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HomeMy WebLinkAboutInsurance Certificate: Marquess & Associates OP ID:SAW CERTIFICATE OF LIABILITY INSURANCE Dnr1 12102/11 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 endorsemen s . PRODUCER CONTACT 541-773-5358 NAME: Protectors Insurance,LLC 541-772-1906 PHONE FAx Pilot Rock Ins Agency LLC(CA) c at A/C No Box 4 E-MAIL Me OR Medford,OR 97501 -ADDRESS: CUSTOMER MAROUA Karol M.IgOU CUSTOMER ID e: INSURER(S) AFFORDING COVERAGE NAICN INSURED Marquess&Associates Inc INSURER A:SAI F Corporation PO Box 490 INSURER 8: Medford,OR 97501 INSURER C: 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 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. ISM TYPE OF INSURANCE POUCY NUMBER MMIDCY DNYYYI EFF MhUUDDY EXP UNITS NYYYI GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES En orrurence S CLAIMS-MADE F-1 OCCUR MED EXP(My one person) $ PERSONAL B ADV INJURY S GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S POLICY P R,O- LOC $1E AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT $ (Es accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) S SCHEDULED AUTOS PROPERTY DAMAGE HIREDAUTOS (Per accident) $ NON-OWNED AUTOS $ S UMBRELLA LUS OCCUR EACH OCCURRENCE $ EXCESS LLRB CLAIMS-NNDE AGGREGATE $ DEDUCTIBLE s RETENTION S S WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS LIABILITY TORYLIMITS ER A ANY PROPRIETORIPARTNER FJ(ECUTIVE YIN 913785 01101/12 01101113 E.L.EACH ACCIDENT is 1,000,09 OFFIGERIMEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L.DISEASE-EAEMPLOYEE $ 1,000,09 K es,describe under DESCRIPTION OF OPERATIONS bel. E.L.DISEASE-POLICY LIMIT 1$ 1,000,09 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,H more space Is required) Scofield Monte Vista LID Project CERTIFICATE HOLDER CANCELLATION CITYAS2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E Main Str ACCORDANCE WITH THE POLICY PROVISIONS. Ashland,OR 97520 AUTHORIZED REPRESENTATIVE Karol M. Igou ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD OP ID:SAW CERTIFICATE OF LIABILITY INSURANCE DATE(J02111YYY 12102/11 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 endomemen s. PRODUCER 541-773-5358 CONTACT Protectors Insurance,LLC PNONE FAX Pilot Rock Ins Agency LLC(CA) 541-772-1908 ac No Er: ac No: PO BOX 4559 E-MAIL Medford,OR 97501 ADDRESS:PRODUCER Karol M.Igou CUSTOMER ID a:MARQU-1 INSURERS AFFORDING COVERAGE NAIC# INSURED Marquess&Associates Inc INSURER A:SAIF Corporation PO BOX 490 INSURER B: Medford,OR 97501 INSURERC: INSURER 0: 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 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. INSR TYPE OF INSURANCE INSR TR POLICY NUMBER IMP EFF MMNDY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE S DAMAGE To RE COMMERCIAL GENERAL LIABILITY RfE PREMISES E.gccunence $ CLAIMS-MADE ❑OCCUR MED EXP(Any one Person) S PERSONAL$ADV INJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP/OP AGO $ POLICY PRO LOC $ JCT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea a ndont) ANY AUTO BODILY INJURY(Per Person) S ALL OWNED AUTOS BODILY INJURY(Peramident) $ SCHEDULEDAUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per aimidera) NON-OMEDAUTOS S $ UMBRELLA LUIB OCCUR EACH OCCURRENCE S EXCESS LIAB ClAIMB{,MDE AGGREGATE E DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY A ANY PROPRIETORMARTNER,EXECUTIVE YIN 913785 01101112 07101113 E.L.1 C ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? r-1 NIA (Mandatory In NH) I E.L.DISEASE-EA EMPLOYEE $ 1,000,00 U yea describe uMer DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1,000,00 DESCRIPTION OFOPERATIONS ILOCATIONSIVEHICLES (Attach ACORD 101,Additional Remarks Schedule,UMore."m la required) STREET IMPROVEMENT PROJECT#2005.34 CERTIFICATE HOLDER CANCELLATION CITYAS2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E.Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland,OR 97520 AUTHORIZED REPRESENTATIVE Karol M.Igou ©1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD �1 OP ID:SAW CERTIFICATE OF LIABILITY INSURANCE OAT 12102 12wvDIYYYY) 11 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 541-773-5358 CONTACT Protectors Insurance,LLC PHONE FAX Pilot Rock Ins Agency LLC(CA) 541-772-1906 ac No Etl: Arc No: PO Box 4669 E-MAIL ADDRESS: Medford,OR 97501 PRODUCER MAROU-1 Karol M.Igou CUSTOMER ID$: INSURE NS)AFFORDING COVERAGE NAIC$ INSURED Marquess&Associates Inc INSURER A:SAIF Corporation PO Box 490 INSURER B: Medford,OR 97501 INSURERC: 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 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. INSR TYPE OF INSURANCE A POLICY NUMBER MMIDCYEFF POLICY LIMITS TR GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED— COMMERCIAL GENERAL LIABILITY PREMISES Ea ocwrrence $ CLAIMSA4ADE F—I OCCUR MED EXP(My one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- r7 LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea amldenl) ANY AUTO BODILY INJURY(Per Person) $ ALL OWNED AUTOS BODILY INJURY(Per amidenp $ SCHEDULED AUTOS PROPERTY DAMAGE HIREDAUTOS (Per amdent) $ NON-OWNED AUTOS $ E UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LJAB CLAIMS MADE _ __ _ AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WCSTATU- I OTH- AND EMPLOYERS'LIABILITY T A ANY PROPRIETORMARTN /EX ERECUTNE YIN 913785 01101112 01/01113 E.L.EACH ACCIDENT $ 1,000,08 OFFICER/MEMSER E%CLUDE% NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,000,08 Ries,describe uMer DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ 1,000,08 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ANach ACORD 101,Addltional Remarks Schedule,Hm m space is.Wlredl Water Street Bridge Project CERTIFICATE HOLDER CANCELLATION CITYAS2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E.Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland,OR 97520 AUTHORIZED REPRESENTATPJE Karol M.Igou ©1988.2009 ACORD CORPORATION. All rights reserved. ACORD 26(2009109) The ACORD name and logo are registered marks of ACORD