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HomeMy WebLinkAboutInsurance Certificate: Etzel Enterprises Inc (3) `ter- DATE(MM/DD/YYYY) sorer ° .CERTIFICATE OF LIABILITY INSURANCE 46,.....---. 09/29/2022 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 SUBROGATION'S 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 (A/C,No,Ext): (A/C,No): The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio,TX 78251 ADDRESS: ' INSURER(S)AFFORDING COVERAGE NAIC# INSURED /INSURER A: Sentinel Insurance Company Ltd. 11000 ETZEL ENTERPRISES INC 2if Ill C� (/ INSURER B: Hartford Fire and Its P&C Affiliates 00914 2560SAN 1STIEAVE 2 105 p SURER C SAN DIEGO CA 92103 Gaf/� ' 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY , EACH OCCURRENCE $2,000,000 CLAIMS-MADE ri OCCUR DAMAGE TO RENTED $1,000,000 " General LiabilityPREMISES(Ea occurrence) X MED EXP(Any one person) $10,000 A X 72 SBA BD7519 12/20/2021 12/20/2022 PERSONAL&ADV INJURY $2,000,000 , GEN'L AGGREGATE LIMIT APPLIES PER: " GENERAL AGGREGATE $4,000,000 riPOLICY PRO- n LOC • PRODUCTS-COMP/OP AGG $4,000,000 JECT I I OTHER: • AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT —. (Ea accident) ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) HIRED NON-OWNED , PROPERTY DAMAGE ' AUTOS _AUTOS (Per accident) • _ UMBRELLA LIAB OCCUR EACH OCCURRENCE • EXCESS LIAB CLAIMS- AGGREGATE • MADE DED RETENTION$ - WORKERS COMPENSATION x PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY YIN E.L.EACH ACCIDENT $1,000,000 • B PROPRIETOR/PARTNER/EXECUTIVE C N/A . 72WECAA8VBR 01/01/2022 01/01/2023 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes,describe under E.L.DISEASE-"POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below ' DESCRIPTION OF OPERA TIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Those usual to the Insured's Operations.Certificate.holder is an additional insured per the Business Liability Coverage Form SS0008,attached to this policy. CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 90 N MOUNTAIN AVE BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED ASHLAND OR 97520-2014 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 • - ' ' - • • • , . • r" THE HARTFORD BUSINESS SERVICE CENTER THE 'I , 3600 WISEMAN BLVD HARTFORD SAN ANTONIO'TX 78251 , September 29, 2022 , • • City of Ashland 90 N MOUNTAIN AVE ASHLAND OR 97520-2014 , • , • , , Account Information: Contact Us Policy Holder Details : ETZEL ENTERPRISES INC Need Help? Start a live chat online or call us at (866)467-8730. We're here weekdays from 8:00 AM to 8:00 PM ET. Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have,any • questions or concerns. 4 , Sincerely, • Your Hartford Service Team • • • WLTR005 • l ' ' '' '' ' ' ' , .. .,... ';L: : .,,, ., ., . , , . , • Kariann Olson From: ks encer@answerpage.eom •• Sent Friday,September 30,2022 7:21 A To: Kariann Olson Subject: FW:Proof Of Insurance Attachments: _ CERTIFICATE OF INSURANCE(COI).Pdf [EXTERNAL SENDER] • , From:The Hartford • <agency.services@thehartford.com> _ Sent:Thursday,September 29,2022 2:18 PM , To: kspencer@answerpage.com Subject: Proof Of Insurance , • The Hartford Services Team • i AinOD•Pdf4pipia . .easage fro The Ha tfor y 4 „,a 4:04ce , ..�.U ._,..... • The documen ou re`ues ed showin roof f insurance for ETZEL ENTERPRISES INC ' - 1.1.561Ellge tY ,q t 9 p q � is attached. Please contact us if you have any questions or concerns. .. ' iret;i:iiiiP'.%14: -ifittiRiNilThank you for selecting The Hartford for your business insurance.needs. poitilsmtom Sincerely, i The Hartford SenricesTeam : � -vi 3 3 " _ -=;F-- ;..-.. .-i`-.^.. s�. °k y.$16P3'n�m I,..,,,3l3 PY ilealgR P r v ,z �,.5"' �-c 4-r o 33'3 ,, J -r Privacy Policy [ Terms of Use Contact Us I Customer Login I Agent Login �! ,, 33 f Nit- 3""' 3 SVT d . e This email was sent to:kspencerCG7answer�page'com ' 1' a iia Attached CERTIFICATE'OF INSURA CE CC l Pdfri l l g 04 1 You'll require Adobes'Reader in order to open#PO attachr encs Download a ",o,, be Reader�to�your 3 5 t computer o -�� i g �. ,p _ 7 _r ,� ,t, 3,.l 133�, r3. - g, '4f� 3� 1 alk • This email was sent by:eThe Hartford. t oottimotoutisttor 3600 Wiseman Blvd San Antonio,3TX 78251,United States a 2022 Ali Rig its Reserved -,.a , , e } ,This ista customer service message 'rom The IHartford.For,securi=ty reasons,we kindly ask that you do not r` 'reply to this email If you have1questions regar ling youraccount,Tease contact us or>log in-so we can properly verify your identityllft E For Arizona California,New Hampshire,Texas and Washington,your(orrthe)spec'cifle'insurane underwriting y ' corppany can be easily obtained by viewing 3the,insurance policy document accesserd through the link as specified aboveAw.g3 3 3 7 �', 3��>a. 3 r -r • lijt!MiErilttltkMkijiktikNa� 3 r�� � a� �4r �'��" ��1����y�-ems �a� ss r£ � � - '3 s � .:>�mm.,.....__._._.-ro ....�..w�;�»4..>..s,�a�, � »���� r , —»... ............ :.iznd �?.»3;h3,h.J u�„,„ �; ..a,..�.....x.u.�b.�' ,> �� .... `. �.' �..� ... ux �.,�... 'ok�k#*#*ffi�k�k�k��k-�kkkkkkkkk�k�krk�krkkffiffi*ffik#�k�k�k#�K#�k�k�k�k�krk�k�k�k�k�k�k�k�K�k�k�k�k##�k�k�k�k�k�k�k�k�k�k�k�k�k*�k�k+k�k�k•�k�k�k:k�k�k****�k+K�k�k�k�K�k�k�k�k:k This communication; including attachments, is for the exclusive use of addressee and may contain proprietary, . 1 • • confidential and/or privileged information. If you are not the intended recipient, any use,copying, disclosure, ti. dissemination or distribution is strictly prohibited. If you are not the intended recipient, please notify the sender immediately by return e-mail, delete this communication andestroy all copies. ****