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HomeMy WebLinkAboutInsurance Certificate: B&B Fire Supression LLC } ® DATE (MMIDDIYYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 12/3/2015 THIS RTIFICATE 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 Jessica Kasper NAME: 1C No Ext IC No : (541)536-1568 Little River Investments PHONE (541) 536-1726 A 51477 Hwy 97 n6DREs,Jessica@bancorpinsurance.com P.O. BOX 327 INSURER(S) AFFORDING COVERAGE NAIC# La Pine OR 97739 INSURERA Arch Insurance Company 11150 INSURED INSURERB:SAIF COY B a B Fire Suppression LLC INSURERC: 823 Columbine Way INSURER D : INSURER E ' Central Point OR 97502 INSURER F: COVERAGES CERTIFICATE NUMBER:2015/2016 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. MR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMIDDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE ro RENTED A CLAIMS-MADE X~OCCUR PREMISES Ea occurrence $ 1,000,000 X MWPK07445406 12/21/2015 12121/2016 MED EXP(Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OPAGG $ 1,000,000 X POLICY PRO- LOC OTHER COMBIN ED SINGLE LVT AUTOMOBILE LIABILITY Ee accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED X BODILY INJURY (Per accident) $ AUTOS PROPERTY DAMAGE HI,REODAUTOS AUTOS ED Peraccident $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1-10-0-0-1000 EXCESS LIAB - CLAIMS-MADE AGGREGATE $ L - DED RETENTION$ MWUM07574101 12121;2015 12;21/2016 i$ OTH- WORKERS COMPENSATION PER STATUTE ER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNEWEXECUTIVE E.L. EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? N/A B (Mandatory In NH) 748855 AR 3/1/2015 3/1/2016 E.L. DISEASE - EA EMPLOYE $ 500,000 If yes, describe under DES C RIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder City of Ashland, Oregon and its elected officials, officers and employees are named as Additional Insured. Coverage is primary and non-contributory. CERTIFICATE HOLDER CANCELLATION (541)488-5311 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 East Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE Pam Dressler/JK © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)