HomeMy WebLinkAboutInsurance Certificate: Goseetell Networks 7 ® OATEIMM(DDIYYYY)
A`°R° CERTIFICATE OF LIABILITY INSURANCE 08-04-2011
THIS CERTIFICATES 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 SUBROGATIONIS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statementon this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CON
KPD INSURANCE, INC/PHS PHONE Ax
700810 P : (866) 467-8730 F : (877) 905-0457 bM N. E.n: (866) 467-R73o AIC,No): (877) 905-045
PO BOX 33015 ADDRESS:
SAN ANTONIO TX 78265 CUSTOMERIDN:
INSURERS)AFFORDING COVERAGE I NAIC>
INSURED INSURERA: Hartford Casualty Ins Co
INSURERS: Hartford Ins Co of the Midwest
GOSEETELL NETWORKS INC
INSURER C
3108 NW LURAY TER
PORTLAND OR 97210 INSURER D:
INSURER E
INSURER F : I
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.
LTF TYPE OF INSURANCE iINSRWVD POLICY NUMBER IMMIDD/YYYYI IMMIDDIYYVY) LIMITS
GENERAL LIABILITY I EACH OCCURRENCE S 2, OOO OOO
COMMERCIAL GENERAL LIABILITY I PREMISES Es OCCUrrencel
A l I I CLAIMS-MADE I X I OCCUR MED EXP(Any one Person) s 10, 000
7842 07/15/2011 07/15/20121 PERSONAL S 2, 000, 000
1 XI General Liab X 52 SBM UR
IPI I GENERAL AGGREGATE $ 4 , 000, 000
GI AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMPIOP AGG 5 4 , 000, 000
I POLICY I I jROT I X LOG $
AUTOMDBILE LIABILITY I COMBINED SINGLE LIMIT
IEsa¢identl 5 2 , 000, 000
ANY AUTO BODILY INJURY(Per person) $
JALL OWNED AUTOS BODILY INJURY(Per accident) $
�ISCHEDULED AUTOS PROPERTY DAMAGE
A ! iHIRED AUTOS 52 SBM UR7842 07/15/2011 07/15/2012 (Per accident) $
X NON-OWNED AUTOS I $
I
IHUMBRELLA LIAR OCCUR EACH OCCURRENCE S
EXCESS LIAR I CLAIMS-MADE( I I AGGREGATE Is
II DEDUCTIBLE S
71 RETENTION S I s
WORKERS OOMPEI:SATION X TORY LIMIT$ (DER
AND EMPLOYER
S'LIABILITY Y I N
ANY PROPRIETORPARTNERIEXECUTIVE— I E.L.EACH ACCIDENT S 500, 000
B OFFICER�MEMBER EXCLUDED?
DIN
(Mandatory in NH$ 152 WEC FW1098 09/01/2011 09/01/20121 E.L. DISEASE EA EMPLOYEE s 500, 000
If es,describe Lin
DESCRIPTION OF der below E.L.DISEASE POLICY LIMIT I s 500, 000
I I
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Ramare.Schedule,it more apace la requiredl
Those usual to the Insured ' s Operations . City of Ashland is an Additional
Insured per the Business Liability Coverage Form SS0008 .
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
City of Ashland DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
20 E MAIN ST AUTHORIZE R PRESENTATIVE
ASHLAND, OR 97520 A-Z -
A 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD