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HomeMy WebLinkAboutInsurance Certificate: CVO Electrical Systems CVOELEC-01 LIST 0 acoRO CERTIFICATE OF LIABILITY INSURANCE 81111612 612 DAT 013 1 3 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. - . I 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------- - ' (541) 757-1321 NFMEACT LIZ Stevens - - - - Barker-Uerlings Insurance Inc----- 1 340 N W 5th Street c o a acNO:r PO Box'1378-- 1 ADOARE55: liz barkeruerlin s.com-- - Corvallls, OR 97339 . INSURER(S) AFFORDING COVERAGE I NAIC k INSURER A:Hartford Casualty Insurance Company INSURED CVO Electrical Systems, LLC INSURERB:Twin City Fire Insurance Company 1600 SW Western Blvd., Suite 160 INSURER c.U S Specialty Insurance Company Corvallis, OR 97333- 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. 1~TR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MNVDD 1 YEF MMIDDYIYYEXP YY LIMITS INSR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 52SBATL7259 71512013 71512014 pREM1SES Ea occurtence Is 300.000 - _ - _.10,00 CIAIMS-MADE ❑X OCCUR MED EXP (Any one persanj - $ ~ • - - -PERSONALS ADV INJURY" - S - _ 1;000,00 GEN'LAGGREGATE LIMITAPP.LIES PER - - PRODUCTS GCOMP/O T P AGG s 2,000,00 X -POLICY ~ PRO-. LOG ( •1: - Is FrT AUTOMOBILE LIABILITY EOMaBOINdEeptSINGLE LIMIT S . 1,000,000 A ANY AUTO - 52SBATL7259 71512013 71512014 BODILY INJURY (Par person) IS ALL OW NED SCHEDULED BODILY INJURY (Per accident) $ AUTOS NAUTOS ON-OWNED PROPERTY DAMAGE $ X HI RED AUTOS X AUTOS PER ACCIDENT $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 1,000,00 r- EXCESS LIAR CLAIMS-MADE 52SBATL7259 71512013 71512014 AGGREGATE ~g 1,000,00 DED X RETENTION $ 10,00 0 E I WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY X T RY LIMIT ER B ANY PROPRIETOR/PARTNER/E%ECOTIVE Y() N 52WECNZ9065 71512013 71512014 E.L EACH ACCIDENT $ 500.00 OFFICER/M.EMBER E%CLUDEOi L, NIA (Mandate, in NH) E. L DISEASE _EA E_MPLOYETS 500,000 Ir yyes, descries under DESCRIPTION OF OPERATIONS Below EL. DISEASE -POLICY LIMIT $ 500,000 C (Professional Liability USS 13 24222 91112013 91112014 Claims Made Basis 1,000,00 ' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mom apace Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 90 North Mountain AVe. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520- AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD