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HomeMy WebLinkAboutInsurance Certificate: Rogue Waste Systems LLC ROGUEWAST CERTIFICATE OF LIABILITY INSURANCE DATE 9/28/2DIY1 ACORO® s/ze/zo11 II.I 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). CONTACT PRODUCER NAME: PNONE FAX lArc. AIC No: Wells Fargo Insurance Services USA,Inc E-MAIL ADDRESS: 975 Oak Street,Suite 900 INSURERS AFFORDING COVERAGE NAIC Is Eugene,OR 97401 INSURER A: Greenwich Insurance Company 22322 INSURED INSURER B: XL Specialty Insurance Company 37885 Rogue Waste Systems,LLC INSURER C: SAW Corporation 36196 PO Box 3187 INSURER D: INSURER E Central Point,OR 97502 INSURER F: COVERAGES CERTIFICATE NUMBER: 3316617 REVISION NUMBER: See below 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. INSIR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDIYYY1` LIABILITY EACH OCCURRENCE $ 1,0.000 GENERAL L q GECO035827 1011/2011 10/1/2012 DAMAGE TO RENTED X PREMISES Ea ocwnence $ 100,0011 COMMERCIAL LIABILITY AL LIABILITY CLAIMS.MADE IK OCCUR MED EXP(Any one person) $ 5,000 X $1.000 BVPD Deduct. PERSONAL B ADV INJURY S 1,000.000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000.000 $ POLICY 7 PR0. LOC COMBINED SINGLE LIMIT B AUTOMOBILE LIABILITY AECO035824 10/1/2011 10/112012 Eaaccldent 1,000.01K)1,000.01K)IA BODILY INJURY(Per Person) X ANY AUTO 5 4RETENTION SCHEDULED BODILY INJURY(PPI accident) E AUTOS PROPERTY DAMAGE $ NON-OWNED per accident AUTOS $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE f E ON$ X WC STATU- OTH- WORKERS COMPENSATION 519473 10/112011 10/1/2012 C AND EMPLOYERS'LIABILRY 500,000 ANY PROPRIETORPARTNER/EXECUTIVE O E.L.EACH ACCIDENT $ OFFICERMEMBER EXCLUDED? NIA SOO.o00 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE f (M.mdescri in under E.L.DISEASE-POLICY LIMIT $ 500' DEBCRIPTION OF OPERATIONS on. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101 Additional Remarks Schedule,If more space is required) The City of Ashland,Oregon and its elected officials,officers and employees are listed as additional insureds but only with respects to the services provided by Rogue Shred,LLC. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main St. Ashland,OR 97502 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)