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HomeMy WebLinkAboutInsurance Certificate: Viking Automatic Sprinkler PROPEL INSURANCE PAGE 3 OF 4 Client#:131358 VIKIAUT02 ACORD,~, CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDDlYYYY) 12/13/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATIVELY 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 policyi;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 NAMEACT Shelley Elkins Propellnsurance PHONE 50367-7569 Fax 866-577-1326 (AIC, No, Ext): (Alt, No): Portland Commercial Insurance EMAIL shelle elkins ro elinsurance.com ADDRESS: y• ~p p 888 SW 5th Avenue, Suite 1170 INSURER(S) AFFORDING COVERAGE ~ NAIC # Portland, OR 97204-2025 INSURERA: Nautilus Insurance Company 17370 INSURED INSURER B : Continental Insurance Company 35289 Viking Automatic Sprinkler Co INSURERC ; Saif Corporation 36196 3245 NW Front Ave INSURER D ; Portland, OR 97210 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 CONTRACTOR 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 LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER {MM/DDIYYYY) {MMND~YYYY) LIMITS A GENERAL LIABILITY ECP200453314 1/3112016 0113112017 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PRMMISES~ a occurrDence $100,000 CLAIMS~v1ADE ~ OCCUR MED EXP (Any one person) $ 5,000 X BIIPD Ded:5,000 PERSONAL & ADV INJURY $1,000,000 X WASHINGTON STOP GAP GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS - COMPlOP AGG $ 2,000,000 POLICY PRO- JECT Loc WA STOP GAP $ B AUTOMOBILE LIABILITY 5090740364 1131!2016 0113112017 Ea aBadeDtsINGLE LIMIT $1,000,000 X ANYAUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident A UMBRELLA LIAB X occuR FFX200453414 1131!2016 0113112017 EACH occuRR_ENCE $6 000 000___ EXCESS LIAB CLAIMS-MADE AGGREGATE $6,000,000 DED RETENTION $ $ C WORKERSCOMPENSATION 763948 10101120161010112017 ToRYTLAiMITS ERH AND EMPLOYERS' LIABILITY Y ! N ANY PROPRIETORlPARTNER/EXECUTIVE EL EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N!A (Mandatory in NH) E.L. DISEASE-EAEI~~PLOYEE $1,000,000 If yes, describe under DESCRIPTfON OF OPERATIONS below ~ E.L. DISEASE -POLICY LIMIT $1,000,000 A Pollution ECP200453314 1131/2016 01131/2017 $1,000,000 ~ $5,000 Ded A Professional Liab ECP200453314 113112016 011312017 $1,000,000 ~ $5,000 Ded DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Operations of the named insured subject to policy terms, conditions and exclusions RE: City of Ashland Parking Garage, Ashland OR, 97520 CERTIFICATE HOLDER CANCELLATION City Of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 East Main St. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520-0000 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #525151531M2427977 TMB00 PROPEL INSURANCE PAGE 4 OF 4 This page has been left blank intentionally. ROPEL INSURANCE PAGE 1 OF 4 ;a r To: Fax Number: 5414885311 From: Trisha Baldovinos Fax Number: 866.577.1326 Company: Propel Insurance Date: December 13, 2016 Subject: City of Ashland 16117 Certificate. Viking Automatic Sprinkler. Total Pages: 4 Memo: Good morning, Attached is the certificate as requested. Please let me know if you have any questions ar if we can be of further assistance. Thank you, Trisha Baldovinos Propel Insurance Account Assistant Commercial Insurance 805 SW Broadway, Suite 2300 Portland, OR 97205-3363 503.467.7595 Direct 866.577.1326 Fax Unrelentingly Unconventional [http://www. avaunt.com/images/propel-icon-21 x21.png] <http:llwww.propelinsurance.coml> [http:/lwww. avaunt.com/images/propel-linkedin-r-21 x21.png] <http:llwuvw.linkedin.com/companylpropel-insurance> [http://www.avaunt.comlimages/propel-twitter-21 x21.png] <http:/ltwitter.comlPropellns> NOTICE: This communication including any attachments may contain privileged or PROPEL INSURANCE PAGE 2 OF 4 confidential information. If you are not the intended recipient, or believe that you received this communication in error, please advise the sender immediately and delete or destroy the communication you received without copying or disclosing the contents. Thank you.