HomeMy WebLinkAboutInsurance Certificate: Newco dba Cascade Columbia Dist
ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMJDDNYYY)
10/29/2010
PRODUCER (206) B38-9077 THIS CERTIFICATE IS ISSUED AS A MAHER OF INFORMATION
DML Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
4005 20th Ave W Ste 132 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Seattle WA 98199- INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER k lronshore Special tv Ins
Newco, Inc. dba Cascade Columbia Distribution; INSURER B: Praetorian Insurance Co
et a1 INSURER c: Ironshore Snecial tv Ins
6900 Fox Ave S INSURER 0:
Seattle WA 98108- INSURER E:
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 VV1TH 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.
INSR ADD'L TYPE OF INSURANCE P.5'}+~~~~~68mIE Pg~Wf~~~N
LTR rNSRO POLICY NUMBER LIMITS
A ~NERAL LIABILITY 000787200 10/31/2010 10/31/2011 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL Gi:NERAL L.IABILllY ~~~~~~J9E~~~u~~nce\ $ 1,000,000
I ClAIMS MADE [i] OCCUR / / / / MED EXP IAnIl one nerson\ $ 10,000
X Pollution Liability PERSONAL & ADV INJURY $ 1,000,000
X Vendors Liability / / / / GENERAL AGGREGATE $ 2,000,000
~'~ AGG~EnE LIMIT AFilES PER: PRODUCTS - COMP/OP AGG $ 2,000,000
POLICY ~~8T X LOC / / / /
B ~TOMOBILE LIABILITY PICISOOOl098 10/31/2010 10/31/2011 COMBINED SINGLE LIMIT 1,000,000
(Eaaccident) $
r-!- ANY AUTO
f- ALL OVVNED AUTOS / / / / BODILY INJURY
(Per person) $
SCHEDULED AUTOS
- / / / /
- HIRED AUTOS BODILY INJURY
(Per accident) $
- NON-OWNED AUTOS
- / / / / PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY AUTO ONLY EA ACCIDENT $
~ ANY AUTO / / / / OTHER THAN EA ACC $
AUTO ONLY: AGG $
C EXCESS/UMBRELLA LIABILITY 000787900 10/31/2010 10/31/2011 EACH OCCURRENCE $ 15,000,000
jt] -OCCUR D ClAIMS MADE AGGREGATE $ 15,000,000
$
;:1 DEDUCTIBLE / / / / $
X RETENTION $ 10,000 $
WORKERS COMPENSATION AND - / / / / I T~-$'IfJHs I I OJ~-
-EMPLOYERS' LIABILIty
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? / / / / E.L. DISEASE - EA EMPLOYEE $
Iryes, describe under
SPECIAL PROVISIONS be!OI/{ E.L. DISEASE - POLICY LIMIT $
B OTHER Auto Physical Damage PICISOOOlO98 10/31/2010 10/31/2011 Comprehensive Oed 1,000
/ / / / Collision Deductible 1,000
/ / / /
DESCRIPTION OF OPERA TlONS/LOCA TlONSNEHICLESJEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
(541) 488-5354 (541) 488-5320 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Kari Olson - Purchasing EXPIRATION OATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOl1CE TO THE CERl1F1CATE HOLDER NAMED TO THE LEFT, BUT
City of Ashland FAILURE TO DO SO SHALL IMPOSE NO OBUGA110N OR LIABILITY OF ANY KIND UPON THE
90 N Mountain Avenue INSURER ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~~
Ashland OR 97520-
ACORD 2S (2001/08)
INS02S (OlOB) 06
@ACORDCORPORATION1988
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