Loading...
HomeMy WebLinkAboutInsurance Certificate: Cascade Communication Services Inc (3) . . AC----4S01;10®-:-.......-..: _ ... DATE(MM/DD/YYYY) _• . .. : . .. . -'CERTIFICATE OF LIABILITY.INSURANCE _ .DATE • • • THIS- CERTIFICATE IS ISSUED-:AS.A•MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE•CERTIFICATE.HOLDER. THIS . • • • • .. '• CERTIFICATEDOESNOT'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 • CONTACT - ' , FEDERATED MUTUAL INSURANCE COMPANY PAME: CLIENT CONTACT CENTER • - HOME OFFICE:P.O.BOX 328 (A/C,No, Ext):888-333-4949 (A/C,No):507-446-4664 OWATONNA,MN 55060 E-ADDRESS:CLI ENTCONTACTCENTER(a.FEDINS.COM • . .INSURER(S)AFFORDING COVERAGE - NAIC N • ' • ' INSURER A:FEDERATED MUTUAL INSURANCE COMPANY '. 13935 INSURED ' • - 348-6974 INSURER B:FEDERATED RESERVE INSURANCE COMPANY 16024 CASCADE COMMUNICATION SERVICES INC .. INSURER •c: •' ' ' 2961 HELMS RD • • • • • GRANTS PASS,OR 97527-9515 . . . INSURER D: • INSURER E: INSURER F: +COVERAGES • - • CERTIFICATE NUMBER:6B • 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 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. ...... ILTR R TYPE OF INSURANCE- - - • -.NSR sWVDR - POLICY NUMBER IMM DDIYVYYY) rimootIYYYY) LIMITS . • COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE n OCCUR PMISES Ea occurrence) $100,000 MED EXP(Any one person) _ X BUSINESS-OWNER'S LIABILITY A - N N - 9062279 02/01/2023 .02/01/2024 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT-APPLIES PER: GENERAL AGGREGATE $2,000,000 • PRO • •• X POLICY JECT- n LOC • PRODUCTS-COMP/OP AGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) —OWNED AUTOS ONLY • SCHEDULED B' — AUTOS NN 9062280 '02/01/2023 02/01/2024 BODILY INJURY(Per accident) HIRED AUTOS ONLY AUTO ONLY PROPERTY DAMAGE _,AUTOS IPer accident) X UMBRELLA LIAR X OCCUR' •' •' . • EACH OCCURRENCE • $1,000,000 A —'EXCESSLIAR 'CLAIMS•MADE . N N • '9062569 02/01/2023 02/01/2024 AGGREGATE $1,000,000 DED RETENTION - WORKERS COMPENSATION OTH- PER STATUTE - '' AND EMPLOYERS'LIABILITY • • y/N ER • ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT • OFFICERIMEMBER EXCLUDED? N I A . (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE . - I(yes.descrIbe under. • • DESCRIPTION OF OPERATIONS below E.L DISEASE-POUCY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS./VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) ' • • . ,. _, CERTIFICATE.HOLDER , • . • CANCELLATION 348-697-4 68 0 CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE • 90 N MOUNTAIN AVE THE EXPIRATION DATE--THEREOF, NOTICE WILL BE DEUVERED IN • ASHLAND,OR 97520-2014 . ACCORDANCE WITH THE POUCY PROVISIONS. • AUTHORIZED REPRESENTATIVE 1G 6 r 4 ,/ ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03)'• - The ACORD name and logo are-registered marks of ACORD 348-697-4 68 #B WN D H BS BM000-06-0073 #XWXW0021 XXXXXXX5# CITY OF ASHLAND 90 N Mountain Ave Ashland, OR 97520-2014