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HomeMy WebLinkAboutInsurance Certificate: Pressure Point Roofing Inc 9PRESPO OP ID: PB ACORO" F DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/02/2014 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 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 . CONTACT PRODUCER Phone: 541-779-4232 NAME: Hart Insurance Fax: 541-772-3963 PHONE FAX 1123 Royal Ave. Arc No Ext : A/C No): Medford, OR 97504 EMAIL Hart Insurance / Medford ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A:Ironshore Specialty Ins. Co. 11014 INSURED Pressure Point Roofing Inc. INSURER B : Mutual of Enumclaw 14761 5235 Rainbow Dr INSURER C : SAIF Corp Central Point, OR 97502 INSURER D: Kinsale Insurance 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 ADD TYPE OF INSURANCE POLICY NUMBER MM/D//L YYYY MM/DDfYYYY LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 AMAGE TO RENTED A X COMMERCIAL GENERAL LIABILITY RCS0011900 03/29/2014 03/29/2015 PR EMISES Ea occurrence $ 100,00 CLAIMS-MADE I-XI OCCUR MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY X PRO LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 000 00 Ea accident $ , , B ANY AUTO CPP000291400 12/06/2013 12/06/2014 BODILY INJURY (Per person) $ ALL OWNED SCTOS HEDULED AUTOS X AU BODILY INJURY (Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,00 D EXCESS LIAB X CLAIMS-MADE 01000185520 03/29/2014 03/29/2015 AGGREGATE $ 2,000,00 DED X RETENTION $ 10,000 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY T RY IM R C ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N 945959 10101/2014 10/01/2015 E.L. EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) 945959 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under V ON OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,0U OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION ASHLCI1 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 PRESENTATIVE Hart Ins r nce / dfor ©1988-2010 ACORD CO ORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD