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Home My WebLink AboutInsurance Certificate: American Industrial Door AMERIND-03 PHITE ~CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/5/2016 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: _ Medford Office PHONE 779 -1321 ~Ax PayneWest Insurance, Inc. A/C. No, Ext►: (541) (A/C, No): (541) 779-9187 38 North Central Ave. E-MAIL Medford, OR 97501 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Western National Assurance Co (24465 INSURED - - INSURER B : American Industrial Door LLC; American Industrial Door Co. INSURER C : 5022 Table Rock Rd. INSURER D : Central Point, OR 97502 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. INSR TYPE OF INSURANCE ADDL UB POLICY EFF POLICY EXP LTR INSD WVD' POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X-] OCCUR X CPP1059502-04 06/23/2016 06/23/2017 DAMAGE TO RENTED 100,000 J PREMISES (Ea occurrence) $ MEr D EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 ~GEN'L AGGREGATE LIMIT APPLIES PER. ;GENERAL AGGREGATE $ 2,000,000 X I POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1, A X ANY AUTO X 06/23/2016 06/23/2017 ~JEa accidents 000,000 ~ I - ;CPP1058471-04 BODILY INJURY (Per person) $ ALL OWNED r ; SCHEDULED BODILY INJURY (Per accident) l $ AUTOS AUTOS _ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB A CLAIMS-MADE, UMB1009693-04 06/23/2016 06/23/2017 r AGGREGATE $ 2,000,000 ~ DED X RETENTION $ 10,000; $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY - - ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N_ STATUTE ER OFFICER/MEMBER EXCLUDED? ~IN / A' E.L. EACH ACCIDENT $ (Mandatory in NH) ! i E.L. DISEASE - EA EMPLOYEE, $ If yes. describe under i r- DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ I i I I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E. Main St. ACCORDANCE WITH THE POLICY PROVISIONS. . Ashland, OR 97520 AUTHORIZED REPRESENTATIVE Cc) 1988-2014 ACORD CORPORATION All rinhtc racarvarl