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HomeMy WebLinkAboutInsurance Certificate: Quality Fence Co Reliable Electric QUALFEN-01 ATHOMPSON Y) ACORO' CERTIFICATE OF LIABILITY INSURANCE 1 D1/1412013 11/14/2013 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 CONTACT NAME: McMinnville Office PHONE FAX PaYnei Insurance, Inc. A/c No t: (503) 472-2121 2226 AIC Net: (503) 434-5872 P.V. BOX 269 E-MAIL ADDRESS: McMinnville, OR 97128 INSURER 5 AFFORDING COVERAGE NAIC a INSURERA: Hallmark Insurance Group 43494 INSURED INSURER B : Quality Fence Co Reliable Electric Western Vinyl Products INSURER C : Steve Rietmann INSURER D PO Box 3985 INSURER E Central Point, OR 97502 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 POLICY NUMBER MMIDOIYY 1M Vivo LTR W POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X 44CL466836 11/19/2013 11/19/2014 PREMISES Ea occurrence) S 100,00 CLAIMS-MADE OOCCUR MED EXP(Any one person) $ 5,00 PERSONAL B ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ - 2,000,00 POLICY P" LOC $ COMBINED a accideMSINGLE LIMIT $ 1,000,00 AUTOMOBILE LABILITY E A X ANY AUTO X 44CL466835 11/19/2013 11/19/2014 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OVINED PROPERTY DAMAGE $ HIRED AUTOS AUTOS PeracodeM 8 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 3,000,0010 A EXCESS LIAB CLAIMS-MADE CU466836 11/1912013 1111912014 AGGREGATE $ DED X RETENTIONS 10,000 3,000,000 $ WORKERS COMPENSATION WC STASH- OTH- AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Commercial Property 44CL466835 11/19/2013 11119/2014 leased eq 25,00 DESCRIPTON OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Addklonal Remarks Schedule, H more space is required) This certificate is provided as evidence of liability insurance but only as respects liability arising out of the activities by and on behalf of the named Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ci of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Ashland, OR 97 0 AUTHORIZED REPRESENTATIVE NOV 1 8 2013 ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010105) ( The ACORD name and I go are registered marks of ACORD