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HomeMy WebLinkAboutInsurance Certificate: Etzel Enterprises Inc. (2) -"'C CERTIFICATE OF LIABILITY INSURANCE DATE 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 TIMOTHY K GASPAR INS SVCS INC/PHS NAME: 72255917 PHONE (866)467-8730 FAX (888)443-6112 (NC,No.Ext): (NC,No): The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio,TX 78251 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Hartford Fire and Its P&C Affiliates 00914 ETZEL ENTERPRISES INC INSURER B: 2560 1ST AVE STE 105 INSURER c SAN DIEGO CA 92103 INSURER D 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 CONDrr1ON 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 INSR WVD (MM/DD/YYYYI (MMIDD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE — CLAIMS-MADE OCCUR DAMAGE TORENTED PREMISES(Ea occurrence) MED EXP(Any one person) PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE POLICY PRO- LOC PRODUCTS-COMP/OP AGG JECT —_ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) ALLOWNED SCHEDULED BODILY INJURY(Per accident) AUTOS AUTOS HIRED NON-OWNED PROPERTY DAMAGE �. AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS- MADE AGGREGATE DED RETENTION WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LABILITY STATUTE ER ANY YIN E.L EACH ACCIDENT $1,000,000 A PROPRIETOR/PARTNER/EXECUTIVE NIA 72 WEC AA8VBR 01/01/2022 01/01/2023 OFFICER/MEMBEREXCLUDED? EL DISEASE-EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes,describe under EL DISEASE-POLICY LIMIT $1,000,000 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 d'ee-efal-e)C234: ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 1, ". THE HARTFORD BUSINESS SERVICE CENTER THE:" -' 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 December 3,2021 MB 01 001894 99995 H 9 A 111"111 h I I I I I I I I I I I I I I"11111"I I'11 l 111111 h 111 I I"I I'I I I I I I I I I I 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.servicesAthehartford.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