HomeMy WebLinkAboutInsurance Certificate: Cascade Communication Services'`��® CERTIFICATE OF LIABILITY INSURANCE
GATE(YYI
2/23/20, 9
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
OFFICE: P.O. BOX 328
CONTACT
NAME: CLIENT CONTACT CENTER
PHONEHOME
A ., . EXt : 888-333-4949 Fa/c No): 507-446-4664
ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
OWATONNA, MN 55060
INSURER(S) AFFORDING COVERAGE
NAIL #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 348-697A
INSURER B:
CASCADE COMMUNICATION SERVICES INC
INSURER C:
2961 HELMS RD
INSURER D:
GRANTS PASS, OR 97527-9515
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
LTR
TYPE OF INSURANCE
ADDL
INSR
SUBR
WVD
POLICY NUMBER
POLICY EFF
MMIDD/VYVY
POLICY EXP
MMIDOIYYYY
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
PREMISES Ea RENTED
$100,000
X
MED EXP (Any one person)
GEN'L
X
PERSONAL& ADV INJURY
$1,000,0oo
AGGREGATE LIMIT APPLIES PER:
POLICY ❑ PJECT ❑ LOC
OTHER:
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMP/OP AGO
$2,000,000
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
SCHEDULED
OWNED AUTOS ONLY AUTOS
HIRED AUTOS ONLY NON -OWNED
AUTOS ONLY
N
N
9062280
02/01/2020
02/01/2021
COMBINED SINGLE LIMIT
Ea .. den
$1 �0,()�
BODILY INJURY IPer person)
BODILY INJURY IPer accident)
PROPERTY DAMAGE
per acclden
A
X
UMBRELLA LIAR
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
N
N
9062569
02/01/2020
02/01/2021
EACH OqTE
$1,000,000
AGGRE$1,000,000
LIED RETENTION
WORKERS COMPENSATION
EMPLOYERS' LIABILITY Y/N ANY
PROPRIETORIPARTNERIEXECUTIVE
OFFICER MEMBER EXCLUDED?
(Mandatory in NHI
It yes, describe under
DESCRIPTION OF OPERATIONS below
N I A
PEAND
E.L. EAC
E.L. DISEASE - EA EMPLOYEE
E.L DISEASE -POLICY LIMIT
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required)
348-697-4
CITY OF ASHLAND
90 N MOUNTAIN AVE
ASHLAND, OR 97520-2014
VNI\K LLJiI IVPI
68 0
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
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