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HomeMy WebLinkAboutInsurance Certificate: Suntym Pool DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 2/10/2015 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. PRODUCER PAYNEWEST INSURANCE INC-MEDFORD CONTACT NAME: 38 NORTH CENTRAL AVE, STE 100 PHONE FAX MEDFORD, OR 97501 A/C, No. EXt : A/C, No.): E-MAIL ADDRESS: PHONE NO. (541)779-1321 INSURER(S) AFFORDING COVERAGE NAIC # INSURED WEBBER MFG & SUPPLY CO INC INSURER A: RED SHIELD INSURANCE COMPANY 41580 DBA: SUNTYM POOLS INSURER B: 103 S PACIFIC HWY INSURER C: TALENT, OR 97540 INSURER D: 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD (MM/DD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE 300,000 A X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES 100,000 E Hence CLAIMS-MADE OCCUR X CLP 012826 3/01/2015 3/01/2016 MED EXP (Any one person) 5,000 PERSONAL 8 ADV INJURY 300,000 GENERAL AGGREGATE 600,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG 600,000 X POLICY PROJECT LOC COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY E =SINGLE ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) HIRED AUTOS NON-OWNED PROPERTY DAMAGE (Per accident) AUTOS j RELLA LIAB OCCUR EACH OCCURRENCE ESS LIAB CLAIMS-MADE AGGREGATE RETENTION WORKERS COMPENSATION WC STATUTORY OTHER AND EMPLOYERS' LIABILITY Y/N LIMIT ANY PROPRIETOR PARTNERIEXECUTIVE n N/A E. L. EACH ACCIDENT OFFICER MEMBER EXCLUDED? (Mandatory in NH) E. L. DISEASE - EA EMPLOYEE f yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) SWIMMING POOL SALES/INSTALLATION The Certificate Holder is included as an additional insured pursuant to ISO form CG 3261(10/05) a copy of which is attached hereto for informational purposes. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, CITY OF ASHLAND NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE 90 N MOAUNTAIN AVE POLICY PROVISIONS. ASHLAND, OR 97520 AUTHORIZED REPRESENTATIVE r / 1988-2010 ACORD `CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CLP 012826 COMMERCIAL GENERAL LIABILITY CG 32 61 10 05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OREGON ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): CITY OF ASHLAND 90 N MOAUNTAIN AVE ASHLAND, OR 97520 Location(s) Of Covered Operations: All locations where the insured performs ongoing business operations. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to This insurance does not apply to "bodily injury" or include as an additional insured the person(s) or "property damage" occurring after: organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property 1. All work, including materials, parts or equipment damage" or "personal and advertising injury" caused furnished in connection with such work, on the by your ongoing operations for the additional project (other than service, maintenance or insured(s) at the location(s) designated above and repairs) to be performed by or on behalf of the only to the extent that such "bodily injury", "property additional insured(s) at the location of the damage" or "personal and advertising injury" is covered operations has been completed; or caused by your negligence or the negligence of those performing operations on your behalf. 2. That portion of "your work" out of which the injury or damage arises has been put to its B. With respect to the insurance afforded to these intended use by any person or organization additional insureds, the following additional exclusion other than another contractor or subcontractor applies: engaged in performing operations for a principal as a part of the same project. 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