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Home My WebLink AboutInsurance Certificate: Aaron's Lawn Service r CERTIFICATE OF LIABILITY INSURANCE DA 4/25/2013 » 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 pohcy(ies) most be endorsed. If SUBROGATION IS WAIVED, subject to the terms Rod conditions of the polity, 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 THE INSURANCE CENTER CONTACT NAME: PO BOX 6 PHONE FAX JACKSONVILLE, OR 97530 E-MAIL PHONE NO. (541)899-9535 INSURER(S) AFFORDING COVERAGE NAIC4 INSURED AARON NASCIMEN'TO INSURER A: RED SHIELD INSURANCE COMPANY 41580 DBA: AARON'S LAWN SERVICE INSURER B: 1101 COMET AVE INSURER C: CENTRAL POINT, OR 97502 INSURER D: . `j L{\\gc`rz INSURER E: INSURER': 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR GE.NERALLIABILITY EACH OCCURRENCE 1000101)) DAMAGE TO REMFD 34COMMFRCIAL GENERAL LIABILI"1'Y n~ 100,000 A CLAIMS-MADE F-xl OCCUR CNT 016641 4/20/2013 4/20/2014 MED EXP (My one person) 5,000 PERSONAL &ADV INJURY 1,000,000 GENERALAGGREGATE 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG Incl in Gen A }j POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Fa aaidenl ANY AUTO BODILY INJURY (Per perm) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Por areidenD HIRED AUTOS NON-OWNED PROPERTY DAMAGE (Per AUTOS accident UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS-MADE AGGREGATE DED RETENTION WORKERS COMPENSATION WC STAN- OTH- AND EMPLOYERS'LIABILITY YM TORY LIMITS ER OFFICEANYR/MCMBER EPROPRIETORMARTNERAAECUTIVE ❑ N/A E.L. EACH ACCIDENT XCLUDED. (MeMabry inM1D _ E.L DISEASE - EA. EMPLOYEE HYes,describe OF OPERATIONS below LL DISEASE- POLICY LIMB DESCRIPTION OF DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Addiao" Remarks Sd Jule, it more space is required) ALL OPERATIONS USUAL TO THE NAMED INSURED AS PER POLICY TERMS AND CONDITIONS LAWN CARE SERVICES City of Ashland is named Additional Insured. The Certificate Holder is included as an additional insured pursuant to ISO form CG 3261(10/05) a copy of which is attached hereto for informational purposes. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CM OF ASHLAND ACCORDANCE WITH THE POLICY PROVISIONS 20 E MAIN ST AUTHORIZED REPRESENTATIVE ASHLAND, OR 97520 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CNT 016641 COMMERCIAL GENERAL LIABILITY CG 32 61 10 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OREGON ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): CITY OF ASHLAND 20EMAIN ST - - ASHLAND, OR 97520 Location(s) Of Covered Operations: All locations where the insured performs ongoing business operations. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusion applies: with respect to liability for "bodily injury", "property damage" or "personal and advertising This insurance does not apply to "bodily injury" or injury" caused by your ongoing operations for the "property damage" occurring after: additional insured(s) at the location(s) designated 1. All work, including materials, parts or above and only to the extent that such "bodily equipment furnished in connection with such injury", "property damage" or "personal and work, on the project (other than service, advertising injury" is caused by your negligence or maintenance or repairs) to be performed by or the negligence of those performing operations on on behalf of the additional insured(s) at the your behalf. location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 32 61 10 05 Copyright, ISO Properties, Inc., 2005 Pagel of 1 0 f~. Red Shield Insurance Company 1411 SW Morrison Street, Suite 400, Portland, OR 97205-1945 (503) 226-4146 - (800) 527-7397 - Fax (503) 226-6017 Knowledge * Commitment * Reliability * Service Since 1979 Policy Information Additional Interest: CITY OF ASHLAND 20 E MAIN ST ASHLAND, OR 97520 Insured: AARON NASCIMENTO Policy#: CNT 016641 Term: 4/20/2013 to 4/20/2014 Enclosed you will find evidence of coverage for your interest in the captioned policy. Coverage is effective based on the term, limits, and coverages indicated on the enclosed evidence of coverage. Thank you, Red Shield Insurance Company ML1 00 08 10 11 Interest Copy 4/25/2013