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HomeMy WebLinkAboutInsurance Certificate: Valley Electrical Contractors VALLEA OP ID: KIY 01125/2013 DY) F -ATE CERTIFICATE OF LIABILITY INSURANCE 01 /25/2013 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 endorsemen s . PRODUCER Phone: 541-773-5358 CONTACT Kendall Yeaw NAME: Protectors Insurance, LLC PHONE FAX Pilot Rock Ins Agency LLC (CA) Fax: 541-772-1906 a1o N, F :541 842-2963 ac No): 541-772-1906 PO Box 4669 ADDRESS: kendally@protectorsins.com Medford, OR 97501 R. Joe Hubbard INSURER $ AFFORDING COVERAGE NAIC p INSURER A:Liberty Northwest Insurance 41939 INSURED Valley Electrical Contractors INSURER B: Inc PO Box 1555 INSURERC: Medford, OR 97501-0117 INSURER D: _ INSURER E: 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 TYPE OF INSURANCE ADD POLICY NUMBER MMIDDY EFF MMIDDIYYYY UNITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCVAL GENERAL LIABILITY X 018136775 0112412013 0112412014 PREMISES Ea occurrence) $ 100,00 CLAIMS-MADE FxIOCCUR MED UP (Any one person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 2,000,00 POLICY X PRO- F7 LOC $ IFCT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,00 Ea accident $ A X ANY AUTO 018136775 0112412013 01/24/2014 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- IMT AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORRARTNER/UECUTIVE ❑ E. L. EACH ACCIDENT $ OFFICER/ EMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ H yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mom apace is required) As additional insured per policy endorsement CG8579(0505): CERTIFICATE HOLDER CANCELLATION CITYAS2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main Str Ashland, OR 97520 AUTHORIZED REPRESENTATIVE R. Joe Hubbard © 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD p`5 o ra c `o o, m N d Z m Q C at - N v L L L C me c. 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