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HomeMy WebLinkAboutInsurance Certificate: SME Solutions, LLC Client#: 335759 SMESOLUT ACORD.M CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 9/27/2019 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 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Wendy Jones USI Insurance Services NW WC PHONE 503 224-8390 FAX 610 362-8130 -(A/C, No, Eat : A/C, No 825 NE Multnomah, Suite 1500 E-MAIL ADDRESS: wendyJonesusi.com Portland, OR 97232 INSURER(S) AFFORDING COVERAGE NAIC S 503 224-8390 INSURER A Zurich American Insurance Company 1653_5_ INSURED _ INSURER B : SAIF corporation Ali 36196 SME Solutions, LLC INSURER C 680 Quinn Ave. INSURER D San Jose, CA 95112 ! 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 CONTRACTOR 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 EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MMIDD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ CLAIMS-MADE [A OCCUR PREMISES (Ea occE ence$ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY 7__j JECT LOC PRODUCTS - COMP/OP AGG $ OTHER: _ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS $ - HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ _ DED _ RETENTION $ $ A WORKERS COMPENSATION 8997923 10/01/2019'I10/011202 X PER OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N /A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Workers Comp Information B 992634 Eff Date: 10/01/2019 Exp Date: 10/01/2020 WC Each Accident Limit: $1,000,000 WC Policy Limit: $1,000,000 (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION WILL CBE C BEFORE SHOULD TI H ABOVE City of Ashland THE EXPIRATION DATE THEREOFE NOTICE POLICIES DELIVERED N90 North Mountain Ave. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S26699155/M26655606 MYPZP DESCRIPTIONS (Continued from Page 1) WC Each Employee Limit: $1,000,000 RE: Repair, maintenance and testing of fuel islands and tanks SAGITTA 25.3 (2016/03) 2 of 2 #S26699155/M26655606 USI INSURANCE SERVICES CERTIFICATE RETURN MAIL PROCESSING , PO BOX 629035 EL DORADO HILLS CA 95762-9035 CITY OF ASHLAND 90 N MOUNTAIN AVE ASHLAND OR 97520-2014 i