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HomeMy WebLinkAboutInsurance Certificate: Rogue Valley Heating & Air 5/23/2012 12:04: 48 PM PST (GMT-8) FROM: 100005-TO: 15414885320 Page: 2 of 7 °® CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDUnrrr) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICrATE 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. U 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 Beecher Carlson Insurance Agency, LLC CONTACT NAME: (IZUG�Sue Noakes 2911 Tennyson Ave., Suite 304 PHONE AIL No: 01-284-3196 Eugene, OR 97408 ,y RECOnDEp �I j Gfl E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC A W W W.beeCherCadson.COm INSURER A INSURED INSURERS Rogue Valley Heating &Air Conditioning, Inc. 2820 Foothill Blvd. NSURERC: Grants Pass OR 97526 INSURER O: INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 13161431 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. ADOLSUBR POLICY EFF POUCYEXP ILTR TYPE OF INSURANCE POLICY NUMBER MMNDIYYYY MMMDIYYYY LMITS A GENERILLWBILITY J - ! 44CL465175 711/2012 7/1/2013 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000 J COMMERCIAL GENERAL LIABILITY PREMISES Ea xaaronca $ CLAIMS-MADE F–ICCCUR MEDEXP(Anyonspersan) $ 5.000 PERSONAL&ADV INJURY $ 1,000.000 GENERAL AGGREGATE $ 2.000.000 GEN'LAGGREGATE LIMUAPPLIES PER: PRODUCTS-COMPIOP AGO $ 2.000,000 POLICY M""T- LOC $ A AUTOMOBILE UABRITY 44CL465175 7/1!2012 7/1/2013 I ED SING LIMIT ( aecaiI $ 1,000,000 J ANY AUTO BODILY INJURY(Par Person) $ ALL OWNED SCHEDULED BODILY INJURY(P.ao6denn $ AUTOS AUTOS NON-OWNED p1OPER1e LDAMAGE $ J HIREDAUTOS J AUTOS $ $ A J UMBREIJA LIwB OCCUR 44CU465176 711/2012 7/1/2013 EACH OCCURRENCE $ 1,000,000 EXCESS IIAB CLAI" AADE AGGREGATE $ 1,000,000 RETENTION$10,000 $ WORKERS COMPENSATION WC STATU- 0TH. AND EMPLOYERS'LIABILITY YIN TORY LIMNS ER ANY PROPRIETOR,PARTNER,EXECUTIVE F—] NIA EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandator,in NH) E.L.DISEASE m EA EMPLOYEE $ It yes,dna.h..anher DESCRIPTION OF OPERATIONS txbw EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AU..h ACORD 101,Additional Remarke Schedule,If morn apace le ra,.I,.dl General Liability Policy provides Addifional Insured on a Primary and Non Contributory basis per the attached MP9767 10110 endorsement General Liability policy also provides Waiver of Subrogation per the attached MP9767 10/10 endorsement. This form is subject to policy terms, Conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 90 N Mountain Ave. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland OR 97520 AUTNORr D REPRESENTATIVE EUG Sue Noakes D 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CENT No.: 13161431 (EUG) Sae Noakes 5/23/2UL2 11:44AB_AM Page 1 of 5 L 5/23/2012 12:04o48' PM PST (GMT-8) FROM: 100005—TO: 15414885320 Page: 3 of 7 ARTISANS ADVANTAGE ENHANCED COVERAGE ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUILDING AND PERSONAL PROPERTY COVERAGE FORM CAUSES OF LOSS—SPECIAL FORM COMMERCIAL PROPERTY CONDITIONS COMMERCIAL GENERAL LIABILITY COVERAGE FORM When this endorsement is attached to the policy, insurance under the Building and Personal Property Coverage Form, the Causes of Loss—Special Form,the Commercial Property Conditions and the Commercial General Liability Coverage Form is enhanced to provide the coverages described in this endorsement. All other conditions of the policy continue to apply. This coverage is subject to the provisions applicable to the Building and Personal Property Coverage Form, Causes of Loss— Special Form, the Commercial Property Conditions and the General Liability Coverage Form. SCHEDULE Coverage Enhancements Limits of Insurance Each Location Property Coverage Premises Boundary 1,000 feet Property Coverage Extensions Newly Acquired or Constructed Property Buildings $500,000. at Each Building Business Personal Property $250,000. at Each Building Personal Effects and Property of Others $ 25,000. at Replacement Cost Valuable Papers and Records (Other than Electronic Data) $ 25,000. Property Off-Premises (Including Laptops and Other Electronic Equipment) $ 15,000. Outdoor Property(Named Perils) $ 1,000, per tree/shrub, max. limit $25,000. Non-Owned Detached Trailers - $ 10,000. Accounts Receivable $ 50,000. Property in Transit (Including Laptops and Other Electronic Equipment) $ 15,000. Fine Arts $ 25,000. Property Additional Coverages Debris Removal $ 25,000. - Fire Department Service Charge $ 5,000. Pollutant Clean-up and Removal $ 15,000. Electronic Data $ 25,000. Interruption of Computer Operations $ 15,000. Arson Reward $ 5,000. Water Back-Up and Sump Overflow $ 25,000. Brands and Labels $ 25,000. Employee Theft $ 10,000. Business Income Including Extra Expense $ 25,000. Business Income from Dependent Properties $ 10,000. Claims Expenses $ 10,000. Inventory or Appraisal Cosh $ 5,000. Money and Securities Inside $ 10,000. Outside $ 5,000. Off Premises Power Failure —Direct Damage $ 10,000. Ordinance or Law Coverage Coverage A Included within Building Limit. Coverages B and C Combined 25%of Bldg. Limit, $150,000. maximum Outdoor Signs $ 10,000. Recharging of Fire Extinguishers $ 5,000. Unauthorized Business Card Use $ 5,000. Forgery or Alteration $ 10,000. Salespersons Samples $ 2,500. MP 97 67 10 10 Includes copyrighted material of Insurance Services Office, Inc.and Page 1 of 25 American Association of Insurance Services, Inc.,with their permission CEPS NO.: 13161431 IEUGI Sae Neake3 5/23/2012 11:44:48 AM Page 2 Of 6 5/23/2012 12:04:48 PM PST (GMT-8) FROM: 100005-TO: 15414885320 Page: 4 of 7 Inland Marine Coverages Installation Coverage $ 10,000. Contractors Equipment Coverages: Small Tools $ 5,000. (Maximum limit per item $1,000) Employee Small Tools $ 1,000. (Maximum limit per item $250) Leased and Rented Equipment $ 5,000. Rental Reimbursement $ 1,000. General Liability Additional Coverages Blanket Additional Insured (Including Primary Non-Contributing Coverage) Included in Each Occurrence Limit Mobile Equipment Broadened Coverage Included in Each Occurrence Limit Aggregate Limit Per Project Included in Each Occurrence Limit Blanket Waiver Included in Each Occurrence Limit Voluntary Property Damage Coverage $ 2,500. The following applies to coverages under this endorsement only. Property Coverage The phrase 'within 100 feet of the described premises' used in Paragraphs a.(5)(b), b.and c.(2) under A.1.Covered Property of the BUILDING AND PERSONAL PROPERTY COVERAGE FORM and Paragraph 2.c.(1) under C. Limitations of the CAUSES OF LOSS—SPECIAL FORM is replaced by the phrase 'within 1,000 feet of the described premises'. Property Coverage Extensions Paragraph A.5. Coverage Extensions of the BUILDING AND PERSONAL PROPERTY COVERAGE FORM is deleted in its entirety and replaced by the following: 5. Coverage Extensions Except as otherwise provided, the following Extensions apply to property located in or on the building described in the Declarations or in the open (or in a vehicle)within 1,000 feet of the described premises. If a Coinsurance percentage of 80% or more or, a Value Reporting period symbol, is shown in the Declarations, you may extend the insurance provided by this Coverage Part as follows: a. Newly Acquired Or Constructed Property (1) Buildings If this policy covers Building, you may extend that insurance to apply to: (a) Your new buildings while being built on the described premises; and (b) Buildings you acquire at locations, other than the described premises, intended for: (i) Similar use as the building described in the Declarations; or (it) Use as a warehouse. The most we will pay for loss or damage under this Extension is $500,000 at each building. (2) Your Business Personal Property (a) If this policy covers Your Business Personal Property, you may extend that insurance to apply to: (i) Business personal property, including such propertythat you newly acquire,at any location you acquire, at any location you acquire other than at fairs, trade shows or exhibitions; (ii) Business personal property, including such property that you newly acquire, located at your newly constructed or acquired buildings at the location described in the Declarations; or (iii) Business personal property that you newly acquire, located at the described premises. The most we will pay for loss or damage under this Extension is $250,000 at each building. (b) This Extension does not apply to: Page 2 of 25 Includes copyrighted material of Insurance Services Office,Inc.and MP 97 67 10 10 American Association of Insurance Services,Inc.,with their permission CERT NO.: 13161431 WGI Sue Noakes 5/33/2012 11:04:40 AM Page 3 of 6 5/23/2012 12:04: 9(3 PM PST (GMT-8) FROM: 100005-TO: 15414885320 Page: 5 of 7 (5) Vandalism and malicious mischief; or ,6) Theft. c. The following is added to A.2. Property Not Covered of the BUILDING AND PERSONAL PROPERTY COVERAGE FORM: r. Property while stored or operated underground in connection with any mining operations. d. The following is added to Paragraph 2. of B. Exclusions of the CAUSES OF LOSS -SPECIAL FORM: n. We will not pay for loss or damage caused by puncture, blowout and road damage to tires and tubes mounted on vehicles. However, we do pay for puncture, blowout or road damage caused by a specified peril. o. We will not pay for loss caused by humidity, dampness, dryness or changes in or extremes of temperature. p. We will not pay for loss caused by the weight of a load which, under the operating conditions at the time of a loss, exceeds the registered lifting capacity of any equipment or machine. q. We will not pay for loss due to theft or mysterious disappearance from any vehicle or attached container. We will pay for loss due to burglary when there are signs of forcible entry to a locked vehicle or container. e. E.7.Valuation of the BUILDING AND PERSONAL PROPERTY COVERAGE FORM is deleted and replaced by the following: 7. Valuation We will determine the value of covered property in the event of loss or damage as follows: a. At actual cash value at the time of the loss (with a deduction for depreciation) except as provided in Paragraphs b. and c.following. I Pair or Set. The value of a lost or damaged article which is part of a pair or set is based on a reasonable proportion of the value of the entire pair or set. The loss is not considered a total loss of the pair or set. c. Loss to Parts. The value of a lost or damaged part of an item that consists of several parts when it is complete is based on the value of only the lost or damaged part or the cost to repair or replace it. 2. Rental Reimbursement In the event of loss by a covered peril to covered contractors' equipment that you own, we will reimburse you for your expense to rent similar equipment while your equipment is inoperable. The most we will reimburse you for rental reimbursement expenses is $1,000. We will continue to reimburse you for the rental of equipment after the expiration date of this coverage provided the loss occurred before the expiration date. We will not reimburse you: a. If you can continue or resume your operations with similar equipment that is available to you at no additional expense to you; or b. For the rental expense of any equipment unless you make every reasonable effort to repair, replace or rebuild the inoperable equipment after the covered loss occurs. 3. With respect to this Additional Coverage,Contractors Equipment Coverage,Section D.Deductible of the BUILDING AND PERSONAL PROPERTY COVERAGE FORM is deleted and replaced by the following: D. Deductible We will not pay for loss or damage in any one occurrence until the amount of loss or damage exceeds$500.We will then pay the amount of loss or damage in excess of$500 up to the applicable limit of insurance. We will not reimburse you for the rental of equipment until after 72 hours have passed since the covered property was rendered inoperable. After 72 hours have passed, we will only reimburse you for the rental expense that you actually incur. The deductible of$500 does not apply to rental reimbursement expenses. General Liability Additional Coverages The following Additional Coverages are added to the COMMERCIAL GENERAL LIABILITY COVERAGE FORM. A. Blanket Additional Insured Coverage 1. SECTION II—WHd IS AN INSURED of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM is amended to include as an insured any person or organization(referred to as Additional Insured)whom you are required to add as an Additional Insured on this policy under: a. A written contract or agreement; and b. Where a certificate of insurance showing that person or organization as an additional insured has been issued;and Page 20 of 25 Includes copyrighted material of Insurance Services Office,Inc.and MP 97 67 10 10 American Association of Insurance Services,Inc.,with their permission CERT NO.: 13,6143, (EUGI Sue Noakes 5/23/2012 1L:44:4e AM Page 4 of 6 5/23/2012 12:04 :48 PM PST (GMT-8) FROM: 100005-TO: 15414885320 Page: 6 of 7 c. When the written contract or agreement and certificate of insurance are currently in effect or becoming in effect during the term of the policy and executed prior to the "bodily injury," "property damage," or "personal and advertising injury." 2. The insurance provided to the Additional Insured is limited as follows: a. The Additional Insured is only an additional insured for: (1) "Bodily injury," "property damage,"or"personal and advertising injury" caused in whole or in part by negligent acts or omissions of the Named Insured or anyone directly or indirectly employed bythe Named Insured or for whose acts a Named Insured may be liable. (2) Liability arising out of your ongoing operations for the Additional Insured by or for you. A person's or organization's status as an insured under this coverage ends when your operations for that insured are completed. , b. The Limits of Insurance applicable to the Additional Insured are those specified in the written contract or agreement but not more than the Limits of Insurance specified in the Declarations for this policy. The Limits of Insurance applicable to the Additional Insured are inclusive of and not in addition to the Limits of Insurance shown in the Declarations for the Named Insured. 3. In addition to the other exclusions applicable to Section I, Coverages A., B.and C.of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM, the insurance provided to the Additional Insured does not apply to: a. "Property damage"to: (1) Property owned, used, occupied by, loaned or rented to the Additional Insured; (2) Property in the care, custody or control of the Additional Insured or over which the Additional Insured are for any purpose exercising physical control; or (3) "Your work"performed for the Additional Insured. b. "Bodily injury," "property damage," or"personal and advertising injury'arising out of an architect's, engineer's or surveyor's rendering or failure to render any professional services for you, for the Additional Insured or for others, including, but not limited to: (1) The preparing, approving or failure to prepare or approve maps,drawings, opinions, reports, surveys,change orders, designs or specifications; or (2) Supervisory, inspection or engineering services. c. "Bodily injury' or"property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project(other than service, maintenance or repairs)to be performed by or on behalf of the additional insured at the site of the covered operations has been completed; or (2) That portion of"your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. 4. SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4. Other Insurance, is amended to add the following subparagraph: d. Additional Insured's Other Insurance As Excess Insurance To the extent required by an"insured contract,"this insurance is primary on behalf of the Additional Insured; and any other insurance maintained by the Additional Insured is excess and not contributory with this insurance. If the "insured contract" does not require this provision, then Paragraph a.above will apply. B. Mobile Equipment Broadened Coverage V.12.f.(1) of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM is replaced by the following: (1) Equipment designed primarily for: (a) Snow Removal; (b) Road maintenance, but not construction or resurfacing; or (c) Street cleaning. Except the above provisions do not applyto self-propelled vehicles of less than 1,000 pounds gross vehicle weight which are not intended for use on a highway. C. Aggregate Limit Per Project The General Aggregate Limit under SECTION III—LIMITS OF INSURANCE of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM applies separately to each of your projects away from premises owned by or rented to you. MP 97 67 10 10 Includes copyrighted material of Insurance Services Office,Inc.and Page 21 of 25 American Association of Insurance Services,Inc.,with their permission CE.[ x0.: OL61431 IEUSI Sue Hoakea 5/23/2012 11:44:46 AM Page 5 of 6 5/23/2012 12:04: 48 PM PST (GMT-8) PROM: 100005-TO: 15414885320 ' Page: 7 of 7 D. Blanket Waiver Of Transfer Of Rights Of Recovery Against Others To Us The Transfer Of Rights Of Recovery Against Others To Us Condition (SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against any person or organization to whom you by written contract or written agreement have waived your own right or recovery for loss caused bythat person or organization because of payments we make for injury or damage arising out of your ongoing operations or"your work" done under a written contract or written agreement with that person or organization and included in the "products-completed operations hazard." This provision does not apply unless the written contract or written agreement has been executed prior to the"occurrence"or offense giving rise to the"bodily injury" or"property damage." E. Voluntary Property Damage Coverage 1. We will,at your request, pay but not defend any claim for"property damage"tothe propertyof others otherwise excluded under A.2.j.(4), (5)and (6)of the COMMERCIAL GENERAL LIABILITY COVERAGE FORM provided that: a. Such"property damage"takes place while such property is in your care, custody or control, or is property of others over which you,for any purpose, are exercising or have exercised physical control; and b. Such "property damage"takes place away from any premises you own, rent or lease; and c. Such "property damage"takes place within the"coverage territory" and during the policy term; and d. Such"property damage"takes place only during your operations that are known to us, are scheduled on the policy and for which a premium has been charged. 2. The insurance under this additional coverage does not apply to"property damage"to property: a. Held by you for servicing, repair, storage or sale at premises owned by, rented or leased to you; b. While being transported by or caused bythe ownership, maintenance,operation, use,"loading or unloading"of any "auto,"watercraft or aircraft; or c. Owned or occupied by or rented to you. 3. Deductible This additional coverage will apply only to that amount of any loss in each "occurrence"that exceeds $500. The terms of the policy with respect to your duties in the event of"occurrence,"claim or"suit"and the Companys rightto investigate, negotiate and settle any claim or"suit"apply irrespective of the application of the deductible amount of$500. We may pay any part or all of the deductible amount of$500 to effect settlement of any claim or"suit."Upon notification of the action taken, you must promptly reimburse us for such part of the deductible amount as has been paid by us. 4. Limits of Liability The Limit of Liability for this additional coverage shall not exceed $2,500 for each "occurrence"and is the limit of the Company's liability for all damages on account of each claim or"suit" covered herein. The annual aggregate Limit of Liability is$2,500 and is, subjectto the above provisions respecting each claim,the total limit of the Company's liability for all damages. 5. Settlement In the event of loss covered bythis additional coverage,you shall, if requested by us, replace the property or furnish the labor and materials necessary for repairs thereto at actual cost to you, excluding prospective profit or overhead charges of any nature. Any property so paid for or replaced shall, at our option, become the property of the Company. Payment hereunder shall not constitute an admission of liability of you or, except as stated herein, of the Company. Additional Conditions A. Insurance Under Two Or More Coverages The following is added to Paragraph C. Insurance under Two or More Coverages of the COMMERCIAL PROPERTY CONDITIONS: If a Coverage Form is attached to this policy that provides a limit for any coverage provided by this endorsement;the limit shown in the SCHEDULE and the coverage provided by this endorsement are deleted and replaced by the limit and coverage provided by the Coverage Form. B. Limits Of Insurance Regardless of the number of buildings at location covered bythis endorsement,the most we will pay under this Coverage Enhancement endorsement in any one occurrence is the applicable Limits of Insurance shown in the SCHEDULE on page 1 of this endorsement. Page 22 of 25 Includes copyrighted material of Insurance Services Office, Inc.and MP 97 67 10 10 American Association of Insurance Services,Inc.,with their permission CEPS NO.: 13161431 (EUG) Sae Noakes 5/23/202 11:44:18 AM Page 6 of 6 5/23/2012 12:04 :48 om oyr (GMT-8) ERo8: 100005-to: 15414885320 Page: l of 7 . ................ � Beecher Carlson Insurance 2911 Tennyson Ave.. OR 97408 � --=--' -��97408 N������ ��V��U����U ���� ����� � FAX �~ �� �m�� �����= =. � c*nio*ote^/Insurance Delivery byocenaonUne`u 5*1'284'3096 � 54 1-284-3196 ,mm'.»+°a`mu,r,o^.com < From: (EVG) Sue Noakes SUb�8C�� AooHoe5�snn\ uau|it''Rogue Valley ' Heading u Air Conditioning, Inc. City of Ashland 90 N Mountain Ave []@be: 5/23/2812 Ashland OR 97520 Delivery Via: FAX 15414885520 ! / N0. of Pages: 7 ` ^ THIS MESSAGE IS 111TENDEDFORTHE USE OFTHE NDIVIDIJAI-OR ENTRY TO°mICH 17 IS ADDRESSEDAND MAYCONTAININFORMATIONTHATIS PRIALEGED,CONFIDENTIAL AND EXEMPT ROM DISCLOSURE oNDExAnPLmABe mm IF THE READER OF THE MESSAGE wwx,n*INTENDED RECIPIENT,OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR DELNERING THE MESSAGE TO THE INTENDED RECIPIENT.YOU ARE HEREBY N 07mmmA7*n DISSEMINATION.D151RIBURION OR COPYING GFmIS COMMUNICATION IS STRICTLY PROHISITED.IF YOUHAVE RECENIEDTHISCOMMUNICA71ONIN ERROR.PLEASE NOTIFY US IMECIATELY BYTELEPHONE.AND RETURN THE ORIGINAL.MESSAGE movmTHE ABOVE ADDRESS wx REGULAR pmnmSERVICE. Q 2002 Certificate of Insurance Delivered bymcertsnNnem Insurance Visions,Inc.All rights reserved.