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HomeMy WebLinkAboutInsurance Certificate: Sabel Painting Co SABEL-1 OP ID: DR 2016Y) 07105/ ,~â–ºcoRL7 CERTIFICATE OF LIABILITY INSURANCE DATE /2016 07/05 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 Phone: 541-779-0177 NAME: _ Insurance Marketplace, Inc. FAX 772-8235 AHONN EXt>: FAX 1998 Skypark Dr Suite 100 Fax: (A/c No): Medford, OR 97504 ADDRESS: Kevin Cope-IM INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Saif Corporation _ INSURED Sabel Painting Co INSURER B : Jim Sabel INSURER C 3181 Old Stage Rd Central Point, OR 97502 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. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY RENCE $ GENERAL LIABILITY EACH OCCURRENTED DA MAGE TO COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ - I 'CLAIMS-MADE OCCUR ~ II MED EXP (Any one person) $ - PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ _ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ POLICY PRO i LOC $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY h (Ea accident) BODILY INJURY (Per Person $ 1 ANY AUTO - - - ~I ALL OWNED _ SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS j NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS L (Per accide~ _ it ~ I I I $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION $ WC STATU- OTH-I WORKERS COMPENSATION E EMPLOYERS' LIABILITY TORY LIMITS 1 R AND Y / N I 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE 1970729 07101/2016 07/01/2017 E.L. EACH ACCIDENT $ OFFICERiMEMBEFi EXCLUDED' L_J N 1,000,000 (Mandatory in NH) E.L DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE POLICY LIMIT 1,000,000 i I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION CITYOFA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main St Ashland, OR 86520 AUTHORIZED REPRESENTATIVE Kevin Cope-IM ©1988-2010 ACORD CORPORATION. All rights reserved. name and logo are ACORD 25 (2010/05) The ACORD registered marks of ACORD