Loading...
HomeMy WebLinkAboutInsurance Certificate: Olsson Industrial ELectric Inc • ____....F.40 NAESCOR-02 LWANG2 ACORO" DATE(MM/DD/YYYI) �� CERTIFICATE OF LIABILITY INSURANCE 5/18/2022 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 COO CT Certificate Re• quests Alliant Insurance Services,Inc. PHONE • FAX 10 Almaden Boulevard,Suite 650 (A/C,No,Ext):(408)352-6700 . I(A/C,No): San Jose,'CA 95113 . . MEN;sjcertif cotes@alliant.com, • INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Zurich American Insurance Company 16535 - INSURED INSURER B:American Guarantee and Liability Insurance Company 26247 ' Olsson Industrial Electric,Inc. INSURER C American Zurich Insurance Company 40142 1180 NW Maple Street,Suite 200 INSURER D: Issaquah,WA 98027 INSURER E: 1 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. ILTRR TYPE OF INSURANCE �gp SUBR POLICY NUMBER POLICY EFF• POLICY EXP LIMITS . A X COMMERCIAL GENERAL LIABILITY (MMIDD/YYYYI (MM/DD/YYY1� 2,000,000 EACH OCCURRENCE __$ CLAIMS-MADE X OCCUR GLO 5574116-09 - 5/20/2022 5/2012023 DAMAGE TO RENTED 1,000,000 X PREMISES(EEirNTE me) $ 1 MED EXP(Any one person) • $ Included • PERSONAL&ADV INJURY $ 2,000,000 I GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY X jE�T LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY —CEO ucc der;SINGLE LIMIT $ 2,000,000 X ANYAUTO. X BAP 9830191-12 5/20/2022 5/20/2023 BODILY INJURY(Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS WN BODILY INJURY(Per accident) $ AUTORS ONLY AUTOS ONLDY (PPerr ardent) GE $ Comp/Coll Ded $ 5,000 B UMBRELLA.LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS-MADE X AUC 355245-02 5/20/2022 5/20/2023 AGGREGATE 10,000,000 DED X RETENTION$, 10,000 _ $ C WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE OTH- ER _ /NWC 5574117-09 5/20/2022 5/20/2023 2,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE r IE.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? I N/A (Mandatory in NH) E.L.1 DISEASE-EA EMPLOYEE $ 2,000,000 1f es,describe under 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,mayha attached H more space Is required) The City of Ashland,Oregon and its elected officials,officers and employees are incuded as additional insured where required by written contract and allowed by law-with respect to General Liability,Automobile Liability,and Excess Liability. This insurance shall be primary and non-contributory and limited to liability arising out of the operations of the named insured when required by written contract. • CERTIFICATE HOLDER CANCELLATION ' • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Street Ashland,OR 97520 AUTHORIZED REPRESENTATIVE I } J ACORD 25(2016/03) - ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD