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HomeMy WebLinkAboutInsurance Certificate: National Reserch Center NAT1430 OP ID: MC1 CERTIFICATE OF LIABILITY INSURANCE 1 °A'12/29 12/29/111 1 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 :.: --' 303-781-6776 NAME: NEISEN BORTH AGENCY -.-.--- - PHONE - - - 303-789-4409 FAX" www.nbinsure.com (Atc,No`Xq: - - A/c No): 333 W.Hampden Ave.-Ste.410- "" "- --- '• E-MAIL Englewood,CO 80110 ADDRESS: Nelsen Insurance,Inc. INSURERS AFFORDING COVERAGE NAICIf INSURER A:Philadelphia Insurance Company INSURED National Research Center, Inc. INSURER B: 3005 30th Street INSURER C: Boulder, CO 80301 INSURER D: INSURER E NSURER 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. INSIR I TYPE OF INSURANCE AODL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDDIYYYY MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMA E RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE [--]OCCUR MEG EXP(Any one person) $ d. .a•vr+.,;,.o.,..�.v. _ .... I .{,.,,, PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMITAPPLIES PER. ° PRODUCTS-COMP/OP AGG $ -. PRO-- . . _ ..- �.. POLICY �� , LOC $ AUTOMOBILE LIABILITY - .- COMBINED SINGLE LIMIT $ ANY AUTO l BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Peracadent $ UMBRELLA Lit OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE S DED RETENTION$ $ WORKERS COMPENSATION WC STATU OTH- AND EMPLOYERS'LIABILITY YIN TORY MIT- ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) J EL DISEASE-EA EMPLOYEE E 11 yes,descnne under DESCRIPTION OF OPERATIONS Delow E.L.DISEASE-POLICY LIMIT 1$ • Professional Liab PHSD686613 01/01/12 01101113 Prof Liab 2,000,00 • Cyber Security Lie PHSD702125 01101112 01101113 Cyber Lia 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) Certificate holder is The City of Ashland,OR,and its elected officials, officers and employees. CERTIFICATE HOLDER 11 lit CANCELLATION CIT JAN - 3 2012 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI Of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Stre Ashland, OR 975 0 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD