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Home My WebLink AboutInsurance Certificate: S&S Sheet Metal AC~ ® MTE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 03/18Q014 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 endorsements . PRODUCER CONTACT FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER HOME OFFICE: P.O. BOX 328 A CNNO Ext :888-333-0949 a/c No): 507-446ASS OWATONNA, MN 55060 ADDRESS: CLIENTCONTACTCENTER FEDINS.COM INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 343-547-6 INSURER B: S & S SHEET METAL INC INSURER C: 912 ANTELOPE RD WHITE CITY, OR 97503 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 72 REVISION NUMBER: 0 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 DL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR S MMIDDIYYVY MM/ I YY GENERAL LIABILITY EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DR MISES Ea occurrence) $100,000 MED EXP (AM one person) EXCLUDED CLAIMS-MADE F-xl OCCUR A Y N 9061300 04/24/2014 04/24/2015 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMPIOP AGO $2,000,000 PRO- X POLICY JE CT LOC JEO AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $1,000,000 X ANY AUTO BODILY INJURY (Par person) ALL OWNED SCHEDULED A AUTOS AUTOS N N 9061300 04/24/2014 04/2412015 BODILY INJURY (Per accident) HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS at accide X UMBRELLA LIAB X OCCUR 4 EACH OCCURRENCE $1,000,000 A EXCESS LIAR CLAIMS-MADE N N 9061301 04/24/2014 04/24/2015 AGGREGATE $1,000,000 DED RETENTION WORKERS COMPENSATION WCSTATU- OTN- AND EMPLOYERS' LIABILITY Y I N TORY LIMITS ER ANY PROPRIETORIPARTNER/EXECUTIVE ❑ E.L. EACH ACCIDENT OFFICERIMEMBER EXCLUDED) N I A (MaMa/ory in NH) E.L. DISEASE - EA EMPLOYEE U m, de.ior ee under DESCRIPTION OF OPERATIONS Below El DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Alhtli ACORD 101. Additional Renraft SN dine, if more seam I. rnuired) THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT ENDORSEMENT FOR GENERAL LIABILITY. RECEIVED MAR 24 2014 CERTIFICATE HOLDER CANCELLATION 343-547-6 720 CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 E MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ASHLAND, OR 97520-1814 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD