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HomeMy WebLinkAboutInsurance Certificate: Valley Electrical Contractors Inc AC RO ve CERTIFICATE OF LIABILITY INSURANCE 1 DATE (MWDD YYYY) 1/28/2014 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, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUR IR(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 NIIT IT AME: Kendall Yeaw Protectors Insurance, LLC PHONE FAX .(541 . -1906 wc. No pan 842-2963 ac Na P.O. Box 4669 EWAIL Medford OR 97504 _ ADDRESS: INSURERS AFFORDING COVERAGE NAICa INSURERA:OhqO Security Insurance INSURED VALLE-1 INSURER B:OhiO Casualty Insurance Valley Electrical Contractors Inc INSURER C: PO Box 1555 INSURER D: Medford OR 97501-0117 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 433871616 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. ILTR TYPE OF INSURANCE ADDL SUM POLICY EFF POUCYEXP INSR WVD POLICY NUMBER (MMIDDIYYYY) MMIDDIY7'YY LIMITS A GENERAL LIABILITY BKS55830197 12412014 /2412015 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea .mm.) $1,000,000 CLAIMS-MADE rX ~ OCCUR MED EXP An one person) $15000 PERSONAL S ADV INJURY $1000,000 GENERALAGGREGATE $2,000,000 GENT AGGREGATELIMIT APPLIES PER: PRODUCTS - COMPIOPAGG $2000000 POLICY PRO- LOC $ A AUTOMOBILE LIABILITY BAS55830197 /24/2014 /24/2015 ECOMBINED 51NULE LIMIT s accident $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per actldenQ $ NON-OWNED PROPERTY DAMAGE E HIREDAUTOS AUTOS Per accident E B UMBRELLA LIAR X OCCUR US055830197 1/24/2014 /24/2015 EACH OCCURRENCE $2,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $2,000,000 DED RETENTIONS S WORKERS COMPENSATION V.C STATU- OTH- ANOEMPLOYERS'LIABILITY YIN UM T ANY PROPRIETOR/PARTNER/EXECUTIVE❑ NIA E.L EACH ACCIDENT $ OFFICEB/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE -EA EMPLOYE $ If y descn5 under DESCRIPTION OF OPERATIONSUelox EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES (Attach ACORD 101, Addetlonai Remarks Schedule, If mom space Is required) As additional insured per policy endorsement CG8810(0413) 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL IBTSILRY Wtlh raPW to oaaalage alaralbyVh_d__b tba pmdd.n d im poery apply Uaa nadOeL byft eM«vmert COSB10W13 A. NON-0WNM AIRCRAFT t;im FNOORSEMfliT CIUWOESTXEPoLICY. PLEASE PFJ~D RCAREPULLY. UMWpamWa,h a,a,,, nsd9ectlw l-coverapaA•BOdily lnfuryMdPrnpWly Damage Lbblltty, COMMERCIAL GENERAL LIABILITY EXTENSION a habn9.Nr.aR AIM orwxaaart mn M eppym enehdeA povde¢ 1. ttb Mawlod byaMbeUeq Thb entlpnement madgesyeumnw palled UM«tFOmllo+AryT. 2 Nla h6e4 cheRWetl «ImnetlvMetreAetl peb «er COMMERCIALGENERAI.4ABILrry COVERAGE PMT 1 The plot lnc.nmeM tnlm eaumMYeRecdawtlPium, Iawetl by We duNwMBUW edhotby of Ne UOW SaYa otAmedce «fkriede, tleMpeury heron N'n a wmmerdA W elMq pilot ooa ND L tt6 rtl beyp Uedm mrypamro«popeMf«adalOS §IgJEO AG Ibxnv,tlW HUxce elfoNMIMUb POdabndld nclepplyl B~Wehe2ttetlemNetwMUM+wGQW m[ad. oonawaa, xtaUa-Ifrar glKmaaUG abO apply' to "'a bee ooaele p a diNa NON-0WNED AIRCRAFT 2 Poe'YIGPd NON-0WNED WATERCRAFT 2 B NON-0WNEO WATERCRAFT B. 2 UMW Poregmph2 Eaclualonsof Sectlon l -CovaageA-BOdRY lnjuryMd PTOPef.y Damage LlabliNy, PROPERTY DAMAGE LIABIIyW-ELWATORS Subparagraph (2) of aduabn g. Aircraft, Ada Or Watercraft is lepimed by Na fol..": EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Pnpamy Darnall 2 Thbeadlnbo does wt ePMW MEDICAL PAYMEM9FXTENSION B (2) AvsetW.eRyoum wt van RNb (a) Ieaafto reatlWgeM EXTEdISION OF SUPPLEMENTARY PAYMENTS-. COVERAGES A MDB S NI Nor L,, oa,, WPJp roM dpbpbdyfor a bmrgY PROPERTYOMb10E UABILRY-ELEVATORS C ADDITIONAL INSUREDS-BY CONTRACT, AGREEMENT OR PERMIT 9 C. 1. Urb Ponpmpl Z E,clusbAe d eeNpn l-Coverage A- Sodlly lnjuryMd FroPedY Damage PRIMARY AND NO4SQNTR5QTORY-ADDIT16AL INSURED E%TEN$ION S Llablgty,Bub{araololppltlln(3),(4)erd(k pyM~duelo!'I. Damage To Rrbyirlydo Ml-PPIyelath Ipa.l- &m Nele GRS. licleTAean Cberh ,Wetlbe'Aooll'O6dl eeMaa~rleepalropMOM wt ADDITIONAL INSUREW-E%TENDED PROTECTION OF YOUR 'LIMITS OFINSURANCE^ S Dmafd LlAbllity COddQpn#,CmddpnA0lher MO ISM INSURED- INCIDENTAL MEDICAL ERRORSIMILPRACTIOEMDWHO[SAN INSURED- B 2. The fnsurenn,franw, OlAadlkE Jr. bEimer 6csts N lna-llMoCOmmettlalCe: Wasa rery popeMlrsus'ee, FELLOW EMPLOYEE f,,,WION-MANAGEMENT EMPLOYEE Pop C caM or on any aR eO~ dMr b ow REPAY FORMED ORAODITIONMLYACQUIRED ENTITIES T ] D. Com,e T To o Pea IJSes Rer E Pogo Played T To o Ym Yw PRO RERTED TO YOU (Tevan r'a Property Darogul DAMAGE To f Canap Y M omaxlse ato W ed fmm NY Cownge PIk FAILURE TO DISCLOSE NAZARDS AND PRIOR OCCURRENCES if book KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT T 1. UMer b.g.phz Eadualow of BehanI-C&.JeA- Bodily lnjeryehd Properly0anege ] LIB,ERALRATIONCIAUSE 6lnblllry. TM (wMfmm Ulm Yd pWayepholexclusloOj. Damage To PnpeM is replaced by Val BODILY INJURY REDEFINED T (olmvdiq: S Pm olpro(1h(a)aM(4) of Otls aduabn m rot Apply m'TaapeM aelrego"(alFar EXTENDED PROPERTY OAMAGE damage byI'MlghbYq aomalw, -'A - laotD, fmman ammrrbBc Tn fM.) b: WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US- 8 MEN REQUIRED IN A CONTRACT ORAGREELFIa=9 YOU N Pmmbn raetM you,w or areas a. pM a Part ever wimW.w dWa;. br e pad Ndaya. apem'xererW.YUe epeemert UR C ' datldman tlan7 mya pras., e( Em you rual mr a pe naoEd 7«foar r apply NO days Be'm wM Neof Aelplam Ilmtt of l~auence epPlee mills wverage n maoribed In S-cGon AI _U"Ra of Insurance. emtglAmbwwe..eq oanllAeb Yb+eu.aar Pape 2 ef8 CO 88100a1S aewe^mAAYY'YeeawdYm...aamMmteu.bc mbPm. Page t ofa C0881OU13 Ydueu ay gmme vtleum eawm0em. be..u6pmbsn 6. T,,,"1,eOMepo deutaecEOn z Eaduslam pnplecetl bydalolwAg: b. Pnmisp or foo DIW rerted by yaw used byyw;. 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WM tlIS Lduded MYaepErMaAa Cereal. beY egyeemaL Y mtan'mM1etl Eadad'. ( 1 E MEDICAL PAYMENTS EXTENSION Nv^a If Coverage C Metlbd Payments b rat ammwise auAS6d.IM Medoal Paya`Da pvdmd by p"a polcY ale 1. TM Iro.eocaart.EM to PJdl Mabrul laolad ady*POn to lm eked PemJrod bytre!and linaalminfol.: UMer NN.ph1.1n.0ng Agreement of Sellonl-Cavenge C-Mat1c Paymenfa, z I, ra, pvoametl b Sim la,,ro l pwretl Y mRJred M e mrLed.epea KUe maumwe &A,.gnph(b)af Poragmpha. Y.pYwd byme folotWly eMOmbd m auchedddoml Irouietlwo M lb boemrtAan Unt aakh YaO ere IegdretlbytAe mMrect. epaembMto pvMeld eumaddtbrel uo.ed Thgexperonen lncuredaM repadetlxiWn Nree ysva o(tla mteorlM ecdtlW;eM (b) F. EXTENSIONOFSVpnEMENTMYPAYMENTS-COVERAOMAMOS Wtlh reaped to Ponpnph la ebvre,apenonY.orwnlmtlan4cmbn a+en eddfbrel mslrted wrier lNa 1. UMW supplementary Paynode-Coverages A end B. 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"we x WM mpeamOb hpuermepMmtllryUn wdeYSeme.l Ue fodaWg are ecW mp«eP-pA2 b. That hAwlib h amt re l'arapepl O. Esnn I... Excluslons udth Section I-Cowed-A-BodRy Injury And Properly Damps Lleb111r.. When. when coMed. ,iron sweetheart, onest en a preMUs Ines, ImB,gv meal iM Nsuam tow ml eppNm: conbsa orpremahp an equipment re]yAl cr lease alarm a Agreement, w pests same ]rya s 'Be&/ IrWW'popeally dUCW araft from Me sus mgf a, d de Matmeml roved ~PCA, apryntry east tnortmrdbibu y. Me Yazeree b ~ e¢aE der. not am emw wher b. 'Bo*OquY or-,pmmIydemepe' Wd Came Pl61 m you mmmendm Weafte of me fer wrachthe edefthai homed h desgnetM ea a Named Noval wooden wares, suoh 'bocOy ia,*POpNN&=W mars. 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The fdovag d added to Cmdron Z OUtlw In The&.at of Dommrca, offense, Clem or OUR: Thee ludansPPw Bern t the dewe-Galrnl sM hvred them= or wwgtrk9 or ter supavhwA AaY6 emprp/nrerlr tomrg or mendo, trd yd ,b/Wll ureQ alhabarn«ax'w1'Fl' MedBbml YnDad ~nmr We witlawmd vOnaom ea prediwtle: mwalm•mdN(ywy oh'PCpeMdamnga, d u(ti'dewlYbh relie3lm•per6wlel eM eaemaug INIpf4VNONW Ue m,dedng d, Onlm hp,nmrenter.Bit/protwswllelemhXldvel, e~glneodig df a, Gore Wrmntke of en bccuneae"w en oflemetm(mey muRNaodlm IX'wY when Wa s1yWry9 ttKtofIL beurometow'n; d. eating Njury'a•TmpeMdemgs"meurAng afleC b. TeaenBa tlefemeva WemMya emit dent w'SUII'maO hararewhom ado have 4'auerw t Ae bdudng ecl methervio evert Psncome Or lwre) 1. he ecA Pon'-rrChei wl by a Ards, alladem Ble eddlWrW WUra; end 111 m fro of Me (agree wean w e Naaeane. Me ko Or f e) ter ~ by been eled;tl~el tl(s) at rte I®6]nd w re) oPeretbN me bowl c Apnmmmele arehdoeMdh+NSUam W'irlitleeNGOmlYlovMlm (aelmsvn avv morseled; Cr urderuts CweropsPM 12) TIWOatwn d+ryrweal('od dwlitls de" or &.90 eases here been pd to A. d. We how he m deerd a Maternity an stool Lived Wes We endorumant Unit we Hexed um be am person ti sportsman advtlnn 3rlarrion UedanorsWmrtreGOr je Ara wASn MEeda'aE'DyUe eddWr,elhued argaged in Pre orning Lpemdom for 9 shape w-past due ream Project e. Am romen««peNralbn speofYely Crossett 99 an sdadorol mued for Ongoing opemtltlm x The unite a lnsumms appresm mere edmione leawa are them spmMoj In a wnflen cortmd or bja separate ADOITIONAL INSURED-OWNERS, LESSEES 0R CONTRACTORS wdsn aplwmert or Me Moss of mswaroeAt stated h Me DederaUem dthat pWc, Aral de ofd In edd«eweart lvmd by us ea made a Not of Una PCwY, semen Ill- unal, of lmmadm diW potty,wltaeex an leer Tense Mid nee heAVe of ea nd S. WMrwped m the mum. Ul.Met to Mom addidonel reuse, rte AMWrp It added to Sactim Ill- of Mom to the RAMS d Nauranes awhble widen N. Poky. Llmim Oflnouwnce: J. WHO IS AN INSURED- INCIDENTAL MEDICAL ERRORS I MALPMCTICE If coverage pmWdM to Me We Ootai es'Aed fir smelted by a mr09a w agwned, the matl wewDD% WHO IS AN INSURED. FELLOW EMPLOYEE E%TENSION. MANAGEMENT EMPLOYEES on otheir a the offnonal Issunsd h Ire amours, d helem: Paragraph xa.(1) of Sermon O -Me Is An Uttered is replaced win to r01TYNg: Requredbythecomadhnegrwmrta (1) "Bodily hjuy' orpemml ant e,rmrf-Q hjey`. b. Aved4e udder Ueepplcade lJmASa Ma- teem here pmleaJav; (a) To you toyer peMert a memten(dyou am a PeM1eashIP M, veduev m pw Cement Wliwhawm dies- (dye en a limited W IM conteny), We se-hanplmaa"while In ere mum of no on her otlen performing ew! rr pe des the en mMahuda m Im a to auM ear ov earned Of Your to ya6, eMpea?w.d a Imt nt or or I* sal at mcrewe the epploede WINS a Intrelr< shwm h tlre De"I'muws Wpa we ttldaterr„lad ate arm H. PRIMNIV AND NON-CONTRIBUTORY ADDITIONAL INSURED E(TENSION (b) To Me aRO!lnaegm(i)i~((a))dworeMe.diham mlpl0yes'or'WNr(aaworlml axe ansequertt o abae; This pr lam applies to arty person or oryanwallon Wm gmligw w to Meaflonal Nsumd under- M Ann or of Paragraph edaswnertudw BelnGy. (c) FawNChUemeemryobfglbnrodws pereeaMph1Or moaY )(ai mm«eedrWe met pay Compton A on.,Im,hmsofSECTION W-COMM ERCIAL GENERAL UASILITT DONDITIONS he dam mended ebfhddxa: pe aewwa ofUe A,jW deetnbed in h PeeePafYP (tl(~«(b)aEwe; or L TmfaMWrybatlam pantograph e. PrNmrylwurm u: (dj Afidng out d Ne or her pi or falling re provide, professional hOMor,. mYoes. Haemva. tom an M h Are budr.,. dprCAtlyg preteens meth ever fervors or pvAdng 9 An eddtwrel more sFew hen orcx* 8tueme IsIn maoig as Foam areew,ea pr¢mwmlleant con pensomel to offend or 8 ewemp9 la proverb, maretcal haer mm yes have agreed In a ,Ms, Corona hrwmia egmmrd to Pwld-the etldtloml Tram ed d rot awkse oddutled by se{eete eMxeena{ Me PrMsbn Paragraph (d)) trees w0h6'ai hemftry a nomenhioulon, this pclkot~ 68 pbrary and we will al se" naappy.. OA1]lbury MelYMmnw CO 11810 04 13 We. users, revemi orassmea ..ems, sell b Pemnatlm. Pate60f8 Oadt]LmM]MN Naum.a CG 88100413 road. amrisl.ewbIDlaa o.mv Neese Oz de. wen as pewee. Fags 8 of8 NWm"(a)and(b)ebwem not aprfy m'mc]y Ojur? a•pweomi ea 9dvertaNh*Y mu]ed by an P. 'EKTENOEO PROPERtt DAMAGE . 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WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US-MEN REQUIRED Gustily we venues lrvned t than a he SUraar latent, aOmbmgetaparlmflo'] CONTMCTORAGREEMENL WITH YOU IN A soul gte Hme,ol lmdth Sedan N - Commends] G eneve Liability Conditions, We following he accord to Common S. Trensier s Cwelape under We pethatr, baROndedordy unU rte 60NOW of Me pdOMperldd In'Wdm the Of Rights Of RetomryAgainst Others To Us: eWDy xazecwea w famed blY'AS We wave ant rpdd rtcovery Ara eery have agelnsta pens orwWasel Nome dpaymahvre ream for b, Coven go Allow ra4,pNm't9M, lnJury'a'propedy damage• that omantd NOW. W. '+jW ,damage arhdgoddyour ongan, opeabm or'ypuwvM'dae.0.asevereWnMetpose- ac,uned err formed the oaQ.,X.6k era .Beerbohm ea Include N the produotecomplatod o,.Ib. home Wmored: c Cove~ssa im, mtapat, to-personal -awhedshV hjuY army oa or andrew 1. 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Coamn Z Dmes In The Event or Dominance, Clients, Claim Or Su]t: to retool mmdW mmleed,, d Me ymretl Union eel ~ uawrPvegs,Pdl. of Section 0-Mean sAM Instant ore pwaon who ms men despeted by them to remve rather of bcoumeroes', dferew, d omm or•sub• shell mw metered each Mgt from the N.4 nerd a wrpbed-. N. LIBEMLDATIONOLAUSE Uve severe this Carveamd] Deemer p mgm E,daebn Fndorcemai to porrole awe cvwrago wNwd OMMOrW praRr, dwpq your teary vD aabandlmty provide to ave.ew AS a the day the revision h dissolve h yes, sera 0. BODILY INJURY REDEFINED UMW edam V-Defin1bons, DeNdder x Is nepbW by tle 1d5Wq x 'ehdPylr{uY mamaPlyalcal bjury, ewld'easatlismse eusdha eyepemn.TNSlmbxbaradtel erplslL mad byhvy, NOdL fI(}torde91htle1 resWb fan sued Phlmwal bdjury, awWn, Ordceen. ometbblWYbrore emt]Le throm earvn or, CO 88100413 teedlathceanWed,medrdwwaae.. 011vo,in, bradWm. Page Tofe CO 88 10 0/11 emesmYldvmmmeY dnmmmw,emm,]z..mbpartem Pag.ed8