AGE, A. Coverage, 4. Coverage Extensions is
amended by adding the following:
Hired Auto Physical Damage Coverage ExIen-
slon
If hired "autos" are covered "autos" for Liability
Coverage and this policy alsD provides Physical
Damage Coverage for an owned "auto", then the
Includes the copyrighted material of Insurance Services Office, Inc. with its permission.
Includes the copyrighted material of The S1. Paul Travelers Companies, Inc.
Page 1 of 2
COMMERCIAL AUTO
Physical Damage Coverage is extended tD
"autos" that YDU hire, rent Dr borrow subject to the
following:
(1) The mDst we will pay for "loss" in anyone
"accident" to a hired, rented Dr borrowed
"auto" Is the lesser of:
(a) $50,000;
(b) The actual cash value of the dam-
aged or stDlen property as of the time
of the "loss"; or
(c) The cost of repairing or replacing the
damaged or stolen property with
other property of like kind and quality.
(2) An adjustment for deprecia~on and
. physical condition will be made in deter-
mining actual cash value in the event Df a
total "loss",
(3) If a repair or replacement results in better
than like kind or quality, we will not pay
for the amount of betterment
(4) A deductible equal to the highest Physical
Damage deductible applicable to any
owned covered "autD".
(5) This Coverage ExtensiDn does not apply
to:
. (a) Any "auto" that is hired, rented or bor.
rowed with a driver; or
(b) Any "auto" that is hired, rented or bor.
rowed from your "employee".
F. BLANKET WAIVER OF SUBROGATION
SECTION IV - BUSINESS AUTO CONDITIONS,
A. Loss Conditions,S. Transfer Of Rights Of
Recovery Against Others To Us is deleted and
repiaced by the foilowing:
5. Transfer Of Rights Of Recovery Against
Others To Us
We waive any right of recovery we may have
against any person or organization to the ex-
Page 2 Df2
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tent required of you by a written contract exe-
cuted prior to any "accident" Dr "ioss", pro-
vided that the "accident" Dr "loss" arises out of
the opera~ons contemplated by such con-
tract. The waiver applies only to the person or
organization designated in such contract.
G. BLANKET ADDITIONAL IN~URED
SECTION 11- LIABILITY COVERAGE, part A. 1.
Who Is An Insured, paragraph c. is amended by
adding the following:
Any person or organization that YDU are required
to inciude as an additional insured on this Cover-
age Form in a written contract or agreement that
is signed and. executed by you before the "bDdily
injury" or "property damage" occurs and that is In
effect during the policy period is an "insured" for
Liability Coverage, but only for damages to which
this insurance applies and only to the extent that
person or organization qualifies as an "insured"
under the Who Is An Insured provision contained
In Section II.
H. EMPLOYEE HIRED AUTOS
SECTION II - LIABILITY COVERAGE, A. Cov.
erage, 1. Who Is An Insured is amended by add-
in9 the fDllowing:
An "employee" of YDurs is an "insured" while DP-
erating an "auto" hired or rented under a contract
or agreement in that "employee's" name, with
your permission, while performing duties related
to the conduct of your business.
I. COVERAGE EXTENSION - TRAILERS
SECTION I - COVERED AUTOS, C. Certain
Trailers, Mobile Equipment and Temporary
Substitute Autos, paragraph 1. is deleted and
replaced by the following:
1. "Trailers" with a load capacity of 3,000
pounds or less designed primarily fDr travel
on public roads.
I
Includes the copyrighted material of Insurance Services Office, Inc. lNith its permission.
Includes the copyrighted material of The 51. Paul Travelers Companies, Inc.
CAT4200706