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Home My WebLink AboutInsurance Certificate: Kaylor Electric Mw1~ 05/232014 °RO® CERTIFICATE OF LIABILITY INSURANCE r -77 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(les) 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 NAM ACT CLIENT AC ER FEDERATED MUTUAL INSURANCE COMPANY PHONE FAX HOME OFFICE: P.O. BOX 328 Ayc No EXt : 888-3334949 "C No): 507-4464664 CMIATONNA, MN 55060 E-MAIL ADDRESS: CLIENTCONTACTCENTER FEDINS.COM INSURER(S) AFFORDING COVERAGE NAIL # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 343-086-5 INSURERS: FEDERATED SERVICE INSURANCE COMPANY 28304 KAYLOR ELECTRIC LLC INSURER C: PO BOX 639 PHOENIX, OR 97535 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 13 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 rypE OF INSURANCE DL SUER pOUCY NUMBER POLICY EFF POLICY EXP LIMITS R I S WVD MMIDDIYYYY MMIDDIYYYY GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $7QQ,000 COMMERCIAL GENERAL LABILITY PREMISES rrenm MED EXP (Any one persan) $5,000 CLAIMS-MADE X OCCUR A X BUSINESS OWNER'S UAEIUTY N N 9118896 07/01/2014 07/01/2015 PERSONALS ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 CEN'L AGGREGATE OMIT APPLES PER PRODUCTS - COMPIOP AGG $2,000,000 X POUCY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 IE, -der X ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED B AUTOS H AUTOS N N 9118897 07/01/2014 07/01/2015 BODILY INJURY Jeer acdeenq HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS (Per acadentl UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE OED RETENTION WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER ANY PROPRIETORWARTNERIEXECUTIVE E.L. EACH ACCIDENT OFFICERIMEMBER EXCLUDED) "NIA (MVmdatory in NH) E.L. DISEASE - EA EMPLOYEE If yes, descriee infer DESCRIPTION OF OPERATIONS Eelaw El DISEASE - POUCY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Amm ACORD 101, Additimal Remarks Schedule, it more span is required) CERTIFICATEHOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT ENDORSEMENT FOR BUSINESSOMNERS LIABILITY. CERTIFICATE HOLDER CANCELLATION 343-086-5 130 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