HomeMy WebLinkAboutInsurance Certificate: Twedell's Automotive, Towing & Wrecking Inc.
Mar, 28, 2018 12:07PM r No, 3535 P. 1/1
TWEDAUT•01
03/ 28/2 2812 lY018
CERTIFICATE OF LIABILITY INSURANCE DATE
038
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 INSURERIS), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) 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 c cT Ove Arvidson
Columbia Insurance Specialties nlcN►o,E><I; 503 641-5400 380 ac No: 503 641-5600
811 Country Club Rd Ste. 270
Eugene, OR 97402 laksB, ove columblains roU .com
9 AFFORDING COVERAGE NAIC it
iNSURER A : PlaZa Insurance COmpan
INSURED IN RE
Twedell's Automotive, Towing & Wrecking Inc. INSURER C
3116 N Pacific Highway -INGUgggo:
Medford, OR 97601
INSURER
INSURER F:
COVERAGES CERTIEICATE NUMBER: REVISIQN NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE F013 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 fS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
IN
LTR SR TYPE OF INSURANCE mADbL in $Uwyn B POLICY NUMBER POLICY EFF POLICY EXP
Imw6blym) LIMITS
A X COMMERCIAL GENERAL LIABILITY EAQH OCCURRENCE 1,000,000
cwMSA0DE ❑ OCCUR X K2GP901330 011(0212018 01/02/2019 DMIAGETORENTED 100,000
MED EXP (Any one Prsml 5.000
PER~QNAL d ADV INJURY 1,000,000
E 'OTHER: LIMIT APPLIE8 PER: GENERAL A S 3,000,000
X POLICY j~ El LOC PRODUCTS -COMP/OPA 1,000,000
OTHER:
A AUTOMOBILE LIABILITY OMBINED SINGLE LIMIT 1.000,000
ANY AUTO X K213P901330 01/02/2018 01102/2019 BODILY INJURY Per rton
OWNED SCHEDULFO
AUTOS ONLY AUTOS BODILY ItJJUftX Per accident
X NpNNppyyyyryryppQQ
X AUTOS ONLY X AU70SONLY ROPER Y AMAGE S
Per a ed
UMBRELLA LIAR OCCUR EA CE
EXCESS LIAR HCLJUMS-MAOE AGGREGATE
DED RETENTIONS
wORKER8COMPEN6AT10N PER oTH-
ANDEMPLOYERS' LIABILITY STATI
ANY pPREROlPMREIETOR/PARTNER/EXECUTIvE
IMa~d t In BER EXCLUDED u NIA El EACH ACCIDENT
IlrMye9. Oea~be eider SE -EA EMPLOYEE S TION OF DE RIP
E.L.DISE POLICY LIMIT E
A On Hook/Cargo X K2GP901330 01102/2018 01/02/2019 ded 5500 300,000
A Garagekeepers X K2GP901330 01102/2018 01102/2019 ded 600/2600 300,000
DESCRIPTION OF OPERATION6 /LOCATIONS I VEHICLES (ACORD 101, Addlllonal Remarks 6chadula. may be attached If more ;pace Is required)
CERTIFICATE HOLDER ELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
90 N Mountain Aveue
Ashland, OR 97620
AUTNORU'E E 9ENTATIVE +I~~y"
ACORD 25 (2016/03) ®1988-2016 ACORD CORPORATION. All rights reserved.
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