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HomeMy WebLinkAboutColumbia Insurance Specialties TWEDAUT-01 DWEBB '4~ RO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDfYYYY) 03/28/2018 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 CONTACT Ove Arvldson NAME Columbia Insurance Specialties PHONE FAX 911 Country Club Rd Ste. 270 (A/C, No, Ext)_ (503) 641-5400 380 puc, No)(503) 641-5600 Eugene, OR 97402 Ap A'E ?gss: ove@columbiainsgroup.com - INSURERS AFFORDING COVERAGE NAIL q INSURER A: Plaza Insurance Co INSURED INSURER B Twedell's Automotive, Towing & Wrecking Inc. INSURER C : 3116 N Pacific Highway INSURER D: Medford, OR 97501 - - 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. UN-SR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000'000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED K01/02/2018 01/02/2019 PREMISES aoccurrence) $ 100,000 MED EXP An one person) $ 5°000 PERSONAL & ADV INJ RY $ 1,000°000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY 7 PE& LOC PRODUCTS - COMP/OP AGG $ 1,000,000- OTHER : A AUTOMOBILE LIABILITY EOMaBINdED SINGLE LIMB $ 1,000,000 -a ent) ANY AUTO K2GP901330 01/0212018 01102/2019 BODILYINJURY Per erson $ OWNED SCHEDULED AUTOS ONLY X AUTOS j BODILY INJURY Per accident $ X HIRED X NON-9 NED PROPERTY DAMAGE AUTOS ONLY _ AUTO S ONLY Per acadenq _ _ $ i UMBRELLA LJAB HOCCUR ! EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE', AGGREGATE $ l- DED RETENTION S $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN T ANY PROPRIETOWPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If es, describe under E.L. DISEASE - POLICY LIMIT $ "-CRiFTtGN OF OPERATIONS below A On Hook/Cargo K2GP901330 01/02/2018 01/02/2019 ded $500 -300,000 A Garagekeepers K01/02/2018 01/02/2019 ded 500/2500 300,000 I DESCRIPTION OF OPERATIONS I LOCATIONS / 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 Ashland Police Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main Street Ashland, OR 97520 AUTHORIZER ESE NTATI V E v ~ ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD