HomeMy WebLinkAboutInsurance Certificate: Twedells Automotive Towing & Wrecking
CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYYY)
01102/2014
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, EXTENDOR 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: H the cerfificatwholder is an ADDITIONAL INSURED, the policy(ies).must be endorsed. H 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 Donna ROVa
American Insurance Agency LLC PHONE 541 667.1915 FAX .541 687-0277
2677 Willakenrie Rd. - -MAIL , donna aiaeu ene.com
Suite 8
EU ene OR 97401 N R 0 AFFORDING COVERAGE NgIC p
lil~ugER :Markel Insurance Com an
INSURED
Twedell's AutomoWe,Towing and Wrecking Inc N R
Twedell's Automotive, Towing & N E
3116 N Pacific Highway N RER
Medford OR 97501
INSURER FCOVERAGES :
CERTIFICATE NUMBER: - REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCEELISTEDBELOWHAVEBEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 DDL - - ' POLICY EFF POLICY EXP.
- "POLICY NUYBE LIMITS
GENERAL LIABILITY
A X COMMERCIAL GENERAL LIASILTrY I DAMAGE TO EACH TO OCCURRENCE REENTED NTED 51000000
D 100000
CLAIMS-MADE XO OCCUR 8502RB011022 0110212014. 0110212015 MED EXP are $ 5 000
PERSONAL & V INJURY $1 000 000
GENERAL AGGREGATE E 3 000 000
GEYL AGGREGATE LIMIT APPLIES PER:
X POLICY PRO LOC t PRODUCTS-COMP/OP AGG 1000000
f
AUTOMOBILE LMBILRY ' ' - COMBINED SINGLE LIMB
A ANY AUTO 1000 000
ALL OWNED SCHEDULED- BODILY INJURY IPw
AUTOS X AUTOS 8502RB011022 0110212014' 0110212015 BODILY INJURY IPwa=iaccidem) $
$
X HIRED AUTOS X NON-OWNED AUTOS PROPERTY DAMAGE $
E
UMBRELLA LAB OCCUR
E EACH OCCURRENCE $
EXCESS LAO CLAIMS-MADE = AGGREGATE g
ED R T N I N
WORKERS COMPENSATION - f
WC STATU-
AND EMPLOYERS'LIABILRY YIN OTH-
ANY PROPRIETORIPARTNERJEXECUTA
OFF,CER/MEMSER EXCLUDED) NiA - EL EACH ACCIDENT $
(Mandatory in NMI
DES IMP Ida E. L. DISEASE-EA EMPLOYEE 5
A E.L. DISEASE-POLICY LUAR s
A D Hook
8502RB011022? 0110212014' 01102/2015 5250,000 per vehicle
Garagekeepers r.,°. 8502RB011022''' 01102!2014' 01/02/2015 5300,000 combined limit
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addlednel Ranynn SdmdWe, if more apace Is required)
LOD 1: 3116 N Pacific Hwy Medford; OR 97501 1993 Ford 05782 1995 Chevy 03958 1999 fnt'I 81239
Loc 2: 15 Ehnman Way Medford, OR 97501 _ „ h) 1992 Chevy .81151'.:.' ' 2001 Sterling 18512 2008 Ford 59002
Loc 3: 1242 Bens Lane Medford, OR 97501 19881ntn'l 92623 2000 Ford 27691
Loc 4: 1311.1317 S Pacific Hwy Talent, OR 97540` 2004 Ford 52849 20041nt'I 56972
RENEWAL CERTIFICATE OF INSURANCE
CERTIFICATE HOLDER CANCELLATION
Ashland Police Department '•J'' SHOULD ANY OF THE ABOVE DESCRIBED POUCHES BE CANCELLED BEFORE
20 E Main St THE EXPIRATION DATE THEREOF, 'NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Ashland, OR 97520 ' - - AUTHORIZED REPRESENTATIVE cDR>
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ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD