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Insurance Certificate: Rogue Valley Heating & Air Conditioning
8/16/2012 11:33:13 AM PST (GMT-8) FROM: 100005-TO: 15414885320 Page: 2 of 2 ® CERTIFICATE OF LIABILITY INSURANCE DATE AMAVODrrrr) ACO/20 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. H 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 Agehcy, LLC CONTACT NAME: (EUGI,Sue Noakes 2911 Tennyson Ave., Suite 304 PHONE ac Na Eugene, OR 97408 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAICp www.beechercadson.com INSURER A INSURED INSURERS: RogUe Valley Heating &Air Conditioning, Inc. 2820 Foothill Blvd. INSURERC: Grants Pass OR 97526 INSURERD: NSURERE: . RERF: COVERAGES CERTIFICATE NUMBER: 13880627 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. INSR ADDL SUER POLICY EFF POLICY EXP LPARS LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY ,D MMDIYYYY GENERALLIABILITY J J EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISE SO RE�NTEDAt9 $ CLAIMS-MADE OOCCUR MED EXP(An,.e pars.) $ PERSONAL A ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO $ JFQT POLICY PRO- LOC $ AUTOMOBILE LIABR-ITY ($10MO.T5D,SI L I $ ANY AUTO BODILY INJURY(P.pars.) $ ALL OWNED SCHEDULED BODILY INJURY(Par sedderp AUTOS AUTOS $ HIREDAUTOS AUTCSWNED (PPROPERTY,mddIDAMAGE $ $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIMB czccu, IZADE AGGREGATE $ DED RETENTION$ $ 8 �TMM $ A WORKERS COMPENSATION 520190 - 1011/2012 10/1/2013 TORVUMRS 17P AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR,PARTNER,EXECUTIVEC ❑ E.L.EACH ACCIDEACCIDENT $ 1,000,000 OFFIERIMEMBER EXCLUDED] NIA (M.PsEI.Y in NH) E.L.DISEASE-EA EMPLOYEE $ 1 0 DDD II yes,desotb.Mdar DESCRIPTION OF OPERATIONS habw E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VENICLES (ANs.h ACORD 101,Addlll...I Remark.Schedule,II more p..a I.r.,W r.d) ?1,117Y RECORDER 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 AUTHORIZED REPRESENTATIVE EUG Sue Noakes ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CENT MO.: 13880621 IEVGI Sue Noakes 8/16/2013 11:31:10 AM Page 1 of 1 8/16/2012 11:33:13 AM PST (GMT-8) FROM: 100005—TO: 15414885320 Page: 1 of 2 ;From:— ,..._._-.__._.,_._4 Beecher Garlsornlnsurance Agency, LLC 2911 Tennyson Ave., Suite 304 ` FAX DOCUMENT ! Eugene, OR 97408 4 Certificate of Insurance Delivery by ecertsonline'" 541-284-3096 - j541-284-3196 WvvvVbeechercarlson.com 4 .._,__._._w.,. .„ _._. ...._..._..,._._,__.w..__.,.,_. ..,_,__,_...___.. .,. . From: (EUG) Sue Noakes TO: SIJ f)feCt: He Heeling 8 Air CondiCertificate Inc.of Liability-Rogue Valley 1 City of Ashland 90N N Mountain Ave. t Date: 8/16/2012 Ashland OR 97520 Delivery Via: FAX 15414885320 i .__..__...._.._.__._......__..................._._........ ......,......,.,... No. of Pages: 2 THIS MESSAGE IS MENDED FOR THE USE OF THE INDMDUAL OR ENTITY TO WHICH n 6 ADDRESSED AND MAY CONTAIN INFORMATION THAT 6 PRMLEGED.CONFIDENTIAL AND EXE MET FROM DISCLOSURE UNDER APPLICABLE LAW.IF THE READER OF THE MESSAGE 6 NOT THE INTENDED RECIPIENT,OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR DEL NERNG THEME SSAGE TO THE INTENDED RECIPIENT,YOU ARE HEREBY NOTIFIED THAT ANY DISSEMINATION.DISTRIBUTION OR COPYING OF THIS COMMUNICATION IS STRICTLY PROHIBITED.IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR,PLEASE NOTIFY US IMEDIATELY BYTELEPHONE,AND RETURN THE ORIGINAL MESSAGE TO US AT THE ABOVE ADDRESS VW REGULAR POSTAL SERVICE. Q 2002 Certificate of Insurance Delivered by ecertsonllne TM Insurance Visions,Inc.All rights reserved.