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HomeMy WebLinkAboutInsurance Certificate: Dry Creek Landfill ROGUEWAST DATE(MMIDD/YVYY) Aco°R CERTIFICATE OF LIABILITY INSURANCE 9/2812011 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: PHONE IAIC No):. IAIC No Pd)Wells Fargo Insurance Services USA,Inc MINSURERE,o IL 975 Oak Street,Suite 900 INSURER S AFFORDING COVERAGE NAIL 0 Eugene,OR 97401 Greenwich Insurance Company 22322 INSURED Dry Creek Landfill,Inc PO Box 3187 Central Point,OR 97502 COVERAGES CERTIFICATE NUMBER: 3316583 REVISION NUMBER: See below _THIS IS TO CERTIFY THAT THE POLICIESIOFINSURANCE LISTED BELOW HAVE 15=1N Sl1ED TO rHE-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. ADOL UBR POLICY EFF POLICY EXP LIMITS INSR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYV MMIDOIYYYY LTR 1,000.000 GENERAL DABILITY GECO035827 10/1(2011 10/1(2012 EACH OCCURRENCE $ A i DA 11 TO REN , 100,000 X COMMERCIAL GENERAL LIABILITY P E I. Ea occarr ti e $ I I I ME EXP(A one $Pesion) S• CLAIMS-MADE n OCCUR PER GRNJURY f 1,100.0�00 X f1.000BODDInuM GENERAL AGGREGATE S 2.000.000 PRODUCTS-COMPIOP AGG S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER $ POLICY PRO- LOC COMBINED SINGLE LIMIT Ent AUTOMOBILE LIABILITY O accident BODILY INJURY(Pa Nation) f ANY AUTO, BODILY INJURY(PeracckeN) S ALL OWNED SCHEDULED PROPERTY DAMAGE AUTOS NON-OWNED Per bent S HIRED AUTOS AUTOS $ EACH OCCURRENCE $ 3.000,000 A X UMBRELLA LIAR X OCCUR UEC0035825 1011(2011 10(1(2012 3.000.000 AGGREGATE f EXCESS CUB CLAIMS-MADE • f DED RETENTIONS WC STATU- OTH. -- WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN - E.L.EACH ACCIDENT $ MY OFFICERIMEMBER EXCLUDED?ECUTIVE❑I N I A I E.L.DISEASE-EA EMPLOYE 5 __ (Mandatory In NH) I —)` I _ Ea-DISEASE-POLICY t"n' 1 ' II yyes.de enDa uMer DEBORWTION OF GPERATIOI:B pebw —- - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101.Addltlonel RemaMs SchedVla,it more-pace is required) City of Ashland its officers,agents and employees are added as additional insureds. CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED NOTICE POLICIES WILL CANCELLED DELI ERED IN THE EXPIRATION DATE THEREOF,EOF, City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Arm City Administrator 20 E Main AUTHORIZED REPRESENTATNE 9e Ashland OR 97520 �— The ACORD name and logo are registered marks of ACORD ©1988.2070 ACORD CORPORATION. All rights reserved. ACORD 25(2010105)