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HomeMy WebLinkAboutInsurance Certificate: Electrical Consultants Inc ELECCON-05 • RDYER A��o° CERTIFICATE OF LIABILITY INSURANCE DA 6/21/2021 TE Y) 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 Renee Dyer NAME: Billings Office PayneWest Insurance,Inc. (A/C,"r o,Ext):(406)238-1986 FAX No): P.O.Box 30638 ADI REss:rdyer@paynewest.com Billings,MT 59107-0638 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Continental Insurance Company 35289 INSURED INSURER B:LM Insurance Corporation 33600 Electrical Consultants,Inc. INSURER C:Continental Casualty Company 20443 3521 Gabel Road INSURER D: Billings,MT 59102-7307 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 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DDIYYYY) (MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 6015980113 11/1/2020 11/1/2021 DAMAGETORENTED 800,000 X PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _$ 2,000,000 POLICY X X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) X ANY AUTO BUA6014516577 11/1/2020 11/1/2021 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ TNON-OWNED PROPERTY)AMAGEAUOS ONLY UUOONLY Per accident) A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 15,000,000 EXCESSLIAB CLAIMS-MADE 6015980127 11/1/2020 11/1/2021 AGGREGATE $ 15,000,000 DED X RETENTION$ 10,000 $ B WORKERS COMPENSATION X STATUTE ETH AND EMPLOYERS'LIABILITY Y/N WC5Z91473113011 7/1/2021 7/1/2022 1,000,000 OFFICER/ MEIM ER EXCLUD D?ECUTIVE N/A E.L.EACH ACCIDENT $ (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE.$ 1,000,000 If yes,describe under 1000000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ ' ' C Professional/Polluti AEH114043145 9/10/2020 9/10/2021 Each Claim/Aggregate 10,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more spaceaIs required) Policy#WC5Z91473113011 Coy 3A States AK AR AZ CA CO FL GA HI IA ID IL IN KS ME MI MN MO MS MT NC NE N NJ NM NV NY OK OR PA SD TN TX UTVA WI WV Coy 3C All States Except ND OH WA WY and those States Listed in 3A See next page for additional policies information(if applicable): CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ci of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Street Ashland,OR 97520 AUTHORIZED THE � DRREPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD