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HomeMy WebLinkAboutInsurance Certificate: Gage It Construction Client#: 175614 GAGEIT1 M/DD/ ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE 3/08 (MM/DDIYYYY) 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 NCONTACT AME: Nikki Russell Propel Insurance PHONE g00 499-0933 FAX 866 577-1326 A/C, No, Ext : A/C, No Medford Commercial Insurance E-MAIL ADDRESS: nikki.russell@Propelinsurance.com P O Box 936 INSURER(S) AFFORDING COVERAGE NAIC # Medford, OR 97501 INSURER A: Charter Oak Fire Insurance Comp 25615 INSURED INSURER B : Travelers Property Casualty Coo 25674 Gage It Construction LLC P O Box 3483 INSURER C : Travelers Indemnity Company 25658 INSURER D : SAIF 36196 Central Point, OR 97502-0018 ! I 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/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY DTC02J12843000F17 03/09/2017 03/09/201 EACH OCCURRENCE $1,000,000 CLAIMS-MADE DAMAGE TO RENTED - [ X] OCCUR PREMISES Ea occurrence $300,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEEN'L AGGREGATE LIMIT APPLIES PER: j GENERAL AGGREGATE $ 2,000,000 PR- ^I POLICY [_1 ECOT LOC PRODUCTS - COMP/OP AGG $2,000,000 - OTHER: - - - - $ C AUTOMOBILE LIABILITY 13A2J12843017CNS 3/09/2017 03/09/201 COMBINED SINGLE LIMIT _ Ea accident $1,000,000 X! ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ B X! UMBRELLA LIAB X OCCUR CUP2J1396411726 3/09/2017 03/09/201 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED X RETENTION $10,000 $ _ WORKERS COMPENSATION PER OTH- D AND EMPLOYERS' LIABILITY X 756250 05/01/2016 05/01 /201 X STATUTE _ ER ANY PROPRIETOR/PARTNER/EXECUTIVE~/N i E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? L i N / A - - (Mandatory in NH) J E.L. DISEASE - FA. EMPLOYFF $1,400,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Grandview Drive Guardrail 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 97520-1814 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 #S2616101/M2615822 LAB00