HomeMy WebLinkAboutInsurance Certificate: Twedell's Automotive (3) :: 06-24-19; 16:44 ;From:Columbia Insurance To: 5414885320 ; 3608924883 # 1/ 1
si■■■ TWEDAUT-01 DWEBB
■ ■ ,----"1 DATE(MMIDDM/YY)
i�CORa- 612412019
■ � CERTIFICATE OF LIABILITY INSURANCE
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).
CONTACT Dawn Webb _
PRODUCER
Columbia Insurance Specialties PHONE ( 503 641-5600
8000
Columbia Parkway Dr.Ste 150 lac,No, q:(503)641-5400 370 ac,Ne):( )
Vancouver,WA 98662 1 `gas:dawn @columbiaint,com
INSURER,(S)AFFORDING COVERAGE NAIL X
INSURERAJPIaza Insurance Company
INSURED INSURER a'AnIGuard Insurance COmnanY
Twodell's Automotive,Towing&Wrecking Inc. INSURERC:
3116 N Pacific Highway INSURE D
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,
ADDL SUER POLICY ErP POLICY EXP UNITS
INSR POLICY NUMBER ,,,, k)a I u„ I,•a la
TYPE OF ,� � _
• 1,000,000
A X COMMERCIAL GENERAL LULSwTY
EACH OCCURRgNCE
6/1912019 6/19/2020 DAMAGE TO RENTED 1,000,000
CLAIMS-MADE X OCCUR K2GP006497 PR DAMAGE RE ccurzppGe) $
X
5,000
MEQ EXP(Any one person) S _
PERSONAL&ADV INJURY $
1,000,000
pBNERAL AGGREGATE_ $ 3,000,000
GEML AGGREGATE LIMIT APPLIES PER:X POLICY I I JHC PRRA�T I 1 3,000,000
7 LOC PROD_U_CTS-COMP/OP AGG S
S
OTHER Eo MINED INGLE LIMIT 1,000,000 1
B AUTOMOBILE LIABILITY —,_
ANY AUTO X K2GP006497 6/19/2019 6/19/2020 BODILY INJURY(Per po son) s
OWNED X SCHEDULED ROPILY INJURY(Per ecodonl) S
AUTOS ONLY AUUoTNNOS LED PpRROPERTY AMAGE
X AUTOS ONLY X AUVO ONLY (Pefagcident) —
UMBRELLA UAB OCCUR EACH OCCURRENCE
EXCESS UAB CLAIMS-MADE AGGREGATE S
DED RETENTION S
WORKERS COMPENSATION I 16.TUTE OOTH-
AND EMPLOYERS'LIABILITY Y I N
ANY PROPRIEfOR/PARTNERrEXECUTIVE E.L.EACH ACCIDENT $
QpF ICERIMEMBER EXCLUDED? N I A
(Mandatory nNFH) E.L,DISEASE-EILEMPLOYEE $
Ir yes doecribe under E.L.OI EASE-POI LIMIT
DSGRIPTIaN OF OPERATIaNS below 300,000
A Equipment Floater X K2GP006497 6/19/2019 6/19/2020 ded$1000
A Commercial Automobil X K2GP902898 6/19/2018 6/19/2019 ded 500/2500 300,000
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may Do attached If mom space Is required)
Fax:(541)488-5320
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS.
90 N Mountain Aveue
Ashland,OR 97520
AUTHORIZED REPRESENTATIVE
i I
ACORD 25(2016/03) ®1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD