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HomeMy WebLinkAboutInsurance Certificate: Twedell's Automotive Towing & Wrecking Inc. TWEDAUT-01 DWEBB ACORO' F DATE(MMMDNYYY) CERTIFICATE OF LIABILITY INSURANCE 06/26/2018 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 C AMONTACT Dawn Webb E: Columbia Insurance Specialties PHONE FAX 8000 NE Parkway Dr. Ste 150 ac, Ne, EXl : (503) 641-5400 370 A/C, No :(503) 641-5600 Vancouver, WA 98662 E.MA'L , dawn@columbiainsgroup.com INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: PlaZaInsurance Company INSURED INSURERS: Twedell's Automotive, Towing & Wrecking Inc. INSURER C: 3116 N Pacific Highway INSURERD: Medford, OR 97501 INSURER E: NSURER 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 CONTRACTOR 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 ADDOL yyy POLICYNUMBER POLICY EFF POUCYEXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000'000 CLAIMS-MADE F-XIOCCUR K2GP902898 0611912018 06119/2019 DAMAGE TO RENTED 100,600 PREMISES a rtance S MED EXP (Anyone Person) $ 5'000 PERSONALS ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 310001000 X POLICY Ya F-1 LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ffl..ccldant) $ ANY AUTO K2GP902898 0611912018 06/1912019 BODILY INJURY Per rsan S OWNED SCHEDULED WNEp BODILY INJURY Per accident $ AU~gqT~~O~~S ONLY X AUTOS X AUTOSONLY X AII% ONLY Pea ER, )AMAGE $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-&ME AGGREGATE $ DEO RETENTIONS $ WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LUIBILITY M A T OFFICEWMEIMTRIPARTNDEE//EXECUTIVE N/A E.L EACH ACCIDENT $ (Mantlaroryln NH) E.L. DISEASE - EA EMPLOYE S ICRIPda-TIc^baONu^deOFr DESC OPERATIONS below E.L. DISEASE - POLICY LIMB $ A Equipment Floater K2GP902898 0611912018 0611912019 ded $500 300,000 A Commercial Automobil K2GP902898 0611912018 0611912019 ded 50012500 300,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe 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 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I