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HomeMy WebLinkAboutInsurance Certificate: Hannon Enterprises ACS CERTIFICATE OF LIABILITY INSURANCE D4/ao/2o 8Y) 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 not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Dena Leong NAME: Redwoods Leavitt Insurance Agency PH N N EzsY (855) 285-5690 tc•Noi(541)479-2669 121 Genessee St. E-MAILss:dena-leong@leavitt.com ADDRE INSURER(S) AFFORDING COVERAGE NAIL k Medford OR 97504 _ INSURERA:Ohio Security Insurance Co 24082 INSURED Hannon Enterprises Inc INSURERB:Ohio Casualty Insurance 24074 DBA Overhead Door Company of the Rogue INSURERC:SAIF Corporation 36196 PO Box 8193 Valley INSURER D : INSURER E : Medford OR 97501 INSURER F: COVERAGES CERTIFICATE NUMBER:18-19 All LOB 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 EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE L OCCUR PREMISES J DAMAGEEa RENTEDoccurrence 1,000,000 X CG8870 12 08 A Pro ect BKS56556295 4/29/2018 4/29/2019 MED EXP (Any one person) $ 15,000 - Wig- o PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT PRO L] LOC PRODUCTS -COMP/OP AGG $ 2, 000, 000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident A X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BASS6556295 4/29/2018 4/29/2019 BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident) Uninsured motorist combined $ 1,000, 000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAR _ it B - - i CLAIMS-MADE AGGREGATE 2,000,000 DED X RETENTION$ 10,000 US056556295 4/29/2018 4/29/2019 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY Y / N _ STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,0001000 _ C OFFICER/MEMBER EXCLUDED? N/A - (Mandatory In NH) 631720 2/1/2018 2/1/2019 E.L. DISEASE - EA EMPLOYE $ 1,000,000 yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Certificate Holder is Additional Insured per attached endorsements: General Liability Ongoing & Completed Operations CG8583 0413 & CG8810 0413; Waiver of Subrogation, Primary Non-ontributory CG8810 04 13; Aggregate Limits Per Project CG8870 12 08. Auto Additional Insured Waiver Subrogation per CA8810 0110.Workers Comp Waiver Subrogation per W0000313 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E Main St ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE a~ Dena Leong/DELEON- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)