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HomeMy WebLinkAboutInsurance Certificate: Electrical ConsultantsELECCON-05 RDYER '4cofzo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) �.� 12/26/2019 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 endorsement(s). PRODUCER CO ACT Billings Office PHONE - - FAX -- -- Paynewest Insurance, Inc. A/C, No, Et): (406) 238-1900 (A/C, No):(406) 245-9887 P.O. Box 30638 E-MAIL RE Billings, MT 59107-0638 INSURERS) AFFORDING COVERAGE NAM # INSURED Electrical Consultants, Inc. 3521 Gabel Road Billings, MT 59102-7307 INSURER F : Continental Insurance Company 35289__ Zurich American Insurance Company 16535 Montana State Fund 15819 P/1VCCAP`_CQ !`CDTICI!`ATC kII IlU10=0- DCVICInu All Itu Q=D- 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 OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMfAGETo aENTEDoccurrence 300,000 CLAIMS -MADE X OCCUR X 6015980113 11/1/2019 11/1/2020 MED EXP (Any oneperson) 15,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑X JECT ❑X LOC $ 2,000,000 $ 2,000,000 PRODUCTS -COMP/OP AGG OTHER: B AUTOMOBILE LIABILITY (Ea accicNED SINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ X ANY AUTO BUA6014516577 11/1/2019 11/1/2020 BODILY INJURY Per accident _ $ OWNED SCHEDULED AUTOS ONLY AUUTNOSyy PPor a accident) ntDAMAGE ED AUTOS ONLY AUTOS ONNLY EC $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 15,000,000 AGGREGATE EXCESS LIAB CLAIMS -MADE 6015980127 11/1/2019 11/1/2020 $ _ 15,000,000 DIED I X I RETENTION $ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED9 ❑ (Mandatory in NH) N / A WC959744509 1/1/2020 X PER OTH- 1/1/2021 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE 1,000,000 $ - - - $ 11000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 000 000 B Professional/Polluti AEH114043145 9/10/2019 9/10/2020 Each Claim/Aggregate 10,000,000' E IWorkers Compensation 032578445 1/1/2020 1 1/1/2021 Per Statute/EL Limit 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Workers Comp Information for MT: Montana State Fund policy # 032578445 Eff 01/01/19-01/01/20 Coverage A Statutory Employers Liability Limits for Policy Each Accident: $1,000,000/Disease - Each Employee: $1,000,000/Disease - Policy Limit See next page for additional policies information: City of Ashland 20 East Main Street Ashland, OR 97520 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 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD