Loading...
HomeMy WebLinkAboutInsurance Certificate: Valley Web Printing ~ 1 ACORD® DATE (MMlDDmmr► CERTIFICATE OF LIABILITY INSURANCE o6rolr~ol7 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 ri hts to the certificate holder in lieu of such endorsements . PRODUCER CONTACT FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER HOME OFFICE: P.O. BOX 328 A CNNo Ext :888-333-4949 A c No :507-446-4664 OWATONNA, MN 55060 E-MAIL ADDRESS: CLIENTCONTACTCENTER FEDINS.COM INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 344-174-8 INSURER B: WENDTCO WEB PRINTING INCORPORATED, VALLEY WEB PRINTING INSURER C: 1299 STOWE AVE MEDFORD, OR 97501-6612 INSURER D; INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 7 REVISION NUMBER: 0 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. INSR TYPE OF INSURANCE DDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MMIDDIYYYY MMlDD1YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,00 CLAIMS•MADE ❑X OCCUR DAMAGE TO RENTED $100 PREMISES Ea occurrence ~ MED EXP (Any one person) EXCLUDED A Y Y 9820268 07/31/2017 07/31/2018 PERSONAL& ADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 JECT X POLICY PRO- LOC PRODUCTS - COMPIOP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY (Per person/ OWNED AUTOS ONLY SCHEDULED A AUTOS N N 9820268 07/31/2017 07/31/2018 BODILY INJURY (Per accident) HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY Per accident X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $2,000,000 A EXCESS LIAR CLAIMS-MADE N N 9820269 07/31/2017 07/31/2018 AGGREGATE $2,000,000 DED RETENTION WORKERS COMPENSATION OTH- AND EMPLOYERS' LIABILITY PER STATUTE ER Y/N ANY PROPRIETORIPARTNER/EXECUTIVE ❑ E.L. EACH ACCIDENT OFFICERlMEMBER 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 f LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CITY OF ASHLAND, ITS OFFICERS AND EMPLOYEES ARE NAMED ADDITIONAL INSURED AS PER WRITTEN CONTRACT. WAIVER OF SUBROGATION IS PROVIDED IN FAVOR OF THE CERTIFICATE HOLDER. THE GENERAL LIABILITY COVERAGE CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATEHOLDER SUBJECT TO THE CONDITIONS OF THE WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US ENDORSEMENT. CERTIFICATE HOLDER CANCELLATION 344-174-8 7 p CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 E MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ASHLAND, OR 97520-1814 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016!03) The ACORD name and logo are registered marks of ACORD FEDER~ITED INSURANCE~° To Whom It May Concern, RE: WENDTCO WEB PRINTING INCORPORATED Enclosed is a certificate of insurance that has been renewed for a new policy term. If a copy of an additional insured or policy endorsement was requested, the document will be sent in a separate envelope. If you have any questions regarding this please contact: the Federated Insurance Client Contact Center at: Phone: 1-888-333-4949 Fax: 507-446-4664 E-mail: clientcontactcenter@fedins.com Thank you, Client Contact Center Federated Insurance Companies Enclosed: Certificate of Insurance MISC-0974 (04-13) Additional Insured Copy POLICY NUMBER: 9820268 COMMERCIAL GENERAL LIABILITY CG 20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(a) Or Organizations: Location(s) Of Covered Operations CITY OF ASHLAND See IL-F-40-0001 20 E MAIN ST ASHLAND OR 97520 nformation required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", This insurance does not apply to "bodily injury" or "property damage" or "personal and advertising "property damage" occurring after: injury" caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insureds) at the the additional insureds) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured principal as a part of the same project. is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. WENDTCO WEB PRINTING INCORPORATED 1299 STOWE AVE MEDFORD OR 97501 © Insurance Services Office, Inc., 2012 Page 1 of 2 CG 20100413 Policy Number: 9820268 Transaction Effective Date: 07-31-2017 Additional Insured Copy C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III -Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 ©Insurance Services Office, Inc., 2012 CG 2010 0413 Policy Number: 9820268 Transaction Effective Date: 07-31-2017 Additional Insured Copy EXTENSION ENDORSEMENT Extension - CG 2010 - CITY OF ASHLAND ANY COVERAGE PROVIDED BY THIS ENDORSEMENT APPLIES ONLY WHILE THE WORK DONE FOR THE ADDITIONAL INSURED BY WENDTCO WEB PRINTING INCORPORATED IS IN WENDTCO'S OWN CARE, CUSTODY, AND CONTROL. ANI: VALLEY WEB PRINTING. ADDITIONAL INSUREDS ALSO INCLUDE: CITY OF ASHLAND, ITS OFFICERS AND EMPLOYEES IL-F-40-0001 (05-10) Policy Number: 9820268 Transaction Effective Date: 07-31-2017 Additional Insured Copy POLICY NUMBER: 9820268 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: CITY OF ASHLAND 20 E MAIN ST ASHLAND OR 97520 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV -Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. DESCRIPTION OF INTEREST IF APPLICABLE: ANY COVERAGE PROVIDED BY THIS ENDORSEMENT APPLIES ONLY WHILE THE WORK DONE FOR THE ADDITIONAL INSURED BY WENDTCO WEB PRINTING INCORPORATED IS IN WENDTCO'S OWN CARE, CUSTODY, AND CONTROL. ANI: VALLEY WEB PRINTING © Insurance Services Office, Inc., 2008 Page 1 of 1 CG 24 04 05 09 Policy Number: 9820268 Transaction Effective Date: 07-31-2017 tED ERA o FED cE USN C1 jN5 To whom 1t May COn~ern, ted Insurance • ued on beha~en{fWill bedsent in a separate Interest ass arsem Additiona► related t° this end Enclosed ~S n Certrficates of Insurance ~ustomer• A y enVe~Ope~ Thank y°u, onta~t Center des Client c insurance C~mPan Federated Endorsement Enclosed: Additional interest MISC-1061 05'151