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HomeMy WebLinkAboutInsurance Certificate: Economy Plumbing Client#:175542 ECONPLUM1 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 512512017 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 riot confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NTA T NAME: Nikki Russell Propel Insurance alc No Ext :800 499-0933 rile, No ; 866 577-1326 Medford Commercial Insurance E-MAIL nikki.russell ro elinsurance.com P 0 Box 936 ADDRESS: CP P Medford, OR 97501 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA :Western National Assurance Comp 24465 INSURED INSURER B Economy Plumbing, Inc. 309 Kent St. INSURER C Ashland, OR 97520-1017 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 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 ADDLSUB POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A COMMERCIAL GENERAL LIABILITY BOP100072604 610112017 06/011201 EACH OCCURRENCE $1 OQO OOO CLAIMS-MADE a OCCUR PREMISESa occTu ence $1 OO,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ Included GEN'LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $2,000,000 X POLICY n ECT I I LOC PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY CPP107477904 610112017 061011201 EO aBclNdeD SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE, AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN T ANY PROPRIETOR/PARTNER/EXECUTIVE ~ E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ~ N 1 A (Mandatory in NH) ~ E.L. DISEASE - EA EMPLOYEE $ _ If yes, describe under _ _ DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION City of Ashland Service SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Purchasing ACCORDANCE WITH THE POLICY PROVISIONS. Kariann Olson 90 N. Mountain Ave. AUTHORIZED REPRESENTATIVE Ashland, OR 97520-2014 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) 1 of 1 The ACORD name and Logo are registered marks of ACORD #S27189391M2718885 LAB00