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HomeMy WebLinkAboutInsurance Certificate: Etzel Enterprises Inc (3) DATE(MM/DDIYYYY) �- - CERTIFICATE OF LIABILITY INSURANCE . 12/03/2021 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 be endorsed. If SUBROGATIONIS 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 NAME: TIMOTHY K GASPAR INS SERVICES INC 72255452 PHONE (818)302-3060 FAX (818)436-6122 23161 VENTURA BLVD STE 100 ( 'No,Ext): (NC,No): E-MAIL ADDRESS: WOODLAND HILLS CA 91364 INSURER(S)AFFORDING COVERAGE NAIL# INSURERA: Sentinel Insurance Company Ltd. 11000 INSURED INSURER B: ETZEL ENTERPRISES INC INSURER C: 2560 1ST AVE STE 105 SAN DIEGO CA 92103 INSURERD: 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 SUER POUCY NUMBER POLICY EFF POLICY EXP OMITS LTR INSR WVD (MMIDD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE $2,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED $1,000,000 General Liability PREMISES(Ea occurrence) X `J' MED EXP(Any one person) $10,000 A 72 SBA BD7519 12/20/2020 12/20/2021 PERSONAL&ADV INJURY $2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $4,000,000 PRO-POUCY JECT X,LOG PRODUCTS-COMP/OP AGG $4,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) HIRED NON-OWNED PROPERTY DAMAGE �. AUTOS AUTOS (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS- MADE AGGREGATE DED RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY Y/N EL EACH ACCIDENT. PROPRIETOR/PARTNERIEXECU11VE t— - OFFICER/MEMBER EXCLUDED? I N/A E.L DISEASE-EA EMPLOYEE (Mandatory in NH) If yes,describe under EL DISEASE-POLICY UMIT DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space 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 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD _ .. THE HARTFORD BUSINESS SERVICE CENTER THE_ ` 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 December 3,2021 MB 01 001900 99995 H 9 A 11"1111.111111"11111111111"111'11`1111"11"11111111111111"11 City of Ashland 90 North Mountain Avenue Ashland OR 97520-2014 Account Information: Contact Us Policy Holder Details : ETZEL ENTERPRISES INC Business Service Center • Business Hours: Monday Friday (7AM-7PM Central Standard Time) Phone: (866)467-8730. Fax: (888)443-6112 Email: agency.services@thehartford.com =_ Website: https://business.thehartford.com Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns. . Sincerely, Your Hartford Service Team WLTR005