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HomeMy WebLinkAboutInsurance Certificate: Huntemann Painting From: Kendall Yeaw FaXID541-772-1906 Page 1 of 1 Date:8212013 12:45 PM Page:1 of 1 CERTIFICATE OF LIABILITY INSURANCE DATEtraAlmonrvY) ACORO 8/21 /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 endorsements . CONE CT PRODUCER NAME: Terry Friend Protectors Insurance, LLC PHONE (541)842-2958 Fpc N.A5411772-1906 P.O. Box 4669 _ E4 AL Medford OR 97504 AODREss:ter f rotectorsins.com INSURER ] AFFORDING COVERAGE NAIL 9 INSURERA :American States Ins Company 9704 INSURED HU NTE-1 INSURER e Diane Huntemann Barrow INSURER C: Huntemann Painting INSURER O: 2207 Capital Ave INSURERE: Medford OR 97504 INSURER F COVERAGES CERTIFICATE NUMBER: 1874289151 REVISION NUMBER: THIS 15 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 POLICY EFF POLICY EXP LIMITS LTR TYPE OFINSURANCE WV POLICY NUMBER MMIDDIYYYY MMDIYYYY A GENERAL LIABILITY 1CH7558756 1172013 /172014 EACH OCCURRENCE $300000 X COMMERCIAL GENERAL LABILITY PR IRISES Ea occunanca $200,000 CLAIIAS-MADE OCCUR IAEOEXPimyoneponon) $10000 PERSONALS ADV IMAIRY $300,000 GENERALAGGREGATE $600,000 GEN' L AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMPIOP AGG $600000 POLICY PRU T - LOG $ AUTOMOBILE LIABILITY IN SINGLE I I Ea noamant ANY AUTO BODILY INJURY (Par "man) $ ALL OSMED SCHEDULED BODILY INJURY rye, nccid.d) $ AUTOS NON,DMED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Par accident UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ O WORKERS COMPENSATION ANDEMPLOYERS'LIABILItt WC STATU- TH- YIN ANY PROPRIETORIPARTNERIEXECUTIVE❑ NIA E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED9 (ManEstnr in NH) E.L. DISEASE - EA EMPLOYE E If yye~s, dazcrinn under ' DESCRIPTION OF0 ERATIONSWI. EL.DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AttscN ACORD 101, Additional Remarks Schedule, if mere space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS, 20 E Main Street Ashland OR 97520 AUTHORIZED REPRESENTATIVE ,c ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD "A i i RECOER