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Home My WebLink AboutInsurance Certificate: OBEC Consulting Engineers Client#:331197 OBECCONE ACORQ., CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYYY) 09/19/2011 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 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 CONTACT NAME: Kibble& Prentice,a USI Co PR PHONE 206 441.6300 610-362-8528 601 Union Street,Suite 1000 EWALO Ell: A/C No: Seattle,WA 98101 ADDRESS: PI.certrequest @kpcom.com INSURER(S)AFFORDING COVERAGE NAIC0 INSURER A:Hudson Insurance Company 25054 INSURED INSURER B; OBEC Consulting Engineers,Inc. 920 Country Club Rd,#1008 INSURER C: Eugene,OR 97401 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 CONTRACTOR 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. ITRR TYPE OF INSURANCE NSRL WD POLICY NUMBER MM/DD/VYFF POLICY/ NYYP LIMITS GENERAL LABILITY EACH�OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES EaowErzanw $ CLAIMS-MADE OCCUR MED EXP(Anyone person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY J LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per Person) $ ALL OWNED SCHEDULED itl acc P em BODILY INJURY(Per AUTOS AUTOS ( ) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per acccidenl $ 8 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION I WCSTATU OTH- ANDEMPLOYERS'LIABIUTY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ A Professional AEE7254301 9/25/2011 09125/2012 $2,000,000 per claim Liability $4,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more spew Is required) RECEIVED y G�J/� Re:ARRA Project No.2007-17,Oak-Ann Street Section(Hersey Street rt.,(Y 7C E Sidewalk Reconstruction). SEP 2 6 2011 (T`-i-hi rif Aahinniri CERTIFICATE HOLDER CANCELLATION _'r City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering/Public Works ACCORDANCE WITH THE POLICY PROVISIONS. 51 Winburn Way Ashland,OR 97520 AUTHORIZED REPRESENTATIVE Wio ®1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S6416737/M6416724 MXTJU Client#:331197 OBECCONE ACORD CERTIFICATE OF LIABILITY INSURANCE DAT/19/2011 09/19/2011 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 I/ 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 certificate holder in lieu of such endomement(s). PRODUCEfl E:A T M Kibble& Prentice,a USI Co PR PHONE A C No E4):206 441.6300 IN AX No: 6I0-362-8528 601 Union Street,Suite 1000 ADDRESS: pl.certrequest @kpcom.com Seattle,WA 98101 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A 1 Hudson Insurance Company 25054 INSURED INSURER B: OBEC Consulting Engineers,Inc. 920 Country Club Rd,#10013 INSURER D: SU R : D Eugene,OR 97401 IN INSURREER 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 CONTRACTOR 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. LT FR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP 1N SR MID POLICY NUMBER IWDD/YYYY MMIODIV LIMITS GENERAL LIABILITY EACH OCCURRENCE Is COMMERCIAL GENERAL LIABILITY PREMISES f.oQEence $ CLAIMS-MADE OCCUR MED E%P(Anyone person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-OOMP/OP AGG $ POLICY PR6 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per Person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per aaitlenq $ HIRED AUTOS NON-OWNED PROPERccitlenN DAMAGE $ AUTOS Per at $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- 0TH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ It yes,desuibe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $ A Professional AEE7254301 9/25/2011 09/25/201 $2,000,000 per claim Liability $4,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONS IVEHICLES(Attscb ACORD 101,Additional Remarks SchWuI%if morespaoa is rNulred) 111=11 -C E'VC 1 Re:Project No.05-15, Railroad Crossing Improvement. A 7L.6.i fl i/ SEP 2 6 2011 City of Ashland CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Engineering Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Street Ashland,OR 97520 AUTHORIZED REPRESENTATIVE -yAll ®1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S6416736/M6416724 MXTJU