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HomeMy WebLinkAboutInsurance Certificate: Pro-Pipe, Inc. Client#: 1982221 i NATIOUNDI ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 8/001/201/2023 Irn 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMEACT Andrea Vargas USI Insurance Services, LLC/CL PHONE 305 669-6000 FAX (A1C,No,Ext): (A/C,No): 201 Alhambra Circle,Suite 1401 E-MAIL AndVusi.com Coral Gables, FL 33134-5108 ADDRESS: rea. ar 9as @ 305 669-6000 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Steadfast Insurance Company 26387 INSUREDINSURER B:American Guarantee&Liability Ins Co. 26247 Pro-Pipe, Inc. INSURER c:Zurich American Insurance Company 16535 47 Discovery#250 Travelers CasualtySuretyCo.of Amer 31194 Irvine, CA 92618 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 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. LTR TYPE OF INSURANCE INSRL SUBR WVD POLICY NUMBER WPOLICY EFF POLICY EXP LIMITS (MMIDD/YI) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY X X GPL247567400 08/01/2022 08/15/2023 EACH OCCURRENCEp� $2,000,000 CLAIMS-MADE X OCCUR PREMISES(Ea occcu ence) $100,000 X Contractors MED EXP(Anyone person) $5,000 Pollution PERSONAL&ADV INJURY $2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 PRO- POLICY X JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ C AUTOMOBILE LIABILITY X X BAP433518800 08/01/2022 08/15/2023 COMaacBcideINEDnt) $2,000,000 SINGLE LIMIT (E X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) B UMBRELLA LIAB X OCCUR SXS254496900 08/01/2022 08/15/2023 EACH OCCURRENCE $10,000,000 x EXCESS LIAB CLAIMS-MADE AGGREGATE $1 0,000,000 DED RETENTION$ $ C WORKERS COMPENSATION X WC424797600 08/01/2022 08/15/2023 X STATUTE OTH- ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Inland Marine QT6306T179634TIL22 08/01/2022 08/15/2023 500,000 Leased/Rented DED 5,000 A Professional Liab GPL247567400 08/01/2022 08/15/2023 2,000,000E/4,000,000Agg DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE: Branch#69 The General Liability Policy includes an automatic Additional Insured endorsement that provides Additional Insured status to City of Ashland only when there is a written contract that requires such status,and only with regard to work performed by or on behalf of the named insured. CERTIFICATE HOLDER CANCELLATION Cityof Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E.Main St. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE I � ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S41026483/M41025295 SAPZR This page has been left blank intentionally. i•,•; • tit USI INSURANCE SERVICES CERTIFICATE RETURN MAIL PROCESSING PO BOX 629035 EL DORADO HILLS CA 95762-9035 CITY OF ASHLAND 20 E MAIN ST ASHLAND OR 97520-1814