HomeMy WebLinkAboutInsurance Certificate: Curtius-Huntley Plumbing Inc ACCoRD YYY)
CERTIFICATE OF LIABILITY INSURANCE 04//192192 2
0021
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 CONTACT
FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER
HOME OFFICE:P.O.BOX 328 IA!C.No, Ext):888-333-4949 FAX No):507-446-4664
OWATONNA,MN 55060 AIL
ADDRESS:CLI ENTCONTACTCENTER1),FEDINS.COM
' INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED 358-691-4 INSURER B:
CURTIUS-HUNTLEY PLUMBING INC INSURER C:
1896 DELTA WATERS RD
MEDFORD,OR 97504-4705 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:24 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.
INTRR TYPE OF INSURANCE IINNSR SWVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS
(MMIDCY EFF I (MOLIC E YV1
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000
DAMAGE TO RENTED
CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $100,000
MED EXP(Any one person) EXCLUDED
-
A N N 9353730 05/09/2021 05/09/2022 PERSONAL&ADV INJURY ' $1,000,000
GEL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
POLICY n JECT I I LOC PRODUCTS-COMP/OP AGO $2,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
X ANY AUTO (Ea accident)
—
BODILY INJURY(Per person)
A _OWNED AUTOS ONLY _AUTOSULED N N. 9353730 05/09/2021 05/09/2022 BODILY INJURY(Per accident)
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY (Per mei dent)
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $5,000,000
A EXCESS LIAB CLAIMS-MADE N N 9353731 05/09/2021 05/09/2022 AGGREGATE $5,000,000
DED I (RETENTION
WORKERS COMPENSATION - OTH-
AND EMPLOYERS'LIABILITY Y/N
PER STATUTE ER
ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? N I A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE
If yes,describe under
DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
358-691-4 24 0
CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
20 E MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ASHLAND,OR 97520-1814 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
4/444/i/fd )4A^/'
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