HomeMy WebLinkAboutInsurance Certificate: Green Meadows Building Co
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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 .
PRODUCER OM TACT Matt Minahan
Compass Insurance Services LLC PHONE 50i-585-1544 No 503-990-6857
2105 Liberty Street NE MAIL mattm a,' compassinsurancelle.com
Salem, OR 97301
14306603 INSURERS AFFORDING COVERAGE NAIC#
IN. RERA- Developers Surety Sc Indemnity Company
INSURED Green Meadows wilding Company INSURER B:
CCB# 132551 IN URER
5313 HWY 66 INSURER D:
Ashland, OR 97520 INS RER E
5412010095 INSURER
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. NOTVVITH STAN DI NG 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 AL! THE TERMS.
EXCLUSIONS .AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR TYPE OF INSURANCE INS L.I YN IM ER M 1D YYY M D Y YyY LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
AUE
CLAIMS-MADE FX OCCUR PR
.19E a o cc «ence) $ 1001000
BIS00017834-02 11%06/2015 t/OV/2Qly MEDEXPtAn one erson $ 5,000
A PERSONAL & ADV INJURY s 1,000,000
GEN'L AGGREGATE L.IMITAPPLIES PER. GENERAL AGGREGATE $ 2,000,000
X POLICY Q PROJECT- Q LOC
PRODUCTS - COMPlOPAGG $ 1,000,000
OTHER S
AUTOMOBILE LIABILITY C MINED SINGLE LIMIT S
i e
accleni)
ANYAUTO BODILY INJURY(Perperson) S
ALLOVdNED SCHEDULED BODILY INJURY (Per acadent) $
..AUTOS AUTOS _
NON-OWNED PROPERTY DAMAGE
$
HIREDAUTOS AUTOS (Per.Wdent)
5
UMBRELLA LIAB OCCUR EACH OCCURRENCE 5
EXCESS UAB CLAMS-MADE AGGREGATE s
FD RETENTION$ $
WORKERS COMPENSATION P R OTH-[STATUTE ~R
AND EMPLOYERS' UABIL;TY YIN
ANY PROF RI ETORlPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? NIA E.L. EACH ACCIDENT S
(Mandatory in NH) EL DISEASE - EA EMPLOYEE S
Ifyes, describe under
r' IPT! t OF OPERATIONS Wayy FL DISEASE- POLICY I
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 104, Addi@onal Remarks Schedule, may beattachedit more space is required)
Certificate Holder is named additional insured per policy terms.
ERTiFI TE HOLDER AN TI N
City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
/fist
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ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD