HomeMy WebLinkAboutInsurance Certificate: Wendtco Web Printing Inc ACCORD DATE CERTIFICATE OF LIABILITY INSURANCE '
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 (AFC,No, Est):888-333-4949 FAX
C, No):507-446-4664
OWATONNA,MN 55060 ADDRESS:CLI ENTCONTACTCENTER(aiFEDINS.COM
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED 344-174-8 INSURER B:FEDERATED RESERVE INSURANCE COMPANY 16024
WENDTCO WEB PRINTING INCORPORATED,VALLEY WEB PRINTING INSURER C:
1299 STOWE AVE
MEDFORD,OR 97501-6612 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:7 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.
1LTR TYPE OF INSURANCE `INSR SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
IMM/DCYEFF IMOLIC YEXP
X' COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000
CLAIMS-MADE n OCCUR DAMAGE TO RENTED $100,000
PREMISES(Ea occurrence)
MED EXP(Any one person) EXCLUDED
A Y Y 9820268 07/31/2021 07/31/2022 PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
POLICY nal, 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 —SAUTOSCHEDULEDN N 9820268 07/31/2021 07/31/2022 BODILY INJURY(Per accident)
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY (Per accident)
X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $2,000,000
A EXCESS LIAR CLAIMS•MADE N N 9820269 07/31/2021 07/31/2022 AGGREGATE _ $2,000,000
DED I RETENTION
WORKERS COMPENSATION X PER STATUTE TRH
AND EMPLOYERS'LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE n E.L EACH ACCIDENT $500,000
B OFFICER/MEMBER EXCLUDED? NIA N 1813505 04/01/2021 04/01/2022
(Mandatory in NH) E.L DISEASE-EA EMPLOYEE $500,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $500,000
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
CITY OF ASHLAND, ITS OFFICERS AND EMPLOYEES ARE NAMED ADDITIONAL INSURED AS PER WRITTEN CONTRACT. WAIVER OF
SUBROGATION IS PROVIDED IN FAVOR OF THE CERTIFICATE HOLDER.
THE GENERAL LIABILITY COVERAGE CONTAINS A WAIVER OF SUBROGATION IN FAVOR OF THE CERTIFICATEHOLDER SUBJECT TO THE
CONDITIONS OF THE WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US ENDORSEMENT.
CERTIFICATE HOLDER CANCELLATION
344-174-8 7 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
V
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