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HomeMy WebLinkAboutInsurance Certificate: Twedells Automotive Towing & Wrecking r A CERTIFICATE OF LIABILITY INSURANCE DATE (MM/OD V) 0110 312 01 3 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. If 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 CONTACT donna rove American Insurance Agency LLC P"ONE 541 687-1915 FAX 541 687.0277 2677 Willakenzie Rd. EMAIL donna alaeu ene.com Suite 8 INSURERS AFFORDING COVERAGE NAIC d Eugene OR 97401 INSURER A: Plaza Insurance Company INSURED INSURER B : Oregon Mutual Insurance Twedell's Automotive,Towdng and Wrecking LLC, INSURER C: Twedell's Towing INSURER D 3116 N Pacific Highway INSURER E Medford OR 97501 INSURER F COVERAGES CERTIFICATE NUMBER: 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 ADDLSUBR G POLICY EFF POLICY EXP TYPE OF INSURANCE POLICY NUMBER ENERAL LIABIIJTY IDDffYYY) /DD LIMITS EACH OCCURRENCE $1000 000 A COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100,000 CiLAIMS-MADE X❑ OCCUR PTOWK004101.00 0110212013 0110212014 MEDEXP An one rson $5,000 PERSONAL BADV INJURY $110001000 GENERAL AGGREGATE $3000000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMP/OP AGG $1,000,000 )t POLICY PRO- LOC E AUTOMOBILE LIABILDY COMBINED SINGLE LIMIT S1,000,000 A ANYAUTO BODILY INJURY (Per person) $ ALL SCHE AUT )SEED X AUTOSULED PTOWK004101.00 0110212013 0110212014 BODILY INJURY IPer accident) $ X HIRED AUTOS X NON- OWNED PROPERTY DAMAGE AUTOS Med Pa s 5 000 UMBRELLA LJAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED RETENTION WORKERS CONSATION $ AND EMPLOYEMPERS' LIABILrrY WC STATU- OTM- ANY PROPRIETOR/PARTNERIEXECUTI Y I N OFFICER/MEMBER EXCLUDE09 N/A E.L. EACH ACCIDENT $ "'.(Mandatary In NH, It as. describe under - E:L DISEASE - EA EMPLOYEE S ' _ DESCRIPTION OF OPERATIONS belos E.L. DISEASE - POLICY LIMIT s A Onhook/Cargo PTOWK004101-00 01102/2013 0110212014 6 @ $30,000 1@$100,000 1@ $75,000 $1,000 dads DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Garagekeepers: Loc #1: 3116 N Pacific Hwy Medford $100,000 $500 dads Loc #2:15 Ehnman Way Medford $300,000 $500 dads Loc #3: 1242 Bens Lane Medford $25,000 $500 dads Loc 94: 1311.1317 S Pacific Hwy Talent $75,000 $500 dads List of equipment attached CERTIFICATE HOLDER CANCELLATION Ashland Police Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 E Main St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE <DR> ©1988-2010 ACORD CORPORATION. ATIIOON. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Twedell's Automotive Towing and Wrecking LLC 01/02/2013 Vehicle Schedule: 1993 FORD VIN# 2FDLF47M 6PCB05782 1992 CHEVY GCGK24F6NE181151 1988 INTN'L 1HSZEGGRIJH592623 2004 FORD 1FTWX33P04EA52849 1995 CHEVY 1GBKC34FBSJ103958 2001 STERLING 2FZAAKAK41AJ18512 2000 FORD 1FDAF56F8YEE27691 2004 INTN'L 1HTMMAAL94H656972 1999 INTN'L 1HTSCAAMXXH681239