Beruflich Dokumente
Kultur Dokumente
INSURER F :
DED RETENTION $ $
B WORKERS COMPENSATION 57WECZU1344 1/4/2017 1/4/2018 PER OTH-
Y X STATUTE ER
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000
C Professional Liability 106566977 6/14/2016 6/14/2017 $2,000,000 Per Claim
Retroactive date: 06/14/2016
Retention: $10,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Oakland, its Councilmembers, directors, officers, agents, employees and volunteers are named as
additional insured as required by written contract per the attached form.