HomeMy WebLinkAboutInsurance Certificate: Twedells Automotive Towing/Wrecking
CERTIFICATE OF LIABILITY INSURANCE 1DATE(MMMDITYVY)
A 0112512013
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: H the certificate holder is an ADDITIONAL INSURED, the polley(les) must be endorsed. M 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).
PRObucm COMT
donna rova
,A EACT American Insurance Agency LLC PHONe . IALl 687.1915 P"x .(541)687-0277
26TY Wlllakenzie Rd e-M°RL . donna iaeu ene.com
Suite 8.
Eugene OR 97401 Plaza nce Company
INSURED INSURER S, Oregon Mutual
Twedeli's AulomotireJowing and Wrecking LLC INSUAIRG,
Twedell's Towing as.;
3116 N Pacific Highway FINSURERF'
Medford OR 976M R 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. CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POC ES DESCRIBED HE EIIN Sl B ECT TO ALL THEI TERMS,
EYCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR DOL U POLICY EFF POLICY P' LIMITS
LTR TYPE OF INSURANCE POLICYNUMBER MMID nolfk Win GENERAL LU1aIlJTY EACH • N E 31000,000
DAMAGE TO RENTED 100000
A COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR Y PTOWK004101-DO 0110212013 0110212014 MED EXP one m Sa o.00
PERSONAL & ADV INJUR`I 1 000 000
GENERAL AGGREGATE 3 000 000
GEN'LAGGREGATE LIMIT APPLIES PER PR DUCTS-COMPIOPA 1000000
X POLICY PRO- LOC $
1000000
AUTONOFNIE I1AfallfY COMSINEOrSINGIE LIMIT
A ANY AUTsoDILYINJURY(Pe.Person) i
Arro°s D X n°UHHED LED Y PTOWK004101.00 01102/2013 0110212014 BODILY INJURY (Per mddtt) a
NON OMED PROPERTY DAMAGE S
X HIRED AUTO S AUTOS MHdPa $5,000
H UMBRELLA I" OCCUR EACH CURRENCE $
Excess LIAa GLAImatAAOE AGGREGATE
S
DED RETENTION
WORKERS COMPENSATION WC STATU- 1011
AND EMP
1ND ENPLOYERSERIP ` LABILITY
ANY PROPRIETOMPARINERIE%ECUIN~ NIA EL EACH ACCIDENT
peaiCry in NN) EXCLUDED?
E. L. DISEASE - EA EMPLOYE s
tlm und DESCRIPTION OF OPERATIONS boles EL. DISEASE -POLICY LIMIT
A OnhooklCargo Y PTOWK004101-00 01102/2013 0110212014 301000 iQR100,OW
1@ $75,000 $1,000 deds
-
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (AUSCh ACORD 1M, Add d"111 ReaNlka Se m Me, if nWM SPACe ie IpulrW)
Gorageksepers: Lac k1; 3118 N Pacific Hwy Medford $100,000 5500 dads
Loc 62:15 Ehnman Way Medford $300,000 $500 dodo
Loc H3: 1242 Bens Lane Medford $25,000 $500 dodo -
Loc 114: 13114317 S Pacific Hwy Talent $75,000 $500 desk ~°'~`^f'~p t~ /~/'~-p
Cerlifirale Holder is named as Additional IneOred per policy endorsement C6 il i ('NEC(; i : Ei
CERTIFICATE HOLDER CANCELLATION
City of Ashland THEUES IRATION DATE TII REOF.BENOTICE (WILL BE DELIVERED BEFOREIN
90 N. Mountain Ave ACCORDANCE WITH THE POLICY PROVISIONS.
Ashland, OR9752O AUTHORQEDREPRESENTATIVE ~w n _ CDR
Fax: (541)488-532 0
®1988-2010 ACORD CORPORATION. All rights reserved-
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
TO/TO 39Vd 3ONC2if1SNI NVOIN314V LLZO-L89-TV9 8Z:bT 6113Z/9Z/TO