HomeMy WebLinkAboutInsurance Certificate: Cascade Communication Services
(MM/DD/YYYY)
A ® 712/10/2015
CERTIFICATE OF LIABILITY INSURANCE 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 endorsements .
PRODUCER CONTACT
NAME: CLIENT CONTACT CENTER
FEDERATED MUTUAL INSURANCE COMPANY
PHONE HOME OFFICE: P.O. BOX 328 A CNo Ezt : 888-333-4949 A/c No : 507-446-4664
OWATONNA, MN 55060 ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED 348-697-4 INSURER B: FEDERATED SERVICE INSURANCE COMPANY 28304
CASCADE COMMUNICATION SERVICES INC INSURER C:
1616 DOWELL RD
GRANTS PASS, OR 97527 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 68 REVISION NUMBER: 0
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 DDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTR TYPE OF INSURANCE INSR WVD MMIDDIYYYY MM/DDIYYYY
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
DAMAGE TO RENTED $100,000
COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence
CLAIMS-MADE 1XI OCCUR MED EXP (Any one person)
A X BUSINESS OWNER'S LIABILITY N N 9062279 02/01/2016 02/01/2017 PERSONAL & ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000
-X POLICY ECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
Ea accident
X ANY AUTO BODILY INJURY (Per person)
ALL OWNED SCHEDULED
B AUTOS AUTOS N N 9062280 02/01/2016 02/01/2017 BODILY INJURY (Per accident)
NON-OWNED PROPERTY DAMAGE
HIRED AUTOS AUTOS Per accident
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000
A EXCESS LIAB CLAIMS-MADE N N 9062569 02/01/2016 02/01/2017 AGGREGATE $1,000,000
DED RETENTION
WORKERS COMPENSATION WC STATU- 0TH-
AND EMPLOYERS' LIABILITY Y/N TORY LIMITS ER
ANY PROPRIETORIPARTNERIEXECUTIVE ❑ E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? NIP`
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE
If yes, describe under E.L DISEASE -POLICY LIMIT
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
CERTIFICATE HOLDER CANCELLATION
348-697-4 68 0
CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
90 N MOUNTAIN AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ASHLAND, OR 97520-2014 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
O 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
FEDERATED
INSURANCEqF®
To Whom It May Concern,
RE: CASCADE COMMUNICATION SERVICES INC
Enclosed is a certificate of insurance that has been renewed for a new policy term. If a copy
of an additional insured or policy endorsement was requested, the document will be sent in a
separate envelope.
If you have any questions regarding this please contact: the Federated Insurance Client
Contact Center at:
Phone: 1-888-333-4949
Fax: 507-446-4664
E-mail: ciientcontactcenter@fedins.com
Thank you,
Client Contact Center
Federated Insurance Companies
Enclosed:
Certificate of Insurance
MISC-0974 (04-13)