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Home My WebLink About513344 ATHENA ADVANCED NETWORKS INC - INSURANCE CERTIFICATE (2)9ATHEAD OP ID: PB AlICCIIINLY CERTIFICATE OF LIABILITY INSURANCE D02/15/2016Y) 02/15/2016 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 Phone: 541-7794232 Insurance Fax: 541-772-3963 1123 Royal Ave. Medford, OR 97504 Hart Insurance / Medford CONTACT NAMEHart PHONE FAX A/c No Eat : Afc No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Sentinel Insurance Company 22357 INSURED Athena Advanced Networks, Inc. 4497 Brownridge Terr Ste 107 Medford, OR 97504 INSURER B: INSURERC: INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: RFV62InN Fit IMnr=w• 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 TYPE OF INSURANCE INSR WIVB POLICY NUMBER EFF M DDY/YYYY M DDY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR X 52SBAPW5507 04/13/2016 04/13/2017 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,00 MED EXP (Any one person) $ 10,00 PERSONAL& ADV INJURY $ 2,000,00 GENERAL AGGREGATE $ 4,000,00 ' AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,00 nGEN'L X POLICY r7 PRO LOC $ AUTOMOBILE LIABILITY COEa aBINEDISINGLE LIMIT $ 2,000,00 BODILY INJURY (Per person) $ A ANY AUTO 52SBAPW6607 04/13/2016 04/13/2017 ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS JX NON OWNED AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ • EXCESS L1AB CLAIMS -MADE DIED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N I A 52WECDQ2113 02/28/2016 02/28/2017 X I WC STATU- OTH- YLIMER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 (Mandatory in NH) If yes, desuibe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,00 A Technology E & O 1 62SBAPW5507 04113/2016 04/13/2017 Tech E&O 2,000,00 Aggregate 4,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mom apace Is required) 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 ACOPLCJ CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD