HomeMy WebLinkAboutInsurance Certificate: Quality Fence
,.~i ' . 9QUALFE OP ID: JG
CERTIFICATE OF LIABILITY INS.U,RANCE .0/. OYYYY)..
10/26/12
THIS CERTIFICATE IS ISSUED'AS A MATTER OF^UJFORMATION ONLY AND CONFERS.NO RIGHTS ~URON'WTHEi CERTIFICATE:•HOLDER:: THIS:
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW: io TH(S't CERTIFICAT.E.'OFIINSURANCE>DOESCNOTw dONSTITUTE A -CONTRAC•T• BETWEEN :THE-.ISSUING INSURRR(S); AUTHORIZED;; ;
REPRESENTATIVE OR PRODUCER, AND THE'CERTIFICATE HOLDER.
IMPORTANT; Af the.0erfifreMW holder Ts:ao ADDITIONAL• INSURED, the pulicy(iea)tmust he endorsed. IP:SUBROGATION JS WAIVED,.suble'crto
'the terms ahd"coriditians ofAhe•.p'ollcy,:cartaln policies. may require an'endorsemenD' A statement onahle cactlNcaterdoes'not:confer,di hts.to• he
-certificate bolder in lieu ofsuchendorsement(s)-
PRODUCER Y. .i.L': •1'
6'41-779-4232 ONAME~
Hartlnsurahce PHONE
1123 Royal Ave. , . .541'-7.72.3963 ac ua I:rt AA:, rip
Medford, OR 97504
- nnoaess:
Hart Inaumnca / Medford
MURERa AFFORDING COVERAGE.. NAICA
INSURERA:SAIF Corp 36196
INSURED QUa lity fence CO. INSURERS:
d6a: Reliable Electric '
Box 3985 INSURER C.
ral Point OR 97602-3985.
INSURER E
INSURER F:
COVERAGES - CERTIFICATE NUMBER:- REVISION NUMBER:
THIS IS TO CERTIFY TAAT 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 CONTRACTOR OTHER DOCUMENT WfrH'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.'
MR TYPE OF INSURANCE:. 1wADPL .b B PouGYNUMBSR MNIDDNY P UNITS
GENERALUAMUTY EAOHOCCURRENCE 6
COMMERCIAL GENERAL LIABILITY PREMISES (ED gCC~l 3
CLAIMS-MADE ❑OCCUR MEDEXPOmomparson) i
PERSONAL & ADV INJURY 3
GENERAL AGGREGATE 3
GENL AGGREGATE LIMIT APPLIES PER PRODUCTS'-COMP/OP AGG 8
POLICY PR LOG $
AUTOMOBILE LIABILITY C~OMBIM6INGLE LIMIT 3
ANY AUTO BODILY INJURY (Per Person) i
ALLOM/NED SCHEDULED BODILY INJURY(Pmacdda ) P
AUTOS NAUTOS
ON-OWNED PR FERTY AMAOE 1
HIRED AUTOS AUTOS Peramdenl
S
UMBRELLA UAe OCCUR EACHOCCURRENCE 8
EXCESS LIAM CLAIMS-MADE AGGREGATE $
OED RETENOONX 3
WORKERS COMPENSATION x WC STATU OTH
AND EMPLOYERS' UABILTTY OFFICERrtnEMBE&
A ~EtrCWRT oEm~C~vE Y❑ N14 38638 10101112 10/01/13 EL EACH ACCIDENT S 600,00
(Mar,dacery In NH) EL DISEASE - EA EMPLOYEE $ 500,000
600,00
If yes, fbeUWB Under EL DISEASE - POLICY UMR 9 DE RIPnON OF OPERATIONS Debw
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AU*M ACORD lot, AedIUAnal Remarks Schedde, if more space is wgw,w)
541-488-5320
9
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Karl Olson, Purchasing ACCORDANCE WITH THE POLICY PROVISIONS-
Representative
City of Ashland AUTHORQED REPRESENTATIVE
90 N Mountain Ave Hart Insurance / Medford
Ashland OR 97520
®1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 26 (2010106) The ACORD name and logo are registered marks of ACORD
100/100'd 8966 LL 169 ,ON m 02H UNVEASHI IM Yid 99:80 N0K/Z I0Z/6Z/d,00