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CREIMAN -01 LTELLER
<br />A4C6RO CERTIFICATE OF LIABILITY INSURANCE DATE)MMIODNM)
<br />16 � 1212612014
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Rose & Kiernan, Inc.
<br />99 Troy Road
<br />East Greenbush, NY 12061
<br />CONTACT
<br />PHONE FAX
<br />Np. Eyl • 618) 244 -4245 fA/c Nnl• (6181244.4262
<br />a
<br />MANC,
<br />ADORES$:
<br />INSURERIS)AFFORDING COVERAGE
<br />_
<br />_ NAICN
<br />COMMERCIAL GENERAL LIABILITY
<br />INSURERA:Continental Casualty Can an
<br />20443
<br />INSURED
<br />INSURER D; The ContinentallnsuranStCO alt
<br />35289
<br />INSURER C: American Casualty Company
<br />20427
<br />Creighton Manning Engineering LLC
<br />2 Winners Circle
<br />INSURER D: Travelers Casualty & Surety Co
<br />19038
<br />INSURER E :
<br />6011202464
<br />Albany, NY 12205
<br />INSURERF:
<br />P' EMI$ €s aoccurie w
<br />$ 300,00
<br />COVFRAGFS CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />INSR
<br />T
<br />TYPE OF INS UR)INCE
<br />PORTLAND, OR 97214
<br />-----
<br />AUTHORIZED REPRESENTATIVE
<br />POLICYNUMOER
<br />MI OVYY POLICY
<br />LIMITS
<br />A
<br />X
<br />COMMERCIAL GENERAL LIABILITY
<br />EACH OCCURRENCE
<br />$ 1,000,00
<br />CLAIMI L!1J OCCUR
<br />6011202464
<br />12129/2014
<br />9212912015
<br />P' EMI$ €s aoccurie w
<br />$ 300,00
<br />MED EXP (Arty one escn
<br />$ 10,000
<br />PERSONAL&ADV INJURY
<br />It 1,000,00
<br />GEHL AGGREGATE LIMIT APPLIES PER:
<br />GENERALAGGREGATE
<br />$ 2,000,00
<br />PRODUCTS - COMP /OP AGO
<br />$ 2,000,00
<br />POLICY [X] PRO- ❑ LOG
<br />$
<br />OTHER
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT
<br />Ea agcidenl
<br />$ 11000,00,
<br />BODILY INJURY (Par person)
<br />$
<br />B
<br />%t ANY AUTO
<br />6011202500
<br />1212912014
<br />1212912016
<br />BODILY INJURY (Per accident)
<br />$
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS O WNED
<br />X HIRED AUTOS X AUTOS
<br />PROPERTY DAMAGE
<br />(Per accident)
<br />$
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE
<br />$ 10,000,00
<br />AGGREGATE
<br />b 10,000;00
<br />A
<br />EXCESS UAB
<br />CLAIMS -MADE
<br />5092257263
<br />1212912014
<br />12129/2016
<br />DEO I X I RETENTION$ 10,000
<br />S
<br />C
<br />WORKERS COMPENSATION
<br />AND EMPLOYER& LIABILITY
<br />ANY PROPRIETORIPARTNERlEXECUTIVE YOU
<br />(Mandatory NH) N
<br />(MandaPofy In NH)
<br />NIA
<br />6016806962
<br />12129/2014
<br />1212912015
<br />X OTPI`
<br />_ STATUTE ER
<br />_
<br />E. L, EACH ACCIDENT
<br />$ 500,00
<br />_
<br />E.L DISEASE- EAEMPLOYE
<br />$ 500,00
<br />E. L. DISEASE - POLICY LIMIT
<br />-__
<br />$ 500,00(
<br />K yas, 09 'be under
<br />DESCRIPTION OF OPERATIONS bcbw,
<br />D
<br />Prot, Liability
<br />___r
<br />105460152
<br />14
<br />0710112015
<br />Each Claim 3,000,00
<br />D
<br />Prof. Liability
<br />105460152
<br />14
<br />0710112015
<br />Aggregate 6,000,00
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additlonal Remarks Schedule, may be attached if more apace Is required)
<br />PROJECT: ALBANY BIKE SHARE AND SIGNAGE PLAN PROJECT ALTA PLANNING + DESIGN AND THEIR CLIENT ARE NAMED AS ADDITIONAL INSUREDS,
<br />PER THE TERMS OF THE BLANKET ADDITIONAL INSURED PROVISION. COVERAGE FOR AN ADDITIONAL INSURED IS CONTINGENT UPON AN
<br />UNDERLYING WRITTEN AGREEMENT WITH THE NAMED INSURED REQUIRING SUCH COVERAGE.
<br />CFRTIFICATF Hni_nPR CANCELLATION
<br />ACORD 26 (2014/01)
<br />®1988 -2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />ALTA PLANNING + DESIGN
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />711 BE GRANb AVE.
<br />PORTLAND, OR 97214
<br />-----
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 26 (2014/01)
<br />®1988 -2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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