HomeMy WebLinkAboutInsurance Certificate: Kaylor Electric A-CORD. CERTIFICATE DFLIABJLM JN$Q F D07M0MDNY)
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PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF, INFORMATION
ONLY AND CONFERS NO RIGHTS 'UPON
THE CERTIFICATE
FEDERATED MUTUAL INSURANCE COMPANY HOLDER. THIS CERTIFICATE-DOES.NOT-A M D I',.EXTEND OR
Home office: P.O. Box 328 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
..,.'---Owatonna; MN..55060- r COMPANIES AiFORDING COVERAGE
Phone: 1-888-333-4949 FEDERATED MUTUA(INSURANCECOMPANV. OR
A FEDERATED SERVICE INSURANCE COMPANY
.5
INSURED '- 343-OM )"MP
ANY"
KAYLOR ELECTRIC LLC
PO BOX 639
PHOENIX OR 97536 COMPANY
C
COMPANY
D A,
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED FELOW HAVE BEEN ISSUED T THE IN§6R'E%6%NAMED ABOVE FOR THE pnucy PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT.00.0—,49 DOCUMENT WITH RESPECT TO WHICH TH.
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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR , �-- DATE(MMIDDNY) DATE(MMIDDNY)
GENERAL LIABILITY GENERAL AGGREGATE a 2 000 000
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG L210010000
C DE 07/01112 07/01/1
A CLAIMS IMS MA . FX7 1.OCCUR 9118896. 3 PERSONAL&ADV INJURY a 1 10J01000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE a 1,000,000
X BUSINESSOWNCRS POLICY V
FIRE DAMAGE(Any one fire) 100,000
L z 5,000
AUTOMOBILE UABILITY
7' -COMBINED SINGLE LIMIT— 5--l-,000,000
X ANY AUTO
ALL OWNED AUTOS - BODILY INJURY -a
A SCHEDULED AUTOS 9118897 07/01/12 07/01/13 (Per person)
HIRED AUTOS
BODILY INJURY $
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE a
GARAGE UABIURY AUTO ONLY-EA ACCIDENT $
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ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT a
I AGGREGATE a
-EXCESS LIABILITY EACH OCCURRENCE $
—1 UMBRELLA FORM AGGREGATE a
6--HER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND I TWC STATU OIH
ORV LIMIT ET :
EMPLOYERS'LIABILITY EL EACH ACCIDENT a
THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT a
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE a
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS
CERTIFICATEHOUDER 15 AN ADDITIONAL INS URED SUBJECTTOTHE LI
CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT ENDORSEMENT,
FOR BUSINESSOWNERS LIABILITY.
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CERTIFICATE HOLDER .. CANCELLATION ,•
3 OB65 CITY OF ASHLAND M 13 SHOULD Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
20 E MAIN EXPI WILL RATION DATE THEREOF, THE ISSUING COMPANY WI ENDEAVOR TO MAIL
ASHLAND OR 97520 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR UAWLITY
OF MY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
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AUTHORIZED REPRESENTATIVE
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ACOAD 35 S 571951 . . ................. ........................ ......
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