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HomeMy WebLinkAboutInsurance Certificate: Newco dba Cascade Dist et al ACORD CERTIFICATE OF LIABILITY INSURANCE 10/31 /2wOYYY) 10/31/2011 PRODUCER (206) 838-9077 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DML Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4005 20th Ave W Ste 132 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Seattle WA 98199- INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Ironshore Specialty Ins Newco, Inc. dba Cascade Columbia Distribution; INSURER B.Praetorian Insurance Cc at al wsURER C:Ironshore Specialty Ins 6900 FOX Ave S INSURER D'. Seattle WA 98108— INSURER E: COVERAGPS 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 V&ICH 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ILTR AD POLICY EFFECTIVE POLIC)'EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYY DATE(MMIDDIYY) LIMITS A GENERAL LIABILITY 000787201 10/31/2010 10/31/2011 EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAM AGE TO RENTED 1,000,000 PREMISES Ea occurrence $ CLAIMS MADE OCCUR / / / / MED EXP(Any one son) $ 10,000 X Pollution Liability PERSONAL B ADV INJURY $ 1,000,000 X Vendors Liability / / / / GENERAL AGGREGATE $ 2,000,000 GENE AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGO $ 2,000,000 POLICY F JECT X LOC H .WTOMCBILE LIABILITY PICISOOO1209 10/31/2011 10/31/2012 COMBINED SINGLE LIMIT X ANY AUTO _ _ (Ee accident) $ 1,000,000 ALL OWNED AUTOS / / / / - BCOILf INJURY "- SCHEDULED AUTOS per Parson) IS HIRED AUTOS / / / BODILY INJURY NON-0O MED AUTOS (Pe,aaidmt) $ PROPERTY DAMAGE (Pe'eccidenU $ GARAGE LIABILITY AUl'O ONLY-EA ACCIDENT $ ANY AUTO / / / / OTHER THAN EA ACC E AUTO ONLY', AGG S C EXCESS/UMBRELLA LIABILITY 000787901 10/31/2011 10/31/2012 EACH OCCURRENCE $ 15,000,000 IZOCCUR CLAIMS MADE (_AGGREGATE $ 15,000,000 E DEDUCTIBLE / / / / $ I X RETENTION S 10,000 _ E WORKERS COMPENSATION AND I / / /--j TDRY LAMITS OER EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE E .EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? FE L.DISEASE-FA EMPLOYEE S If yes,descnW under — SPECIALPROVISIONSbelox ILL.DISEASE-POLICY LIMIT $ B OTHER Auto Physical Damage PICIS0001209 10/31/2011 10/31/2012 1 Ded 1,000 Collision Deductible 1,000 DESCRIPTION OF OPERATION VLOCAnOYSNEHICLESIEXCLUMONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION (541) 488-5354 (541) 488-5320 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Kari Olson - Purchasing EXPIRATION DATE THEREOF, THE. IS%ING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT City of Ashland FAILURE TO DO SO SHALL IMPOSE NO OPLIGATION OR LIABILITY OF ANY RIND UPON THE 90 N Mountain Avenue INSURER ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE Ashland OR 97520- L ri -CIJ� ACORD 25(2001108) ©ACORD CORPORATION 1988 INS025(oloa).CS Page 1 of 2