HomeMy WebLinkAboutInsurance Certificate: Twedells Automotive Towing & Wrecking
0 06/23/2008 05:29 541-687-0277 AMERICAN INSURANCE PAGE 01/02
TWEDE-1 OP ID: RODO
D/YI
CERTIFICATE PF LIABILITY INSURANCE 01108/2015
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, tho polley(lan) must be endorsed. If SUBROGATION 13 WAIVED, subject to
the terms and conditions of the policy, certain pollcles may require an endorsement- A statement on this certificate does not confer rights to the
certificate holder In Ilau of such endorsements .
PRODUCER CONTACT
FS Insurance Solutions NAME: Donna Rova PHONE 541-687-1916 P
1020 Green Acree Rd #1 Ext : ac No : 541-687-0277
Eugene, OR 97408 EMAIL
Donna Rova ADDRESS: donna nwlnasolutione,com
INSURER(S) AFFORDING COVERAGE NAIC k
INSURER A 'Markel Insurance Company
INSURED Twedell's Automotive, Towing 8, INSURER IS
Wrecking, Inc INSURER C:
3116 N Pacific Highway
Medford, OR 97501 INSURER D
INSURER E :
INSURER F,
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIST FD 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.
Lra TYPE OF INSURANCE EXP
POLICY NUMBER MM/D Y POLICY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 11000,00
A X COMMERCIAL GENERAL LIABILITY 8602RB0111022 01/02/2016 01/02/2017 PREMI
ocalrrence $ 100,000
CLAIMS-MADE ~X OCCUR
MED EXP An one
( y Person) 6,00
PERSONAL & ADV INJURY $ 11000,00
GENERAL AGGREGATE S 3,000,00
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,00
X POLICY PRO- LOC $
AUTOM0131LE LIABILITY MBINED SINGLE LIMrr
Ee accident) b 1,000,00
A ANY AUTO 8602RB011022 01/02/2016 0110212017 BODILYINJURY (Parperson) $
ALL OWNED X SCHEDULED BODILY INJURY (Per accident $
AUTOS AUTOS )
X HIRED AUTOS % NON-OWNED OAMA 'E $
AUTOS PER ACCIDENT
$
UMBRELLA LAn OCCUR EACH OCCURRENCE $
EICCEBS LIAB CLAIMS-MADE - AGGREGATE $
DED RETENTION $
g
WORKERS COMPENSATION WC STATU• OTH-
AND EMPLOYER6' LIABILrrY Y I N { TQRY
ANY PROPRIETOR/PARTNERIFXECUTIVE I E.L. EACH ACCIDENT $
I
OFFICERIMEMBER EXCLUDED? a N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
IYes, tlescribe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
A On Hook/Cargo M835502RB011022 02RB011022 01/02/2016 01/02/2017 $1000 ded 250,00
g Garagekeeper$ 0110212016 01/02/2017 $1000 ded $500000 b
DESCRIPTION of OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarus Sahedula, n more space Is required)
CERTIFICATE HOLDER CANCELLATION
ASHLA-1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City Of ACCORDANCE WITH THE POLICY PROVISIONS.
5414188-5320
90 N. Mountain Ave AUTHORIZED REPRESENTATIVE
Ashland, OR 97520
®1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 26 (2010/06) The ACORD name and logo are registered marks of ACORD
06/23/2008 05:29 541-687-0277 AMERICAN INSURANCE PAGE 02/02
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NOTEPAD TWEDE-1 PAGE 2
INSURED'S NAME Twedell's Automotive, Towing & OP ID: RODO N19 01/0812015
1
Locations:
3116 N Pacific Hwy Medford, OR 97501
15 Ehman Way D4edford, OR 97501
1242 Hena Ln Medford, OR 97501
1311-1314 9 Paoific Say Talent, OR 97540
ahiclea:
1992 Chevy 81151
1988 Intn'l 92637
2004 Ford 52849
1995 Chevy 03958
2001 3terlin 18512
2000 Ford 27691
2004 Intn'l 56972
1999 Intn'l 81239
2008 Ford 29002