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HomeMy WebLinkAboutInsurance Certificate: Weldons Enterprises Inc Oct-20. 2015 12:09FM GRANITE PROFESSIONAL INSURANCE No-0565 P. 2/2 WELDENT-01 WHEL11 CERTIFICATE OF LIABILITY INSURANCE 1 D0120/20/YY) 10/20/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CI=RTIPICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTFND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE Olf INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDIER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be ondorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on (his cortificate does not confer rights to the certificate holder in lieu Of such endorsements . PRODUCER CONTACT NAME: Granite Professional Insurance Brokerage, Inc. NAMEB g25 462-6400 PA 926 462-6668 6600 Koll Center Parkway 9100 Arc No Pleasanton, CA 94666 ADDRESS: info@graniteins.com INSURERS AFFORDING COVERAGE NAICA INaURERA:Employers Preferred Ins Co_ 10346 INSURED INSURER e : Weldon'B Enterprises Inc INSURERC: PO Box 4008 INSURER D ; Medford, OR 97601 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 CONTRACTOR 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- ILTNSR R TYPEOFINSURANCE jwf;r) 388& POLICY NUMBER MMrDD/YYVV 70 LIMITS COMMERCIAL GENERAL LIABILITY CURRENCE $ DAMAGE TO RENTE6- CLAIMS•MADE ❑ OCCUR S Ea occurcence 3 An one person) S L&ADVINJURY g GEN'L.AGGREGATE LIMIT APPLIES PER: GENI;RALAGGREGATE $ POLICY PRO- LOC PRODUCTS - COMNOP AGG OTHER: S AUTOMOBILE LIABILITY MBIN D 61NGLE LIMIT $ Ea ace 1 1 ANY AUTO dODILYINJURY (Pat peraon) $ ALL OWNED SCHEDULED BODILY INJURY (Per aceldenq $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIREOAUTOS AUTOS Paraccident 6 S UMBRELLA LIAe OCCUR EACH OCCURRENCE g EXCESS LIAB CLAIMS-MADE ACCREGATE E DED RETENTION $ S WORKERS COMPENSATION X OTH• "rATUTE ER AND EMPLOYERS'LWBILITY YrN 1 PER A ANFIFROP IGTOREkCLUOl:09ECDTIVE ❑ N/A EIG224670200 0610112015 0610112016 E.L. EACH ACCIDENT $ 500,000 (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ 5001000 Ifyes, deacribe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 6 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Add(uonol RaMQrk; Schedule, may be Nlfnched If more speea Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES or CANCELLED BEFORE Proof of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE w. 6,4 ©1986-2014 ACORD CORPORATION, All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD