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HomeMy WebLinkAboutInsurance Certificate: Viking Automatic Sprinkler PROPEL INSURANCE PAGE 3 OF 4 Client#: 131358 VIKIAUT02 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1/2812017 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 NAME: Shelley Elkins Propel Insurance PHONE 503467-7569 FAX 866-577-1326 (A/C, No. Ext): (A/C, No): Portland Commercial Insurance E-MAIL ADDRESS: ADDRES shelleyelkins@propelinsurance.com 805 SW Broadway, Suite 2300 INSURER(S) AFFORDING COVERAGE NAIC # Portland, OR 97205-3363 INSURERA: Nautilus Insurance Company 17370 INSURED INSURER B : SAIF Corporation 36196 Viking Automatic Sprinkler Co INSURER C : Continental Insurance Company 35289 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DDNYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY ECP200453315 1 /31 /2017 0113112018 EACH OCCURRENCE $1,000,000 AMAGE TO -7 CLAIMS-MADE X OCCUR PRW SES (Ea occurrrence $100,000 X BI/PD Ded:5,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2,000,000 F PRO- PRODUCTS - COMP/OP AGG $ 2,000,000 7 POLICY SECT LOC -1 F OTHER WA Stop Gap $$1,000,000 C AUTOMOBILE LIABILITY 5090740364 01/3112017 0113112018 Ea ecBadeDts1NGLE LIMIT $1,000,000 BODILY INJUR" (Per person) $ X ANY AUTO ALL OVvNED SCHEDULED BODILY INJUR\' (Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OV\rJED PR eOrPERTY DAMAGE $ AUTOS P accident A UMBRELLA LIAB OCCUR FFX200453415 1/31/2017 01/31/2018 EACH OCCURRENCE $6,000,000 X EXCESS LIAB X CLAIMS-MADE AGGREGATE $6,000,000 DED RETENTION $ $ B WORKERS COMPENSATION 763948 10/01/2016 10/01/2017 X SPER TATUTE PRH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECU I Y / N E L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? L_ NIA (Mandatory in NH) E L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,1000,0010 A Pollution ECP200453315 11/31/2017 01131/2018 $1,000,000 $5,000 Ded A Professional Liab ECP200453315 1/31/2017 01131/2018 $1,000,000 $5,000 Died A Microbial Subst. ECP200453315 1/31/2017 01/31/2018 $1,000,000 $5,000 SIR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 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 y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 East Main St. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520-0000 AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2568270/M2568256 SLE00