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Home My WebLink AboutInsurance Certificate: American Leak Detection BOTEINC-01 D1SKAMBUROFF ACORD~ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 0612712017 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). PRODUCER LICenSe # 954553 NAMEACT AssuredPartners of Ohio LLC, Franchise Division jAlc No, Ext): (800) 860-0090 jA~, No);(440) 356-2126 3900 Kinross Lakes Parkway #300 E-MAIL Richfield, OH 44286 ADDRESS: franchisecerts@dawsoncompanies.com INSURER S AFFORDING COVERAGE NAIC # INSURERA:CIt1Clnnatl InSUranC2 Com an 10677 INSURED INSURER B : TraVelerS CaSUaIt & SUr@t 19038 Boterman's Inc. dba American Leak Detection INSURER C 2821 Bullock Road INSURER D Medford, OR 97504 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 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS p1 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE ~ OCCUR EPP 0393352 0710112017 07!0112018 DAMAGE TO RENTED 300~QQQ PREMISES Ea ccurrence $ MED EXP An one erson $ 1 PERSONAL ~ ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $ 4,000,000 POLICY ~ PRO ❑ LOC PRODUCTS - COMPIOP AGG $ 4,000,000 JECT OTHER: COMBINED SINGLE LIMIT 1 ~QQQ~QQQ A AUTOMOBILE LIABILITY Ea acciden $ ANY AUTO EPP 0393352 0710112017 0710112018 BODILY INJURY Per erson $ _ X OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED Pe~accidentDAMAGE $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB ~ CLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY i STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y~~1 N ~ % E.L. EACH ACCIDENT $ OFFICERJMEMBER EXCLUDED? ICI I N I A i (Mandatory in NH) ~ E.L. DISEASE - EA EMPLOYE I $ If yes, describe under DESCRIPTION OF OPERATIONS below i E.L. DISEASE -POLICY LIMIT B Prof Liab 105636058 0710112017 0710112018 Limit 500,000 I I DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE n 1QRR.~015 ACORD CORPORATION. All riahts reserved.