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HomeMy WebLinkAboutInsurance Certificate: UNAVCO Inc PRl+x,tknt 3 ^ — ACC)MY CERTIFICATE OF LIABILITY INSURANCE o11/01/2Dn1 `/ 11/ol/aoll 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. LL O 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 1-303-534-4567 CONTACT NAME IN . of Colorado, Inc. PHONE IIFA%- m IMC,No,E.Q. L(NC,No): 9 1550 17th Street E-MAIL Z Suite 600 ADDRESS: _ W DapveI, CO 80202 INSURER(S)AFFORDING COVERAGE _ NAICi INSURER A: HANOVER INS CO 122292 INSURED INSURERS: JDA.MERICA FIN BENEFIT INS CO (Hanover) 41840 UNAVCO INC -INSURER C: 6350 Nautilus Drive INSURER O: Boulder, CO 80301 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 23923230 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'07HER 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. RISRj 'AWLSUBA POLICY EFF POLICY EXP LT N! TYPE OF INSURANCE I POLICY NUMBER MMIDD YYY MMIDDIYYYY 1 LIMBS A I GENERAL LIABILITY ZHF891110901 11/01/11 11/01/12'EACH OCCURRENCE §1,000,000 X PREMISES E COMMERCIAL GENERAL LIABILITY 500,000 CIAIMSMADE I X I OCCUR MEDE%P,-yme Pawn) S 10,000 PERSONAL B ADV INJURY § 1,000,000 GENERALAGGREGAW S 2,000,000 IGENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG ( INCLUDED I I POLICY; I PRP I X I LOG S B AUTOMOBILE LIABILITY AWP8 9 1111 2 0 1 COMBINED SINGLE LIMIT (La acaoenq §1,000,000 IX ANY AUTO I GODLY INJURY(Per Peron) S ALL OWNED SCHEDULED I AUTOS AUTOS BODILY INJURY(Per.0arl) f NONOWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per aodacA) $ I I § A IX (UMBRELLA LIAR % I OCCUR UNF891110701 11/O1/1Z 11/O1/11 EACH OCCURRENCE §],DDD,000 EXCESS LIAR I GLAIM$MADE I AGGREGATE S 7,000,000 'DED X RETENTION 5 0 $ WORKERS COMPENSATION I ( I ORYLMTITSI ER I AND EMPLOYER S'LABILITY YIN S ANY PROPRIETORIPARTNMXECUTIVE E L.EACH ACCIDENT OFFICERAAEMBER E%CLUDEC? ❑ NIA IMansh In EL.DISEASE-EA EMPLOYEES If DESCRIPTION OF OPERATIONS Ocbw I E.L.DISEASE-POLICY LIMIT I S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAIMCh ACORD 101,AM,UOna RemaAa ScIndub.0 anon NMCa n nw,. Ml Re: DES Oita P370 (Aabland Municipal Airport). The City of Ashland, Oregon an Oregon Municipal Corp. is included as Additional insured on the General Liability Policy if required by written contract or agreement subject to the policy terse and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland, Oregon an Oregon Municipal Corp. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Dawn Lamb 20 E. Hein Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520-0000 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD heatherw 23923230 PStU,itM,il IMA of Colorado, Inc. 1550 17th Street Suite 600 Denver,CO 80202 nin nn,oiw Electronic Service Requested EBI�//� BPO " o MIXED AADC 970 3139 0.5234 MB 0.387 �ulr�u"'�I�drl�lllpd�ll""I��I'Illl�'I��"��Jlllul'plll ,°.� Cityy of Ashland, Oregon an Oreg tqp 20 E MAIN STREET ASHLAND, OR 97520-1814 w If you have Questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance.- - " —cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertificatesNo.-...ConfirmNet.com-877.669.8600