HomeMy WebLinkAboutInsurance Certificate: Garda USA (3) DAT (MWD201 )
CERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATr 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,AND 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 C
certificate holder in lieu of such endomement(s).
m
PRODUCER CONTACT 9
NAME:
Aon Chi Risk Services ice Central, Inc. PHONE (866) 283-7122 FA% C847) 953-5390 9
Chicago IL office INC xo.Ezl): ac.No
200 East Randolph
Chicago IL 60601 USA ADDRESS: S
INSURER(S)AFFORDING COVERAGE NAIL e
INSURED INSURER A: AGCS Marine Insurance Company 22837
Garda USA, Inc. INSURER B: National union Fire Ins CO of Pittsburgh 19445
and all of its present
and furure subsidiaries INSURER C: New Hampshire Ins Co 23841
301 North Lake INSURER D: Chartis Insurance Company of Canada 0869FI
suite 600
Pasadena CA 91102 USA INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:570042552952 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.NOTWITHSTANDING 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested
IN LTR TYPE OF INSURANCE INSR VIVO POLICY NUMBER MMDD MW�D UNITS
D GENERALLIABILnY 1 EACH OCCURRENCE 53,000,000
SIR applies per policy ter is & condi ions A G $100,000
X COMMERCIAL GENERAL LIABILnY - PREMISES E.occurrence
X CLAIMS-MADE ❑OCCUR MED EXP(Any one person) $10,000
% E80 COVERAGE
PERSONAL&AW INJURY $3,000,000 m
do
X SIR:$1.000,000 GENERAL AGGREGATE S3,000,000 on
GEML AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG $3,000,000 g
X1 POLICY M PR6 LOC °n
JFCT
B AUTOMOBILE LIABIIffY CA 7146669 06/15/2010 06/15/2011 COMBINED SINGLE LIMIT $2,000,000 rn
ADS
B X ANY AUTO CA 7146670 06/15/2010 06/15/2011 BODILY INJURY(Per person) O
2
ALL OWNED SCHEDULED MA BODILY INJURY(Peracciden0 a
B AUTOS Auros CA 3373874 06/15/2010 06/15/2011
PROPERTY DAMAGE
HIREDAUTOS NON-OWNED VA (Per accident)C
AUTOS
Y
m
D X UMBRELLA LIAR OCCUR 66458085 06/15/2010 06/15/2011 EACH OCCURRENCE 51,000,000 L)
SIR applies per policy ter s & Condl ions AGGREGATE $1,000,000
EXCESS LIAB X CLAIMS-MADE
DED I X ]RETENTION$25,000
C WORKERS COMPENSATION AND wc006647240 06/15/2010 06/15/2011 WC STATLL OTH-
EMPLOYERS'LUU3ILT' X TORY LIMITS R
C ANYPROPRIETORIPARTNERIEX£CUTME YIN A05 EL EACH ACCIDENT $1,000,000
OFFICERIMEJBBER EJtCLUDEDi NIA W0006647241 06/15/201006/1$/2011
(Mandatory in NH) CA E.L.DISEASE-EA EMPLOYEE $1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
A M15C Liab Cvg NIOCA02860 05/31/2010 05/31/2013 Agg/OCC Limit $1,000,000
Armored Car Liab Primary J
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Itch ACORD 101,Additional Remarks Schedule,a more space W required)
THE CITY OF ASHLAND, OREGON, AND ITS ELECTED OFFICIALS, OFFICERS AND EMPLOYEES ARE LISTED AS ADDITIONAL INSURED UNDER GENERAL y
LIABILITY AND AUTO LIABILITY WHERE REQUIRED BY WRITTEN CONTRACT.
CITY RECORDER
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
CITY OF ASHLAND AUTHORED REPRESENTATIVE
90 N. MOUNTAIN AVE.
ASHLAND OR 97$20-0000 USA
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
Attachment to ACORD Certificate for Garda USA, Inc.
The terms,conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage
afforded I y the insurer(s).This attachment does not contain all terms,conditions,coverages or exclusions contained in the policy.
INSURER
INSURED
Garda USA, Inc. INSURER
and all of its present
and furure subsidiaries INSURER
301 North Lake
suite 600
Pasadena CA 91102 USA INSURER
INSURER
ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD
certificate form for policy limits.
INSR ADDL SUBR POLICY NUMBER/ POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR wVD POLICY DESCRIPTION (MM/UD/YYYY) (MM/DDIYYYY) LIMITS
WORKERS COMPENSATION
C N/A WC006647243 6/15/2010 06/15/2011
FL OR
C N/A W0006647244 6/15/2010 06/15/2011
TX
C N/A WC006647242 6/15/2010 06/15/2011
WI (SIR)
I SIR applies per policy to ms & condit ons
Certificate No: 570042552982
INSU"D
Garda USA, Inc.
and all,of its present
and furure subsidiaries
301 North Lake
Suite 600
Pasadena CA 91102 USA
NAMED INSUREDS
AT SYSTEMS, INC
GARDA CL WEST, INC
GARDA CL SOUTHWEST, INC
GARDA CL NORTHWEST, INC
GARDA CL CENTRAL, INC
GARDA CL EAST, INC.
GARDA CL ATANTIC, INC
GARDA CL SOUTHEAST, INC
GARDA CL GREAT LAKES, INC.
GARDA CL NEW ENGLAND '
Certificate No: 570042552982