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HomeMy WebLinkAboutInsurance Certificate: Quality Fence Co. CERTIFICATE OF LIABILITY INSURANCE 1 GATE (MM/DD/YYYY) 10/02/2018 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 Hart Insurance Agency - Medford PHONE Ter Faulkaer PO Box 1240 (541) 779-4232 MCC, No: E-MAIL ADDRESS: kdolmage@hartinsurance.com Grants Pass OR 97528 INSURERS AFFORDING COVERAGE NAICB INSURER A: SAIF Corporation 36196 INSURED (541) 664-2281 INSURER B: Quality Fence Co. INSURER C: PO Box 3985 INSURER O: Central Point OR 97502-3985 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: Cert ID 8920 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 INADDL SUER SD MD POLICYNUMBER MWDDY EFF TR IYYYY MMMDDNYYV LIMITS COMMERCIALGENERALUABIUTY EACH OCCURRENCE $ DAMAGE TO RENTED CW MS-MADE OCCUR PREMISES Ea occunenes $ MED EXP(My one person)) $ PERSONALa ADVINJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERALAGGREGATE $ POLICY JPE T F-1 LOG PRODUCTS -COMPMP AGO $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY I NJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accidenl UMBRELLALIAB OCCUR EACHOCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION A AND EMPLOYERS' LIABILITY YIN Y 738638 10/01/2018 10/01/2019 STATUTE OR ANYPROPRIETORIPARTNER/EXECUTIVE ❑ NIA E.L. EACH ACCIDENT $ 1,000,000 OFFICE"EMBEREXCLUDEDP (Mandatory In NH) E.L. DISEASE-EA EMPLOYEE $ 11000,000 if yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $ 1,000,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additlonal Remarks Schedule, maybe attached If more space Is required) Waiver for all written contracts applies CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland 20 E Main Street AUTHORIZED( REPRESENTATIVE Ashland OR 97520 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Page 1 of 1