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HomeMy WebLinkAboutInsurance Certificate: Sabel Painting Co SABEL-1 OP ID: DR ,4coRO CERTIFICATE OF LIABILITY INSURANCE 7(MM/DDIYYYY) /19/2015 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 endorsement(s). PRODUCER Phone: 541-779-0177 NAME CT Insurance Marketplace, Inc. Fax: FAX 772-8235 PHONE TFAX 1998 Skypark Dr Suite 100 vc No Extq_ (A/c Not_ Medford, OR 97504 E-MAIL Kevin Cope-IM ADDRESS:- INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Salf Corporation INSURED Sabel Painting Co INSURER B Jim Sabel INSURER c 3181 Old Stage Rd Central Point, OR 97502 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'. TADDL SUBIR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY 1'1 EACH OCCURRENCE $ DAMAGE TO RENTED CO~MMERCIAL GENERAL LIABILITY PREMISESkEaoccurrence) $ ,I CLAIMS-MADE E1 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY 1 COMBINED SINGLE LIMIT - rEE accident $ _ 1 ANY AUTO B0 DILY JURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ I~JI NON-OWNED it PROPERTY DAMAGE $ HIRED AUTOS AUTOS _LPer accident) 1 UMBRELLA LIAB OCCUR 1 EACH OCCURRENCE ! $ EXCESS LIAB CLAIMS-MADE,Il AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE 970729 07/01/2015'1 07/01/2016 E. L. EACH ACCIDENT $ 1,000,00 OFFICER/MEMBER EXCLUDED N / A I - - - ~E L DIS tory in NH) If f es describe under $ 1,000,00 (Manda f S descri e OF OPERATIONS below 1 1 E.L. DISEASE - POLIMY LIOMITE $ 1,000,00 I 11 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION CITYOFA 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 St Ashland, OR 86520 AUTHORIZED REPRESENTATIVE Kevin Cope-IM ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD