Loading...
HomeMy WebLinkAboutInsurance Certificate- Better View LLC DBA Farrells Glass Service State Farm at CityLine PO Box 853925 Richardson, TX 75085-3925 CFO StateFarrms State Farm Fire and Casualty Company CITY OF ASHLAND A stock company with home offices in Bloomington, Illinois ' • 20 E MAIN ST • • J'= ASHLAND OR 97520-1814 0 O 0 (17)E Inland Marine Attaching Declarations Policy number: 97-AA-B135-1 Effective.date; June 27, 2021 Policy period: 12 months Expiration date: June 27, 2022 The policy period begins and ends at 12:01 am standard time at the premises location.. ATTACHING INLAND MARINE Automatic renewal-If the State Farm®policy period is shown as 12 months,this policy will be renewed automatically subject to the premiums,rules and forms in effect for each succeeding policy period. If this policy is terminated,we will give you and the Mortgagee/Lienholder written notice in compliance with thepolicy provisions or as required by law. Annual policy premium: Included The above premium amount is included in the Policy Premium shown on the Declarations. FULL NAMED INSURED . Named Insured: BETTER VIEW LLC DBA FARRELLS GLASS SERVICE Your policy consists of these Declarations, the INLAND MARINE CONDITIONS shown below, and any other forms and endorsements that apply, including those shown below as well as those issued subsequent to the issuance of this policy. FORMS,OPTIONS AND ENDORSEMENTS FE-6867 Inland Marine Amendment of Inland Marine Conditions FE-8739 Inland Marine Conditions FE-8743.1 Inland Marine Computer Property Form See below for schedule page with limits ATTACHING INLAND MARINE SCHEDULE PAGE Endorsement Coverage Limit of insurance Deductible amount Annual premium number FE-8743.1 Inland Marine Computer Property Form $25,000' $500 Included Loss of Income and Extra Expense $25,000 Included Policy Number:97-AA-8135-1 Page 1 o 2 Prepared:April 30,2021 ©Copyright,State Farm Mutual Automobile,Insurance,Company,2008 CIM Att Dec 3P OR.1 1009481 2002 153089 202 03-06-2021 FD-6007 ' 004427 00 State Farme Other limits and exclusions may'apply refer to your policy. ; • • • w FI • • Policy Number:97-AA-13135-1 Page 2 of 2' Prepared:April 30,2021 ©Copyright,State Farm Mutual Automobile Insurance Company,2008 ED-6007 • CMP-4654.1 Page 1 of 1. THIS ENDORSEMENT CHANGES THE POLICY':PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-OWNERS, LESSEES,OR CONTRACTORS(Scheduled) This endorsement modifies insurance provided under the following: § BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 97-AA-B135-1 Named Insured: BETTER VIEW LLC DBA FARRELL'S GLASS SERVICE " 20 E Main St Ashland OR 97520-1814; Name And Address Of Additional.Insured,Person Or Organization , CITY OF ASHLAND 20 E Main St Ashland OR 97520-1814 1. SECTION ll WHO IS AN INSURED of SECTION II —LIABILITY is amended to include, as an additional insured, any person or organization shown in the Schedule, but only: a. Ongoing Operations With respect to liability for.`.'bodily injury", "property damage", or "personaland advertising injury" caused by your ongoing operations for that additional insured and only to the extent that such "bodily injury", "property damage" or"personal and advertising injury" is caused by your negligence or the negligence of those performing operations on your behalf; or b. Products-Completed Operations To the extent that the liability for."bodily injury" or 'property damage" is caused by "yourwork" performed for that additional insured and included in the"products-completed operations hazard". 2: Any insurance provided to the additional insured shall only apply with.respect to a claim made ora"suit" brought for damages for which you.are provided coverage. 3. Primary Insurance, The insurance afforded the additional insured shall be primary insurance, Any insurance carried by the additional insured shall be noncontributory with respect to,coverage provided by you. All other policy provisions apply. . • . , CMP-4664.1 155042 03-204019 ©, Copyright; State Farm Mutual Automobile:Insurance Company,2016 Includes copyrighted material of Insurance Services Office, Inc.,,with its permission. • 004428