HomeMy WebLinkAboutInsurance Certificate: Cascade Communicationa� b®7(MUQD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
2/23/2019
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 rights to the certificate holder In lieu of such endorsements .
PRODUCER
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328
CONTANAME: CT CLIENT CONTACT CENTER
IA CNNo E:e : 888-333-4949 a/c No : 507-446-4664
E-MAIL
ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
OWATONNA, MN 55060
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 348-697A
INSURER B:
CASCADE COMMUNICATION SERVICES INC
INSURER C:
2961 HELMS RD
GRANTS PASS, OR 97527-9515
INSURER D:
INSURER E:
INSURER F:
COVFRAGFS CERTIFICATE NUMBER: 55 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
LTR
TYPE OF INSURANCE
ADDL
INSR
SUER
WVD
POLICY NUMBER
POLICY EFF
MMfDD/VYVV
POLICY EXP
MMIDDIYYVV
LIMITS
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑X OCCUR
BUSINESS OWNER'S LIABILITY
N
N
9062279
02/01/2020
02/01/2021
EACH OCCURRENCE
$1,000,000
O RNT
PREMISES Eaottunence
$100,000
X
MED EXP (Any one person)
GEN'L
X
PERSONAL& ADV INJURY
$1,000,000
AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY ❑JECT PRO ❑ LOC
OTHER:
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMPIOP AGO
$2,000,000
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
OWNED AUTOS ONLY SCHEDULED
Au7os
HIRED AUTOS ONLY NON -OWNED
AUTOS ONLY
N
N
9062280
02/01/2020
02/01/2021
COMBINED SINGLE LIMIT
Ea a_ den
$1,000,000
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE
Per accI dent
A
X
UMBRELLA LIAR
EXCESS LIAR
X
OCCUR
CLAIMS -MADE
N
N
9062569
02/01/2020
02/01/2021
EACH OCCURRENCE
$1,000,000
AGGREGATE
$1,000,000
DIED I I RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY y�
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
PER STATUTE OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L DISEASE - POLICY LIMIT
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required)
rc DTMo Arc unl ncEs CANr]FI I ATICIN
348-697-4
550
CITY OF ASHLAND INFORMATION SYSTEMS
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
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD