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HomeMy WebLinkAboutInsurance Certificate: Thomas V Murphy LLC OP ID: TMF CERTIFICATE OF LIABILITY INSURANCE °"061/20/11 20111 0 " 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,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED„the pollcy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of lhe,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 c PRODUCER 541-7735358 AM Karoline I ou Protectors Insurance, LLC .PHONE Pilot Rock Ins Agency LLC (CA) 541-772-190 °No E :541-773-5359 No: 541-772-1906 PO Box.4669 karoll p rotectorsins.COm Memord, OR 97901 .MURPH-2 Karol M.Igou INSURERS)AFFORDING COVERAGE NAICi INSURED Thomas V Murphy LLC SJSURERA:Kinsale Insurance Company 755 Capella Cir INSURERB:Travelers Cas Ins CO ofAmerica Ashland,OR 97520, iNsuaERC:Darwin Select Insurance Co INSURER F INSURER D INSURGRe: COVERAGES CERTIFICATE NUMBER:' SIO NU 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.POUI INSR TYPE OF INSURANCE POLICY NUMBER M POLICY X LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIALGENERALEIABILITY X. 01000022040-0 05119/11 05M 9112 PREMISES Ea occurrence $ 100,00 CLAIMSMADE OCCUR. MED EXP(My one person) $ Exclude PERSDNOL S ADV.INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP ADS $ Exclude Pni Iry PRO- r� $ AUTOMOBILE LIABILT/ X COMBINED SINGLE LIMIT $ 1,000,00 (Ea accident) $ 1ANYAJfTo BA-1 A665181 o911 sri1 05M9/12 BODILY INJURY(Per person) $ ALL OWNED ALTOS BODILY NUJRY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accil.ri $ NON-CMED AUTOS $ 3 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR -CLAMS-MADE AGGREGATE $ DEDUCTIDLE j RETENTION It WORKERS COMPENSATION W A AND EMPLOYERS'LIABILITY YIN T ANY PROPRIETORPARnJERIEXECUTIVE NIA❑ EL EACH ACCIDENT $ OFFICERIMEMEEREXCLLGED"! (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,descr ee under RIPTI N 1F A e E.L.DISEASE-POLICY LIMIT $ C Professional Liab X 030"785 05/19111 05119H2 Per Claim 1,000,00 Aggregate 1,00e,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attssh ACORD 101;AddI9onal Remsi Schedule,it more space is required) Consulting Forester - Q [E CEO I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland. THE EXPIRATION DATE THEREOF, NOTICE WILL.. BE DELIVERED IN 20 E Main Str ACCORDANCE WITH THE POLICY PROVISIONS. Ashland,OR 97520 ,JUN 22 AUTHORIZED REPRESENTATIVE Karol M.Igou OO 1980-2009 ACORD CORPORATION: All righta,reserved. ACORD 25(2009/09) 1 Ins_ ame mand logo are registered marks of AC tSfZY Q (1,nDER l THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured o51n/n 12:01AM at the Named Insured 0100002204-0 Thomas V Murphy LLC address shown on the Declarations Additional Premium: Return Premium: $0.00 $0.00 This endorsement modes insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE A. SECTION II-WHO IS AN INSURED is amended to include'any person or organization you are required to include as an additional insured on this policy by written contract in effect during the policy period and executed prior to the "occurrence"of the"bodily injury"or"property damage"but only for the vicarious liability imposed on the Additional Insured provided that such liability is caused by the sole negligent conduct of the Named Insured and is proximately caused by"your work'or"your product"for the Additional Insured. B. The insurance provided to the Additional Insured under this endorsement is limited as follows: 1. In the event the written contract requires limits of insurance in excess of the Limits of Insurance provided by this policy,the Limits of Insurance provided by this policy shall apply and not the limits required by the written contract.This endorsement shall not increase the Limits of Insurance stated in the De_clarations of this policy. 2. This insurance does not applyto"bodily injury"or"property damage"arising out of"your work"or"your product"included in the"products-completed operations hazard"unless you are required to provide such coverage by written contract. If such insurance is required by written contract, the insurance pruvided to the Additional Insured is limited to the alleged or actual vicarious liability imposed on the Additional Insured as a result of the alleged or actual negligent conduct of the Named Insured as a result of liability solely caused by"your work'or"your product"for the Additional Insured. 3. Any insurance provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary,excess,contingent or on any other basis unless a written contract specifically requires that this insurance apply on a primary or primary and noncontributory basis. 4. Where there is no duty to defend the Named Insured,there is no duty to defend the Additional Insured. Where there is no duty to indemnity the Named Insured,there is no duty to indemnity the Additional Insured. 5. This insurance does not apply to"bodily injury"or"property damage,"arising out of the sole negligence of the Additional Insured or any employees of the Additional Insured. C. Duties of the Additional Insured in the event of"occurrence",claim or"suit":. 1. The Additional Insured rnusL prumplly give nulice of an "uca:unence",a ddllTI which is made ur a"suiL", to any other insurer,which has insurance for a loss to which this insurance may apply. 2. The Additional Insured must promptly tender the defense of any claim made or"suit"to any other insurer which also issued insurance to the Additional Insured as Named Insured or to which the Additional Insured may qualify as an Additional Insured for aloss to which this insurance may apply. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CAS5010 0110 Page 1 of 1 ENDORSEMENT NO.2 ADDITIONAL INSUREDS/CO-DEFENDANTS This Endorsement, effective at 12:01 a.m. on 05/19/2011,forms part of Policy No. 0306-0705 Issued to Thomas V Murphy LLC Issued by Darwin Select Insurance Company In consideration of the premium charged, it is hereby agreed that coverage under this Policy shall be extended to include Claims against the following persons or entities: City of Ashland hereinafter referred to ac "Addifinnal Insureds", prnvidPd hnwPver,that any curb Claim: (1)is mach and continuously maintained against at least one Insured, other than an Additional Insured, and(2)arises out of Professional Services performed on behalf of the Named Insured or any Subsidiary; and otherwise covered under this Policy. The coverage provided by this Endorsement is excess of, and shall not contribute with, any other applicable insurance plan, policy or program of self-insurance carried by or applicable to a person or entity listed above. All other terms, conditions and limitations of this Policy shall remain unchanged. Authorized Representative v1875 (3/2008) ' - - 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- (d) Costs for extended warranties, Credit Life ment, the provisions of the Coverage Form apply Insurance, Health, Accident or Disability unless modified by the endorsement. Insurance purchased with the loan or A. PERSONAL EFFECTS COVERAGE lease;and SECTION III — PHYSICAL DAMAGE COVER- (s) Carry-over balances from previous loans AGE; A. Coverage; 4. Coverage Extensions is or leases. amended by adding the following: C. COVERAGE EXTENSION — AUDIO, VISUAL Personal Effects Coverage AND DATA ELECTRONIC EQUIPMENT NOT We will pay up to $400 for "loss" to weaning ap- DESIGNED SOLELY FOR THE PRODUCTION OF SOUND parel and other-personal effects which are: SECTION III — PHYSICAL DAMAGE COVER- (1) owned by an"insured"; and AGE, B. Exclusions, exception paragraph a. to (2) in or on your covered "auto"; exclusions 4.c & 4A is deleted and replaced with in the event of a total theft,"loss" of your covered the following: "auto". a. Equipment and accessories used with such No deductibles apply to Personal Effects Cover- equipment; except, tapes, records or discs, ogc provided such equipment is permanently in-. stalled in the covered "auto" at the time of the B. AUTO LOAN LEASE GAP COVERAGE "loss" or is removable from a housing unit SECTION III — PHYSICAL DAMAGE COVER- which is permanently installed in the covered AGE, A. Coverage, 4. Coverage Extensions is "auto" at the time of the "loss", and such amended by adding the following: equipment is designed to be solely operated Auto Loan Lease Gap Coverage for Private by use of the power from the "auto's" electri- Passenger Type Vehicles cal system, in or upon the covered"auto"; or In the event of a total "loss"to a covered "auto"of D. WAIVER OF DEDUCTIBLE—GLASS the private passenger type shown in the Schedule SECTION III PHYSICAL DAMAGE COVER- or Declarations for which Physical Damage Cov- AGE, D; Deductible is amended by adding the erage is provided, we will pay any unpaid amount following: due on the lease or loan for such covered"auto" No deductible for a covered "auto" will apply to less the following: glass damage if the glass is repaired rather than (1) The amount paid under the Physical Damage replaced. Coverage Section of the policy for that"auto", E. HIRED AUTO PHYSICAL DAMAGE COVER- and AGE (2) Any: SECTION III — PHYSICAL DAMAGE COVER- (a) Overdue leaselloan payments at the time AGE, A. Coverage, 4. Coverage Extensions is of the"loss amended by adding the following: (b) Financial penalties. imposed under a Hired Auto Physical Damage Coverage Exten- lease for excessive use, abnormal wear sion and tear or high mileage; If hired °autos" are covered "autos" for Liability (c) Security deposits not returned by the les- Coverage and this policy also provides Physical sor, Damage Coverage for an owned "auto", then.the CA T4'20 07 06 Includes the copyrighted material'of Insurance Services Office„Inc.with its permission. Page 1 of 2 'Includes the copyrighted matanel of The et Paul Travelers Companies,.Inc. COMMERCIAL AUTO Physical Damage Coverage is extended to tent required of you by a written.contmct exe- "autos"that you hire, rent or borrow subject to the cuted prior to any "accident" or 'loss", pro- following: vided that the "accident"or"loss"arises out of (1). The most we will pay for"loss"in any one the operations contemplated by such con- "accident" to a hired, rented or borrowed tract.The waiver applies only to the.person or "auto" is the lesser of organization designated in such contract. (a) $50,000; G. BLANKET ADDITIONAL INSURED (b) The actual cash value of the dam- SECTION II— LIABILITY COVERAGE, part A. 1. aged or stolen property as of the time Who Is An Insured, paragraph c. is amended by of the"loss"; or adding the following: (c) The cost of repairing or replacing the Any person or organization that you are,required damaged or stolen property, with to include as an additional insured on this Cover- otherpropeity of like kind and quality. age Form in a written contract or agreement that is signed and executed by you before the "bodily (2) An adjustment for depreciation and injury" or"property damage" occurs and that is in physical condition.will be made in deter- effect, during the policy period is an "insured"for raining actual cash.value in the event or a Liability Coverage, but only for damages to which total "loss this insurance applies and only to the extent that (3)' If a repair or replacement results in better person or organization qualifies as, an "insured" than like kind or quality, we will not pay under the Who Is An Insured provision contained for the amount of betterment. in.Section 11. (4) A deductible equal to the highest Physical H. EMPLOYEE HIRED AUTOS Damage deductible applicable to any SECTION 11 — LIABILITY COVERAGE,.A. Cov- owned covered"auto". erage, 1. Who Is An Insured is amended by add- (5). This Coverage Extension does not apply ing the following: to: An "employee" of yours is an "insured" while op- (a) Any"auto"that is hired, rented or bor- erating an "auto" hired or rented under, a contract rowed with a driver, or or agreement in that "employee's" name', with (b) Any"auto"that is hired, rented or bor- your permission, while performing duties related rowed from your"employee". to the conduct of your business. F. BLANKET WAIVER OF SUBROGATION 1. "COVERAGE,EXTENSION—TRAILERS SECTION IV—BUSINESS AUTO CONDITIONS, SECTION 1 — COVERED AUTOS, C. Certain. A. Loss Conditions, 5. Transfer Of Rights Of Trailers, Mobile Equipment and Temporary Recovery Against Others To Us is deleted and Substitute Autos, paragraph 1. is deleted and replaced by 1he`following: replaced by the following: 5. Transfer Of Rights Of Recovery Against 1. "Trailers" with a load capacity of 3,000 Others To Us pounds or less designed primarily for travel We waive any right of recovery we may have on public roads: against any person or organization to the ex- Page 2 of 2. Includes the copyrighted material of Insurance services Office,Inc.with its permission. CA T4 20 07 06 lnclu}las the copyrighted matanslbf The St.Paul Travalars Companies,.Inc.