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HomeMy WebLinkAboutInsurance Certificate: Electrical Consultants Inc f ELECCON-05 RDYER ACOREY DATE(MM/DD/YYYY) AR CERTIFICATE OF.LIABILITY, INSURANCE 8/31/2020 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 NAMEACT Renee Dyer Billings Office I ) PayneWest Insurance,Inc. (A/C,No,Ext):('406)238-1986 FAX No: P.O.Box 30638 a i Ess:rdyer@paynewest.com Billings,MT 59107-0638 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:National Fire Insurance Co of Hartford 20478 INSURED INSURER B:Continental Casualty Company 20443 Electrical Consultants,Inc. INSURER C:Continental Insurance Company 35289 3521 Gabel Road INSURER D:Zurich American Insurance Company 16535 Billings,MT 59102-7307 INSURER E:M'ontana State Fund 15819 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 HAVEBEEN-REDUCED-BY-PAID-CLAIMS: -" INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM!DD/YYYY1 (MM!DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 6015980113 11/1/2019 11/1/2020 DAMAGE TO RENTED 300,000 X PREMISES(Ea occurrence) $ • - MED EXP(Any one person) $ 15,000 1 PERSONAL&ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE $ 2,000,000 POLICY X jE X LOC • I PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: 1 $ Included B AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO BUA6014516577 11/1/2019 11/1/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS ' BODILY INJURY(Per accident) $ AUTOS ONLY NON-OWNEDUUTONYY PROPERTY DAMAGE Per accident) $ $ C UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 15,000,000 X EXCESS LIAB CLAIMS-MADE 6015980127 11/1/2019 11/1/2020 AGGREGATE $ 15,000,000 DED X RETENTION$ 10,000 $ D WORKERS COMPENSATION , AND EMPLOYERS'LIABILITY Y/N X STATUTE ERH •WC959744509 1/1/2020 1/1/2021 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A 1 OOO OOO (Mandatory in NH) -_-- E.L.DISEASE-EA EMPLOYEE-$ ' If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ -B Professional/Polluti AEH114043145 9/10/2020 9/10/2021 Each Claim/Aggregate 10,000,000 E Workers Compensation 032578445 1/1/2020 1/1/2021 Per Statute/EL Limit 1,000,000 i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Montana State Fund policy#032578445 Coy 3A Statutory,Employers Legal Liability Limits:Ea Accident$1,000,000/Disease Ea Employee$1,000,000/Disease Policy Limit ` Other States:Zurich policy#WC959744509 Coy 3A States AR AZ CA CO FL HI ID MN MO NC NJ NV NY OK OR TN TX UT WI,Coy 3C All States Except ND OH - WA WY MT and,those States Listed in 3A I See next page for additional policies information: I. . i . I CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Street Ashland,OR 97520 . AUTHORIZED REPRESENTATIVE 1 I I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD