Loading...
HomeMy WebLinkAbout513344 ATHENA ADVANCED NETWORKS LLC - INSURANCE CERTIFICATE9ATHEAD OP ID: KD 4�o�Ro CERTIFICATE OF LIABILITY INSURANCE O03/21/2014 ) A/ 03/2014 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 endorsements . PRODUCER Phone: 541-779-4232 CONTE CT Hart Insurance Fax: 541-772-3963 1123 Royal Ave. Medford, OR 97504 Hart Insurance / Medford PHONE FAX N No: E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE MAIC e INSURER A: Sentinel Insurance Company 22357 _ INSURED Athena Advanced Networks, LLC 4497 Brownridge Terrace Ste 10 Medford, OR 97504 INSIRERB: 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. ILTR N R TYPE OF INSURANCE POLICY NUMBER POLIC MM/DD/YYYY) IMMIDDNYM UMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7X OCCUR X Technology E d o 62SBAPW6507 04/13/2014 04/13/2016 EACH OCCURRENCE $ 2,000,00 PREMISES Meocconen $ 1,000,00 MED EXP (Any one paniani $ 10,00 PERSONAL S ADV INJURY $ 2,000,00 GENERAL AGGREGATE $ 4,000,00 GEN'L AGGREGATE X POLICY LIMIT APPLIES PER: PRO 71 LOC PRODUCTS-COMP/OP AGG S 4,000,00 S A AUTOMOBILE LNBILITY ANYAUTO' ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS 1( NON -OWNED AUTOS 52SBAPW5507 04/13/2014 04/13/2015 COMBINED SINGLE LIMIT2,000,00 BODILY INJURY (Per Pinion) $ BODILY INJURY (Per accident)S PROPERTY DAMAGE Per eccitlem S $ UMBRELLA LIAR EXCESS LIAB OCCUR CLAIMS-MAOE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYOFFICERIMEMBEREXCLUDED? CUTIVE ❑ (Mandatory In ER EXCLUDED? (Mandatory In NH) B yea, tleeerl N OFunder DESCRIPTION OF OPERATIONS below O NIA 62WECDQ2113 02(28/2014 02/28/2015 WC STATU- OTH- LIMITS` E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE 3 1,000,00 E.L. DISEASE -POLICY LIMIT f 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS [VEHICLES (Allaeh ACORD 101, Additional Re,neras 3eNWtde, R mere epece M nel FORTC01 The City of Fort Collins, CO Mary Moore PO Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Hart Insurance / Medford © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD