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HomeMy WebLinkAboutInsurance Certificate: Twedells Automotive Towing & Wrecking (2) TWEDE-1 OP ID: RODO AC~'RQ 7TE;MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 08/2015 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, 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 NAME: Donna ROVa _ _ _ FS Insurance Solutions PHONE 1020 Green Acres Rd #1 o _:541_687-1915 541-687-0277 - Eugene, OR 97408 EMAIL ADDRESS donna Q nwinssolutions.com Donna Rova - - - - - - - INSURER(S) AFFORDING COVERAGE- L - NAIC # INSURER A : Markel Insurance Company L INSURED Twedell's Automotive, Towing & INSURER B Wrecking, Inc - - - - - 3116 N Pacific Highway INSURER c_ Medford, OR 97501 INSURER D 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 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. MSRT TYPE OF INSURANCE ADDTSUBR~ POLICY EFF POLICY EXPO LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE - 1k- _ 1,000,000 k7 - DAMAGE TO RENTED A X COMMERCIAL GENERAL LIABILITY I8502RB011022 01/02/2016 01/02/2017 PREMISES .(Eaoccurrencej- $ _ 100,000 J CLAIMS-MADE LX] OCCUR MED EXP (Any one person) 55,00 PERSONAL 8 ADV INJURY 4 $ 1,000,00 r. J I GENERAL AGGREGATE - ~j - 3,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGGT! $ 1,000,00 PRO- rX~ POLICY LOC - - - - - $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 LE. A L ANY AUTO - I8502RB011022 01/0212016 01/02/2017 BODILY INJURY (Per person $ - ALL OWNED X I SCHEDULED BODILY INJURY (Per accident) $ AUTOS I NON-OWNED rPROPERTY DAMAGE FX HIRED AUTOS X AUTOS LPER ACCIDENT _ - UMBRELLA LIAB.I EACH OCCURRENCE I OCCUR _L$ ! EXCESS LIETEI CLAIMS-MADE' AGGREGATE $ 1 F - - DIED ON $ 1 $ WORKERS COMPENSATION WC STATU- OTH-1 AND EMPLOYERS' LIABILITY TORY LIMIT4_ I ER ANY OFFICER MEIMBEER EXCLUDED? ECUTIVE YF7 N / A E.L EACH ACCIDENT (Mandatory in NNI L.L. DISEASE - EA EMPLOYEE' $ if yes , descr I be under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A On Hook/Cargo 85UZRB011022 01102/2016 01/02/2017$1000 ded 250,000 B ~Garagekeepers I8502RB011022 01/02/2016 0110212017 $1000 ded $500000 bk I i ~ I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION AS H LA-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ashland Police Department ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main St Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD I, TWEDE-1 PACE 2 NOTEPAD INSURED'S NAME Twedell's Automotive, Towing & OP ID: RODO Date 0110812015 Locations: 3116 N Pacific Hwy Medford, OR 97501 15 Ehman Way Medford, OR 97501 1242 Bens Ln Medford, OR 97501 1311-1314 S Pacific Hwy Talent, OR 97540 Vehicles: 1992 Chevy 81151 1988 Intn'1 92637 2004 Ford 52849 1995 Chevy 03958 2001 Sterlin 18512 2000 Ford 27691 2004 Intn'l 56972 1999 Intn'l 81239 2008 Ford 29002