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HomeMy WebLinkAboutInsurance Certificate: Cascade Communication Services (4) FEDERATED INSURANCEi® To Whom It May Concern, RE: CASCADE COMMUNICATION SERVICES INC Enclosed is a certificate of insurance that has been renewed for a new policy term. If a copy of an additional insured or policy endorsement was requested, the document will be sent in a separate envelope. If you have any questions regarding this please contact: the Federated Insurance Client Contact Center at Phone: 1-888-333-4949 Fax: 507-446-4664 E-mail: clientcontactcenter @fedins.com Thank you, Client Contact Center Federated Insurance Companies Enclosed: Certificate of Insurance MISC-0974 (04-13) ACORO® M/ DATE(MDD/YYYY) J CERTIFICATE OF LIABILITY INSURANCE 12/14/2017 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(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 NAME: CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY PHONE FAX HOME OFFICE: P.O.BOX 328 (A/C,No,Eat):888-333-4949 (A/C,No):507-446-4664 OWATONNA, MN 55060 ADDREss:CLIENTCONTACTCENTER(aFEDINS.COM INSURER(S)AFFORDING COVERAGE NAIC# _INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 348-697-4 INSURER a:FEDERATED SERVICE INSURANCE COMPANY 28304 CASCADE COMMUNICATION SERVICES INC INSURER C: 1616 DOWELL RD GRANTS PASS,OR 97527-9174 INSURER D: INSURER E: , INSURER F: COVERAGES CERTIFICATE NUMBER:68 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD IMMIDDIYYYYI IMMIDDIYYVYI COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $100,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) MED EXP(My one person) X BUSINESS OWNER'S LIABILITY A N N 9062279 02/01/2018 02/01/2019 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE OMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 .POLICY nJECT I I LOC PRODUCTS-COMP/OP AGO $2,000,000 X JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) —B OWNED AUTOS ONLY —AUTOSULED N N 9062280 02/01/2018 02/01/2019 BODILY INJURY(Per accident) — NON-OWNED PROPERTY DAMAGE HIRED AUTOS ONLY AUTOS ONLY _ (Per accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $1,000,000 A EXCESS LIAB CLAIMS-MADE N N 9062569 02/01/2018 02/01/2019 AGGREGATE $1,000,000 DED RETENTION WORKERS COMPENSATION OTH- PER STATUTE ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below 1 EL DISEASE-POLICY LIMIT I _ _ 1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space is required) CERTIFICATE HOLDER CANCELLATION 348-697-4 68 0 CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 90 N MOUNTAIN AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ASHLAND,OR 97520-2014 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 19,474 O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD BWNDHBS 348-697-4 68 XWXW0021XXXXXXX5# BF001-04-0057 ITY OF ASHLAND 90 N MOUNTAIN AVE ASHLAND OR 97520-2014 - - -- - - - - - - - -- - - �_