2014-485 EMS - Console Cleaning Specialists for console cleaning in emergency communications $3,150

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CONSO-1 OP ID:DB JMM CERTIFICATE OF LIABILITY INSURANCE 1 DA 08/12°"Y'"" 08/12/14 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(les)must be endorsed. If SUBROGATION IS WANED,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 CONT T Virgil C Lea 8 Son 360-748-0051 PNAME Debbie Buss Lovsted Worthington LLC 360-748-3941 .360-748-0051 N0.360-748-3941 P.O.Box 1 E-MAIL Chehalis,WA A 98632 ADDRESS:dbuss@lovatedworthington.com Trevor J Elliott INSURERS AFFORDING COVERAGE NAIC rl INSURER A:Berkle y Assurance Company INSURED Console Cleaning Nsuma:Ohio Security Ins Co Specialists,Inc. INsc:Torus SpecIaIV Special Ins Co. 1595 Bishop Rd Chehalis,WA 98532 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. LTR TYPE OF INSURANCE POLICY NUMBER MR7 LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 A X COMMERCIAL GENERAL LIABILITY X X UMB0063160 06/20/14 06/20115 PREMISES T E�p�� S 100,00 CLAIMS-MADE a OCCUR MED EXP one person $ EXCi X $2600 Dad B11PD PERSONAL 6 ADV INJURY S 100,00 GENERAL AGGREGATE $ 2,000, GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COWKIP AGG S 2,000,00 X POLICY PRO- LOC S El AUTOMOBILE LSIBILITY COMaINFJ] LIMIT e txde 1 1,000,00 B ANY AUTO X X BAA56199907 06/20/14 06120/15 BODILY INJURY(Par person) $ ALL OWNED SCHEDULED BODILY INUY(Pr m cklent) S AUTOS X N p NEO -PROPERTY DAMAGE HIREDAUTOS AUTO Par $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S 2,000,00 C X EXCESS LIAB CLAIMS-MADE 85620J140ALI 06/20114 06120/15 AGGREGATE $ 2,000,00 DED I I BETE NTION S S WORMERS COMPENSATION WC STATU 0TH• AND EMPLOYERS'UABILnY A ANY PRDPRIETORIPARTNERIEXECUTNEYIN VUMB0063150 06120114 06120/16 E.L.EACH ACCIDENT S _ 1,000,00 OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NH) (WA STOP GAP) E.L.DISEASE-EA EMPLOYEE S 1,000,00 Rise ufeerribe under DESCRIPTION OF OPERATIONS below e.L DISEASE-POLICY LIMIT 1 S 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(;Hach;CORD 101,AddlUonai Remarks SchedWb IF more space Is re"red) Orange County Emergency Services shall be named additional insured's as required by written contract, see VCAS2011 11/12 and CASB10 01/10, attached. Waiver of Subrogation Applies, see VCAS9925 06/11 and CASS10 01/10, attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Orange County Emergency ServIC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY Y ACCORDANCE WITH THE POUCY PROVISIONS. S10 Meadowlands Drive Hillsborough,NC 27278 AUTHORIZED REPRESENTATIVE ell ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD