HomeMy WebLinkAboutInsurance Certificate: Wendtco Web Printing Incorporated, Valley Web Printing
ACC?R" ® DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 06/12/2018
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 endorsements .
PRODUCER CONTACT
NAME: CLIENT CONTACT CENTER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328 (A/C,No Ext : 888-333-4949 FA/c No : 507-446-4664
OWATONNA, MN 55060 E-MAIL
ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED 344-174-8 INSURER B:
WENDTCO WEB PRINTING INCORPORATED, VALLEY WEB PRINTING INSURER C:
1299 STOWE AVE
MEDFORD, OR 97501-6612 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 7 REVISION NUMBER: 0
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 DDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTR INSR WVD MMIDDIYYYY MMIDDIYYYY
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000
CLAIMS-MADE 1XI OCCUR PDAMAGE TO RENTED
REMISES Ea occurrence $100'000
MED EXP (Any one person) EXCLUDED
A Y Y 9820268 07/31/2018 07/31/2019 PERSONAL & ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
POLICY El PRO JECT ❑ LOC PRODUCTS - COMPIOP AGG $2,000,000
NOTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Eaacciden $1,000,000
X ANY AUTO BODILY INJURY (Per person)
OWNED AUTOS ONLY SCHEDULED
A AUTOS N N 9820268 07/31/2018 07/31/2019 BODILY INJURY (Per accident)
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY Per accident
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $2,000,000
A EXCESS LIAR CLAIMS-MADE N N 9820269 07/31/2018 07/31/2019 AGGREGATE $2,000,000
-1
DED RETENTION
WORKERS COMPENSATION PER STATUTE T
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETORIPARTNERIEXECUTIVE ❑ E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? N I A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE
11 yes, describe under
DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
CITY OF ASHLAND, ITS OFFICERS AND EMPLOYEES ARE NAMED ADDITIONAL INSURED AS PER WRITTEN CONTRACT. WAIVER OF
SUBROGATION IS PROVIDED IN FAVOR OF THE CERTIFICATE HOLDER.
THE GENERAL LIABILITY COVERAGE CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATEHOLDER SUBJECT TO THE
CONDITIONS OF THE WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US ENDORSEMENT.
CERTIFICATE HOLDER CANCELLATION
344-174-8 7 0
CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
20 E MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ASHLAND, OR 97520-1814 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
I
www.saif.com
Oregon Workers' Compensation -4. POAP saiF
Certificate of Insurance ,corporation
Certificate holder:
CITY OF ASHLAND
C/O KARI OLSON PURCHASING REP
90 N. MOUNTIAN AVE
ASHLAND, OR 97520
The policy of insurance listed below has been issued to the insured named below for the policy period
indicated. The insurance afforded by this policy is subject to all the terms, exclusions and conditions of
such policy; this policy is subject to change or cancellation at any time.
Insured Producer/contact
Wendtco Web Printing Incorporated SAIF Corporation
Valley Web Printing Portland Service Center
1299 Stowe Ave 971.242.5001 servic@saif.com
Medford, Or 97501-6612
Issued 12/18/2017 Limits of liability
Policy 480224 Bodily Injury by Accident $500,000 each accident
Period 04/01/2017 to 04/01/2018 Bodily Injury by Disease $500,000 each employee
Body Injury by Disease $500,000 policy limit
Description of operations/locations/special items
Important
This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate
does not amend, extend or alter the coverage afforded by the policies above. This
certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the
certificate holder.
Authorized representative
r v
Kerry Barnett
President and CEO
400 High Street SE
Salem, OR 97312
P: 800.285.8525
F: 503.584.9812
Policy_OL CA_CeriificateOflnsurance