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HomeMy WebLinkAboutInsurance Certificate: Twedell's Automotive, Towing & Wrecking Inc. (2) f 06-21-19; 11 : 19 ;From:Columbia Insurance To: 5414885320 ; 3608924883 # 1/ 1 • ■ �----+N TWEDAUT-01 D ;}I� � CERTIFICATE OF LIABILITY INSURANCE °ATE'MMID°»�,"' 6/21/2019 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 pollcy(Ios)must havo ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the Corms 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 24/.k01. AM CT Dawn Webb Columbia Insurance Specialties PHONE FAx 8000 NE Parkway Dr.Ste 150 _(Arc,No,Ext):(503)641-5400 370 I(Aro,Nol:(503)641-5600 Vancouver,WA 98662 Mass,dawn)columbiaint.com INSURERS)AFFORDING COVERAGE NAIC# INSURER A:AmGuard Insurance Comte INSURED INSURER u LPlaza Insurance Company Twodell's Automotive,Towing&Wrecking Inc. INSURER C: 3116 N Pacific Highway INSU.LE3_D1 Medford,OR 97501 INSURER E: INSURER 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 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 Or INSURANCE INSD SWy.a. (.MM1LDDIYYYY) IMMIDDIYYYY) IN SR ANSI_ POLICY NUMBER LIMITS COMMERCIAL GENERAL LIABILITY EAcN QqCI�RENGE $ _ CLAIMS-MADE OCCUR DAMAGE RMISETO RENTED EZEDID01--— MED IXP(My ono person) $ PERSONAL S ACV INJURY ,.$ ,EN'LAGGREGATE LIMITAPPUES PER; CENERALAGGREGATE S POLICY j , LOC PRODUCTS-COMP/OP AGGJ OTHER' $ A AUTOMOBILE LUIBIUTY –�� �EQDQ SINGLE LIMIT 1,000 000 —'ANY AUTO X K2GP006497 6/19/2019 6/19/2020 BODILY INJURv(ParFamy )._J AAUTOSDONLY X ALCOITTOSULJEEDp BODILY INJURY(Per occldenl) S X AUTOS ONLY X Ogee don2DAMAGE o ) $ UMBRELLA LIAB ' OCCUR EACH OCCURRENCE t EXCESS IJAB CLAIMS-MADE AGGREGA _ DEC RETENTIONS g WORKERS COMPENSATION STATUTE 10T AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE r----1 E.L.EACH ACCIDENT $ OFFICER/In NH)EXCLUDED? J N/A E,LDISEASE-V&EMPLOYEE $ II yyea,doa ibe under • DESCRIPTION QF OPERATIQNS baI w _ E.L.DISEASE-POLICY LIMIT $ B Equipment Floater X K2GP006497 6/19/2019 6/19/2020 ded$1000 300,000 B Commercial Automobil X K2GP902898 6/19/2018 6/19/2019 ded 500/2500 300,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may bo attached If more apace Is required) Fax:(541)488-5320 CERTIFICATE HOLDER CANCELLATION 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 97520 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD namo and logo are registered marks of ACORD