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Home My WebLink AboutInsurance Certificate: SOS Plumbing (2) DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 3/13/2017 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 have ADDITIONAL INSURED provisions or 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). CONTACT Brown & Brown Northwest PRODUCER Susan Wilson NAME: 3256 Hillcrest Park Drive FAX PHONE 541-494-2658541-494-2758 (A/C, No): (A/C, No, Ext): Medford, OR 97504 E-MAIL swilson@bbnw.com ADDRESS: INSURER(S) AFFORDING COVERAGENAIC # www.bbnw.com American Hallmark Insurance Company of Texas43494 INSURER A : INSURED INSURER B : SOS Plumbing & Drain Service Inc. 206 South Pacific Highway INSURER C : Talent OR 97540 INSURER D : INSURER E : INSURER F : COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: 34625722 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. ADDLSUBRPOLICY EFFPOLICY EXP INSR TYPE OF INSURANCELIMITS POLICY NUMBER (MM/DD/YYYY)(MM/DD/YYYY) LTR INSDWVD A44CL443376113/11/20173/11/2018 1,000,000 COMMERCIAL GENERAL LIABILITY 333 EACH OCCURRENCE$ DAMAGE TO RENTED 100,000 3 CLAIMS-MADEOCCUR$ PREMISES (Ea occurrence) 5,000 MED EXP (Any one person)$ 1,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 2,000,000 3 POLICYLOCPRODUCTS - COMP/OP AGG$ JECT $ OTHER: COMBINED SINGLE LIMIT A44CL443376113/11/20173/11/2018 AUTOMOBILE LIABILITY $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY (Per person)$ 3 OWNEDSCHEDULED BODILY INJURY (Per accident)$ AUTOS ONLYAUTOS NON-OWNED HIREDPROPERTY DAMAGE $ (Per accident) AUTOS ONLYAUTOS ONLY $ A44CU443377113/11/20173/11/2018 UMBRELLA LIAB 1,000,000 33 EACH OCCURRENCE$ OCCUR 1,000,000 EXCESS LIAB CLAIMS-MADEAGGREGATE$ 10,000 3 $ DEDRETENTION$ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT$ N / A 4444444444444444444444444444444A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under E.L. DISEASE - POLICY LIMIT$ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) General Liability coverage includes Blanket Additional Insured coverage including Primary/Non-contributory, Per Project Aggregate and Waiver of Subrogation when required by written contract per attached endorsement MP97670408. Subject to policy terms, limits, conditions and exclusions. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Dale Peters ACCORDANCE WITH THE POLICY PROVISIONS. 90 N Mountain Avenue Ashland OR 97520 AUTHORIZED REPRESENTATIVE Susan Wilson © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD 34625722 | 10527 | 17-18 GL/UMB/AUTO | Susan Wilson | 3/13/2017 11:38:59 AM (PDT) | Page 1 of 7 34625722 | 10527 | 17-18 GL/UMB/AUTO | Susan Wilson | 3/13/2017 11:38:59 AM (PDT) | Page 2 of 7 34625722 | 10527 | 17-18 GL/UMB/AUTO | Susan Wilson | 3/13/2017 11:38:59 AM (PDT) | Page 3 of 7 34625722 | 10527 | 17-18 GL/UMB/AUTO | Susan Wilson | 3/13/2017 11:38:59 AM (PDT) | Page 4 of 7 34625722 | 10527 | 17-18 GL/UMB/AUTO | Susan Wilson | 3/13/2017 11:38:59 AM (PDT) | Page 5 of 7 34625722 | 10527 | 17-18 GL/UMB/AUTO | Susan Wilson | 3/13/2017 11:38:59 AM (PDT) | Page 6 of 7 34625722 | 10527 | 17-18 GL/UMB/AUTO | Susan Wilson | 3/13/2017 11:38:59 AM (PDT) | Page 7 of 7