Loading...
HomeMy WebLinkAboutInsurance Certificate: Etzel Enterprises Inc (2) CERTIFICATE OF LIABILITY INSURANCE .4�Q/? DATE(MM/DD/YYYY)12/03/2022 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(les) must be endorsed. If SUBROGATION'S 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 GASPAR INSURANCE SERVICES/PHS NAME: 72255917 PHONE (866)467-8730 FAX (ac,No,Ext); (AIc,No):' The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio,TX 78251 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A I Sentinel Insurance Company Ltd, 11000 ETZEL ENTERPRISES INC INSURER B: Hartford Flre and Its P&C Affiliates 00914 3500 VICKSBURG LN N STE 411 INSURER C MINNEAPOLIS MN 56447 INSURER D INSURER E: 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 0 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 SUER POLICY EFF POLICY EXP POLICY NUMBER LIMITS LTR !HER WVD (MMIDDIYYYY) IMM/DDIY YYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $1,000,000 PREMISES(Ea occurrence) X General Liabil ty MED EXP(My one person) $10,000 A 72 SBA BD7519 12/20/2022 12/20/2023 PERSONAL 8 ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY—PRO-PRO- ❑LOC PRODUCTS-COMP/OP AGO $4,000,000 JECT X OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) ALL OWNED —SCHEDULED ::li AUTOS AUTOS BODILY INJURY(Per accident) HIRED — NON-OWNED PROPERTY DAMAGE ,I. AUTOS AUTOS (Per accident) _ .h _ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB — CLAIMS- AGGREGATE MADE DED RETENTION$ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY YIN E.L.EACH ACCIDENT $1,000,000 B PROPRIETOR/PARTNER/EXECUTIVE — N/A 72 WEC AABVBR 01/01/2023 01/01/2024 OFFICER/MEMBER EXCLUDED? EL.DISEASE-BA EMPLOYEE $1,000,000 (Mandatory In NH) If yes,describe under EL DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more epbce Is required) Those usual to the Insured's Operations, CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 90 North Mountain Avenue BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED Ashland OR 97520 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE eatrAm off`' CC 6eteseG ©1988.2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD THE HARTFORD �Y>` BUSINESS SERVICE CENTER THE `'" 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 December 3, 2022 MB 01 004254 94942 H 16 A I''IIII111111111 11111111 1'1'1111IIII11"'IIII'111111"Ill'Illil City of Ashland 90 North Mountain Avenue Ashland OR 97520-2014 0 Account Information: Contact Us Policy Holder Details : ETZEL ENTERPRISES INC Need Help? Start a Ilve chat online or call us at (866)467.8730, We're here weekdays from 8:00 AM to 8:00 PM ET. Enclosedplease find a Certificate Of Insurance for the above referenced Policyholder. Please contact us ifyou have an y Y questions or concerns. it;! Sincerely, Your Hartford Service Team • WLTR005