HomeMy WebLinkAboutInsurance Certificate: Engineered Monitoring Solutions (2)
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ACORD- CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY)
~ 11/30/2010
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BElWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the polley, certain policies may require an endorsemenl A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsemenUs).
PRODUCER NAME~~ I Dee Tudor
Slater & Associates Inc. Irl~N:..~, (503)624-0466 lf~ No': (503)624-0846
PO Box 1469 ~~~AA.dee@slaterin8urance.com
PROOUCE~ ,,,00006241
Tualatin OR 97062-1469 INSURER'S' AFfORDING COVERAGE HAle.
INSURED INSURER A ,SAIF COrD 6196
INSURER B :
Engineered MOnitoring Solutions LLC INSURER C :
617 N Main St INSURER D :
Newberg, OR 97132 INSURER E :
INSURER F :
COVERAGES
CERTIFICATE NUMBER'
REVISION NUMBER'
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTlMTHSTANDING 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 =r!' LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
'r-r: TYPE OF INSURANCE POUCY NUMBER :SMg~ :~%~ UMfTS
~NERAL UABIUTY EACH OCCURRENCE .
COMMERCIAL GENERAL lIABILITY g~~~~_J9E:~~~n""\ .
I CLAIMS-MADE D OCCUR MEOEXP~nVoneNW~nl .
- PERSONAL & ADV INJURY .
- GENERAL AGGREGATE .
~.~ AGG~EnE LIMIT APrlS PER: PRODUCTS. COMPIOP AGG .
POLICY ~~.9.; lOC .
~TOMOBILE UABlUTY COMBINED SINGlE LIMIT .
(Eaeccident)
- ANY AUTO BODILY INJURY (Per person) .
- All OWNED AUTOS BODilY INJURY (Per accident) .
- SCHEDULED AUTOS PROPERTY DAMAGE
HIRED AUTOS (Peraccldant) .
-
- NON-OWNED AUTOS .
.
I.- UMBRELLA UAB H OCCUR EACH OCCURRENCE .
EXCESS UAS CLAIMS-MADE AGGREGATE .
I-- DEDUCTIBLE .
RETENTION ot .
A WORKERS COMPENSAnON X 1.':Xl<JT~I.~~ I 10J",'
AND EMPLOYERS' UABIUTY V'N
ANY PROPRIETORlPARTNERlEXECUTIVE D NIA E.l. EACH ACCIDENT . 1 000 000
OFFICERlMEMBER EXCLUDED? 12/1/2010 12/1/2011 E.l. DISEASE. EA EMPLOYEE
(Mandatory In NH) 958900 . 1 000 000
g~~~~:p'tro~ b~~PERATIONS below E.l. DISEASE. POLICY liMIT . 1 000 000
,
DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (AUach ACORD 101, Additional Rema".. Schedule, If mol'8 .pacels I'8qull'8d)
CERTIFICATE HOLDER
CANCELLATION
(541)488-5320 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
CITY OF ASHLAND ACCORDANCE WITH THE POLICY PROVISIONS,
90 N Mountain Ave
Ashland, OR 97520 AUTHO~EDREPRESENTATIVE
I Dee Tudor/DMT A, ~ -r-udOY
ACORD 25 (2009/09)
INAn'F: l?nnonclI
@ 1988.2009 ACORD CORPORATION, All rights reserved,
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