HomeMy WebLinkAboutInsurance Certificate: National Research Center
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OP 10: MCl
ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE fMMlOD/YVYYj
~ 12/13/10
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 BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER. ANO THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s').
PRODUCER 303"781"6776 CONTACT
NAME:
NEISEN BORTH AGENCY 303-789-4409 rA~gN~o Extl; I FAX
CAlC NOI;
www.nbinsure.com E-MAil
333 W. Hampden Ave. Ste. 410 ADDRESS:
PRODUCER N T 30
Englewood; CO 80110 .-9JSTOMER tDj~: A 14
.- INSURERI51 AFFORDING COVERAGE NAle"
INSURED National Research Center, Inc. INSURER A ,Philadelphia Insurance Company
3005 30th Street INSURER B :
Boulder, CO 80301 INSURER C :
INSURER 0 :
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 POLlCY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE rvtAY BE ISSUED OR rvtAY PERTAIN, THE INSURANCE AFFORDED BY THE POLlCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LlMITS SHOWN MAY HAVE BEEN REDUCED BY PArD CLAIMS.
INSR TYPE OF INSURANCE ~.:'.:'oL I'.U. r &SM'&YY~~1 I f~gM<&;Y~~~1 LIMITS
LT" POLICY NUMBER
GENERAL LIABILITY I EACH OCCURRENCE .
- DAM~!!.q9,~ENT'D
COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrencel .
I CLAIMS-MADE D OCCUR I I MED EXP (Anyone person) .
I PERSONAL & ADV INJURY .
- GENERAL AGGREGATE .
~.~ AGGREAE fllMIT APnS PER: PRODUCTS. COMP/OP AGG .
POLICY ~~,9T lOC .
AUTOMOBILE LIABILITY 1\ COMBINED SINGLE LIMIT .
- (Eaaccidenl)
- ANY AUTO
BODILY INJURY (Per person) .
C- ALL OWNED AUTOS I I BODILY INJURY (Per acCident)
-.-, .. 20iO .
c- SCHEDULED AUTOS L., .~ . ~ I PROPERTY DAMAGE
I .
I-- HIRED AUTOS (Peracadenl)
, I
NON-OWNED AUTOS , I .
c- I
I .
UMBRELLA L.IAB H ~CCUR , I EACH OCCURRENCE .
f-- i
EXCESS LIAB CLAIMS-MADE I AGGREGATE .
I
c- DEDUCTIBLE I I .
RETENTION . ! I .
-. -WOP.KERS-COMPENSATlQN..-'. -. -. .. ! . _u. -: -. i'T~~;rtJ,~s+ :OJ~'I ,. _. -.
AND EMPLOYERS' lIABIL.ITY YIN I -
ANY PROPRIETOR/PARTNER/EXECUTIVE D I EL EACH ACCIDENT I .
OFFICER/MEMBER EXCLUDED? NIA I !
(Mandatory In NH) I E.L. DISEASE - EA EMPLOYEE $
If yes, describe under I
DESCRIPTION OF OPERATIONS below I E.L. DISEASE. POLICY LIMIT .
A Professional Liab PHSD581443 I 01101111 01101112 ProflE&O 2,000,00
Errors & Omissions I Oed 5,00
DES~R.IPTION OF OPE~TIONS I LOpATIONS I VEHICL.ES (Attach ACORD 101, Addlllonal Remarlll Schedule, If more space Is requIred)
Certificate holder IS The City of Ashland, OR, and its elected officials,
officers and employees,
CERTIFICATE HOLDER
CANCELLATION
CITYOAS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
20 East Main Street ACCORDANCE WITH THE POLICY PROVISIONS,
Ashland, OR 97520 AUTHORIZED REPRESENTATIVE
I ~d.~
ACORD 25 (2009109)
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