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HomeMy WebLinkAboutInsurance Certificate: Drainpros Plumbing DRA101 W OP ID: KCF ACORO r ATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 08/18/2015 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 CONTACT KC Ferguson United Risk Solutions, Inc. PHONE FAX PO Box 936 ac No E:t : 541-494-7752 ; (,vc No): 541-245-1112 Medford, OR 97501-0067 E-MAIL kc.fer unitedrisk.com Cindi L. Jayubo, CIC, CRM ADDRESS 9uson INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : SAIF Corporation INSURED Drainpros Plumbing INSURER B Hukill's, Inc. (dba); - - - - - P O Box 710 INSURER _C Eagle Point, OR 97524-0710 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. TSUBR ~ _ I. INSR ADDL TYPE OF INSURANCE POLICY EFF POLICY EXP ? LTR I POLICY NUMBER I MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ I DAMAGE TO RENTED - CLAIMS-MADE OCCUR ~I, PREMISES (Ea occurrenc~_ $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN' r ES PER: GENERAL AGGREGATE $ POLICY L AGGREGATE LIMIT APPLIES I _ PRO- LOC PRODUCTS -COMP/OP AGG $ JECT OTHER: $ AUT SINCLE LIMIT OMOBILE LIABILITY COMBINED (Ea accident.'_ BODILY INJURY (Per person) $ ALILOWNOED SCHEDULED AUTOS I~' III - - ) - - j BODILY INJURY Per accident) $ AUTOS I PROPERTY DAMAGE $ - - WNED Peraccident)- HIREDAUTOS 1 AUTOS li UMBRELLA LIAB OCCUR EXCESS RETENTI EACH OCCURRENCE I$ EXCESS LAB AGGREGATE $ h _ CLAIMS-MADE I- i $ - - WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER 787769 09/01/2015 09101/2016' EL EACH ACCIDENT $ - 500,000 A ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUD EXCLUDED? YI❑N NIA (Mandatory in NH) E L DISEASE - EA EMPLOYED _ 500,000 li yes, 6-J f Ue undci DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 500,000 I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: All Operations of the Named Insured CERTIFICATE HOLDER CANCELLATION CITAS01 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. 90 N. Mountain Ave. Ashland, OR 97520-2014 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD