Loading...
HomeMy WebLinkAboutInsurance Certificate: Pressure Point Roofing Inc 9PRESPO OP ID: PB Y) CERTIFICATE OF LIABILITY INSURANCE 03 / DATE (MM/ 26/2015 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. 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. A/c No FA : A/C No : Medford, OR 97604 E-MAIL Hart Insurance / Medford ADDRESS: INSURER S) AFFORDING COVERAGE NAIC # INSURER A : Cincinnati Special Ins Co 13037 INSURED Pressure Point Roofing Inc. INSURER B : Mutual of Enumclaw 14761 5235 Rainbow Dr INSURER C : SAIF Corp Central Point, OR 97502 INSURER D: Cincinnati Special Ins Co 13037 INSURER E : ROckhill Insurance Co 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. EFF I LTR NSR TYPE OF INSURANCE ADDL B POLICY NUMBER MM/DDY/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CS00068454 03/29/2015 03/29/2016 DAMA PREMISEST RENTED Ea occurrence $ 70000 CLAIMS-MADE I A I 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 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ B ANY AUTO CPP000291400 12/06/2014 12/06/2015 BODILY INJURY (Per person) $ ALL OWNED X SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,00 D X EXCESS LIAB CLAIMS-MADE CS00068455 0312912015 0312912016 AGGREGATE $ 2,000,00 DED RETENTION $ $ WORKERS COMPENSATION X WC STATUS OTH- AND EMPLOYERS' LIABILITY TORY LIMIT ER C ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 945959 10/01/2014 10/01/2015 E.L. EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000100 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 E Pollution ENVP01086700 09/0812014 09108/2015 Pollution 1,000,00 DESCRIPTION OF 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 REP SENTATIVE Hart Insur n e / M for 4A ©1988-2010 ACORD C PORATION. All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD L