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HomeMy WebLinkAboutInsurance Certificate: Economy Plumbing Inc ECON01 W OP ID: KCF ACa o~ DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 09/10/2015 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. 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). CONTACT PRODUCER NAME: KC Ferguson United Risk Solutions, Inc. PHONE 541-494-7752 FAX N 541-245-1112 PO Box 936 AA/C, No, EX ) ADDRESS: kc.ferguson@unitedrisk.com - - Medford, OR 97501-0067 E-MAIL Jim R. Cox INSURER(S) AFFORDING COVERAGE - NAIC # INSURER A : SAIF Corporation INSURED Economy Plumbing, Inc. INSURER B : _ 309 Kent St. Ashland, OR 97520-1017 INSURER c : - INSURER D : _ _ _ _ _ - - - INSURER E : INSU2ER r 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 - UBR - POLICY EFF- POLICY EXP LIMITS POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LTR TYPE OF INSURANCE ADDL COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE F D OCCURPREMISES (Ea occurrence__ _ i MED EXP (Any one person) $ PERSONAL_& ADV INJURY $ GENERAL AGGREGATE I AGORiGATE JELIMIT CT APPLIES ~ ~ $ - GEi' PRO PER: hPRODUCTS - COMP/OP AGG $ LOC PO - OTHER: COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY ra accident ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED ~I I BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE HIRED AUTOS ANON-OWNED I UTOS fir accidence. - $ EACH OCCURRENCE UMBRELLA LIAB {1 OCCUR MADEi EXCESS LIAB ~l _ AGGREGATE 45 DED RETENTION $ $ PTERT WORKERS COMPENSATION i _ OTH- AND EMPLOYERS' LIABILITY ~ 500,000 F A ANY PROPRIETOR/PARTNER/EXECUTIVE Y7IN 782608 10/01 12015 1 10/0112016 xl EACH . CH ACCIDENT ER _ R/MEMBER EXCLUDED? IN I A EMPLOYE OFFIC (MandEatory in NH) E L. DISEASE - EA L-~ E L. DISEASE -POLICY LIMIT $ 500,000 If yes, describe under g 500,000 DESCRIPTION OF OPERATIONS below 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 Service ACCORDANCE WITH THE POLICY PROVISIONS. Purchasing Attn: Kariann Olson AUTHORIZED REPRESENTATIVE 90 N. Mountain Ave. ~n Ashland, OR 97520-2014 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD