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HomeMy WebLinkAboutInsurance Certificate: Pressure Point Roofing (2) 9PRESPO OP ID: ME 0 D3/28 /2014 ) F -ATE ACORO" CERTIFICATE OF LIABILITY INSURANCE /2014 03/28 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 t_o_.tlie' __certific'ate holder-inlieu -of such endorsements PRODUCER - - ' Phone: 541-779.4232 CONTACT r;; Hart Insuranc0 L"i NAME, X :.J 1123 Royal-Ave---------- Fax: 541-772-3963 A PHONE/c Ne FAX Ertl: (AJC, No: Medford, OR 97504 - E-MAIL - - - - - - Michelle L. Ely ' Aooaess: - ' • INSURERS AFFORDING COVERAGE NAICp INSURERA:Ironshore Specialty Ins. Co. 11014 INSURED Pressure Point Roofing Inc. INSURER B:Mutual of Enumclaw 14761 5235 Rainbow Dr INSURERC:SAIF Corp 1 36196 Central Point, OR 97502 INSURER D:KinsaleInsurance Co. 11014 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. INSR TYPE OF INSURANCE AE POLICY EFF POLICY EXP LTR /ODIIYYYY MM/DD/YYYY LIMITS POLICYNUMBER MM GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY RCS0011900 0312912014 03129/2015 PREMISES Ea occurrenwl $ 100,00 CLAIMS-MADE X OCCUR MED EXP (Any one person) $ 6,00 - PERSONAL S ADV INJURY $ 1,000,00 ~nr.' o GENERAL AGGREGATE: - -2,000,00 GENIE AGGREGATE LIMIT APPLIES PER - - PRODUCTS-COMP/OPAGG $ 2,000x00 PRO... -'..i.:: _ _ . - $ ,X _ :-c 'LOC~_=._ _ JECT AUTOaMO. BI. L_ E LABILITY „ _ - - , r q - COMBINED SINGLE LIMIT (.;1,000;00 • .•-01:Cn 119 • 0•'L•..: "I' . e: 7 Eeareident) B CPP000291400 ANY AUTO X12106/2013 1210612014 BODILY INJURY (Perperson)- $ q " " ALLOWNIED;"- ' :SCHEDULED, - - - - - AUTOS X AUTOS" BODILY INJURY (Per accident) It X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,00 D EXCESS LIAR CLAIMS-MADE 01000185520 0312912014 03/29/2015 AGGREGATE $ 2,000,00 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS' LIABILITY ITO Y LIMITS ER C ANY PROPRIETOR,PARTNER/EXECUTIVE YIN OFFICER/MEMBER F-] NIA 945959 10101/2013 10/0112014 E.L. EACH ACCIDENT $ 600,00 EXCLUDED? (Mandatory In NH) E.L. DISEASE -EA EMPLOYEE $ 600,00 II yes, decaibe unds, DESCRIPTION OF OPERATIONS bekrvi E.L. DISEASE - POLICY LIMIT $ 600,00 DESCRIPTION OF OPERATIONS / LOCATIONSI VEHICLES (Attach ACORD 101, Addidonal Remarks Schedule, U more space Is required) CERTIFICATE HOLDER CANCELLATION ASHLCII 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 AUTHORIZED REPRESENTA V C_ n Ashland, OR 97520 '1 11 Michelle L. Ely T1 l- ~•-cli` `r\ ©1988-2010 ACORD CORPORATION.- All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD