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HomeMy WebLinkAboutInsurance Certificate: Economy Plumbing ECON0IW OP ID: KCF Y) ATE (M 9109I044/ CERTIFICATE OF LIABILITY INSURANCE 0 /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 endorsement(s). PRODUCER Phone: 541-245-1111 NAMEACT KC Ferguson United Risk Solutions, Inc. Fax: 541-245-1112 PHONE 541-494-7752 uc No,: 541-245-1112 PO Box 936 C IN EM Medford, OR 97501.0067 aooResS: kc.ferguson@unitedrisk.com Jim R. Cox INSURER(S) AFFORDING COVERAGE RucN INSURER A: SAIF Corporation INSURED Economy Plumbing, Inc. INSURER B: 309 Kent St. Ashland, OR 97520.1017 INSURER C : 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 IN POLICY NUMBER MPOLIC MODYIYYYY MMMDNYYV IN%R Min LR LIMITS GENERAL LIABILITY EACH OCCURRENCE $ AMAGETO COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ CLAIMS-MADE 11 OCCUR NED EXP(My me person) $ PERSONALSADVINJURV $ GENE RAL AGGREGATE $ GEN'L AGGREGATE LI MIT APPLI ES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILVINJURY(Perperson) $ ALLOWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS NAUTOS ON-OWNED PROPERTY DAMAGE S HIREDAUTOS AUTOS Per a.1demt HUM BRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION WC STATUS EMPLOYERS' LIABILITY T RY LIMITS ER A ANY PROPRIETOWPARTNER/EXECUTIVEY/N 782608 10101/2013 1010112014 E.L. EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ 500,000 If es, describe under DE SCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) RE: All Operations of the Named Insured CERTIFICATE HOLDER CANCELLATION CITAS01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland Service THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Attn: Kariann Olson AUTHORIZED REPRESENTATIVE 90 N. Mountain Ave. /y Ashland, OR 97520-2014 ~PSe " ©1968.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD