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HomeMy WebLinkAbout513344 ATHENA ADVANCED NETWORKS INC - INSURANCE CERTIFICATE-�� 9ATHEAD OP ID: PB ,a►�oRo CERTIFICATE OF LIABILITY INSURANCE D02/1ATE 912015Y) 02/19/2015 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 Phone: 541-779-4232 Hart urance 1123R yalAv Fax:541-772-3963 1123 Royal Ave. Medford, OR 97504 Hart Insurance / Medford INSURED Athena Advanced Networks, Inc. 4497 Brownridge Terr Ste 107 Medford, OR 97504 NAME:" PHONE FAX ac No AA No: E-MAIL ADS: INSURE S AFFORDING COVERAGE NAICS INSURER A: Sentinel Insurance Company 22357 INSURERS: INSURERC: INSURER D : INSURER E : INSURER F : COVFRAGFS r:FRTIFIrATF NI IMRFR- ncvlctnu ur IMoco. 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. I�TR TYPE OF INSURANCEIn& POLICY NUMBER MM/DD/YYYY MM DDYNM LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCl1R X Technology E& 0 52SBAPW5507 04/13/2016 04/13/2016 EACH OCCURRENCE $ 2,000,00 ''AmA(3E To TED REMISES Ea occurrence) $ 1,000,00 MED EXP (Any one Person) $ 10,00 PERSONAL B ADV INJURY S 2,000,00 GENERAL AGGREGATE $ 4,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC JE CT 1 PRODUCTS - COMPDP AGG E 4,000,00 E A AUTOMOBILE LIABILITY ANY AUTO AALL UTOOSS SCHEDULED HIRED AUTOS X NON -OWNED AUTOS 52SBAPW5507 04/13/2016 04/13/2016 COMBINED SINGLE LIMIT2,000,00 Ea accident $ $ E _ E BODILY INJURY (Par Person) BODILY INJURY (Per accident) X PROPERTY DAMAGE Per accident UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE $ OED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYEEL ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory In NH) H yes, describe under DESCRIPTION OF OPERATIONS below NIA 52WECDQ2113 02/28/2015 02/28/2016 X WC STATU- OTH- E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, I mores space Is required) W certificate holder is listed as additional insured per attached form SS0008 FORTC01 The City of Fort Collins, CO 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 Hart Insu ©1988-2010 ACORD CQPORATION. All rights reserved. AL,UKU ZO IZUIU/Ub) I he ACORD name and logo are registered marks of ACORD