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HomeMy WebLinkAboutInsurance Certificate: Bear Creek Lock & Safe, Inc. AC 0® CERTIFICATE.OF LIABILITY INSURANCE DA X2 ) 3/zoYo 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 ORALTER 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 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 CCOONNTACT Dianna Sealy-Gipner Redwoods Leavitt Insurance Agency (A/C.No. (541)479-2667 FAX (A/C, 122 NE Beacon Dr. E-MAIL SS:dianna-sealygipner@leavitt.com ADDRE INSURER(S)AFFORDING COVERAGE •NAIC# Grants Pass OR 97526 UR INSERA:UNZFI Group 11121 INSURED INSURER B:SAIF Corporation ' 36196 Bear Creek Lock 6 Safe, Inc. INSURERc: 1650 Ashland St. INSURERD: INSURER E: 1 - Ashland OR 97520 INSURERF:- - I. , . _ _ . ._ COVERAGES CERTIFICATE NUMBER:20/21 WCrenegl,au 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 - ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYYI LIMITS X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE n OCCUR I DAMAGE TO RENTED 100,000 PREMISES (Ea occurrence) $ 60492399 5/24%2019 5/24/2020 MED EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATELIMITAPP(LIIEESS A JECT I IPER: GENERALAGGREGATE _ $ 2,000,000 POLICY n PRO- I I LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY , COMBINED SINGLE LIMIT $ 1,000,000 _ (Ea accident) A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 60492399 AUTOS AUTOS ' 5/24/2019 5/24/2020 BODILY INJURY.(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS _ AUTOS (Per accident) '$ 4 _ Uninsured motorist BI-single limit $ 1,000,000 UMBRELLA LIAB - OCCUR • _EACH OCCURRENCE $• -- - EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDRETENTION$ $ WORKERS COMPENSATION 1PER OTH- _ AND EMPLOYERS'LIABILITY_ y I N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑NIA B - I E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) 496215 4/1/2020 4/1/2021 E.L.DISEASE-EA EMPLOYEE $ • 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is additional insured in respect to commercial auto liability per form CA7109 0117 General Liability additional insured, Primary including completed operations and Waiver of Subrogation ' per form CG201OR 12/11, General Aggregate applies per project per form CG2503, Waiver of Subrogation.for workers compensation applies per endorsement WC000313 . CERTIFICATE HOLDER - CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE'EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 20 East Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE 1 D Sealy-Gipner/DISEAL Vai,+c(,V11 "'-, I 1.©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401)