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HomeMy WebLinkAboutInsurance Certificate: Thornton Engineering CERTIFICATE OF LIABILITY INSURANCE oP ID J—f" ATE(MM/DDNYYY) 07/13/11 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. MP the certificate holder Is an ADDITIONAL INSURED,the po cy es must be endorsed. B ATI 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 - NAME: MON Hait. Insurance ' A/C,No Eat: t 1123 Royal Ave. ADDRESS: Medford OR, 97504 __ _ PRODUCER _ __ __ CUSTOMER ID 0: 9THOREN $hone?'541=779-4232 fiix,541-772-3963 INSURER(S)AFFORDING COVERAGE -NAIC#- INSURED_'- -' INSURERA: Tzswlara Casualty c Surety Thornton Engineering Inc INSURER B: Mutual of Enumclaw - 1476Y- PO Box 476 Jacksonville OR 97530 INSURERC: INSURER D: 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. 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. INSR LTR TYPE OF INSURANCE Kuu WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDNYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 B X COMMERCIAL GENERAL LIABILITY CPP000633900 07/01/11 07/01/12 PREMISES(Ea eccurrence) $ 300,000 CLAIMS-MADE aOCCUR MED EXP(My one person) $ 10,000 A X Professional ESO 105350491 10/01/09 10/01/12 PERSONAL BADVINJURY $ 1,000,000 .. GENERAL AGGREGATE $2,000,000-- _. GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OPAGG s2,000,000 X POLICY JECT . LOC _ P E 6 O $ 1,OOQ;000" AUTOMOBILE LIABILITY'S I' " - COMBINED SINGLE LIMIT $ 100 .. _ accident) r r B X ANY AUTO". CPP000633900 G7%oi%u 07/01/12 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE _ HIREDAUTOS (Per eccideM) $ NON-OWNED AUTOS $ UMBRELLA LIAR H OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETOMPARTNEWEXECUTIVFj� /A E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? u (Mandatory In NH) E.L.DISEASE-FA EMPLOYEE $ If yes,desrsib.under DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Addltlonal Remarlu Schedule,if mom space Is required) 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. AUTHORIZED REPRESENTATIVE F/ ^ geadd City of Ashland ("I'20 E Main Street Hart Insurance / Ashland OR 97520 ©1988-2009 AC4 R CORPORATION. A2righ rese rved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD