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HomeMy WebLinkAboutInsurance Certificate: Squeeky Clean Window & Exterior Cleaning Inc • �..IN SQUEE-1 OP ID:CO ACORO® DATE{MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE oE(MMIDozl 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(les)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 541-2674124 CONTACT The Abel Insurance Team ABEL INSURANCE AGENCY PHONE 541-267-4124 I FAX 541-267-2003 COOS BAY OFFICE lac,No,Ext): (a/c,No): PO BOX 1780 AI DRESS Abel@AbellnsuranceAgency.com COOS BAY,OR 97420 • The Abel Insurance Team INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Red Shield Insurance Co. INSUREDINSURER B:Travelers"Insurance Companies 25658 SQUEEKY CLEAN WINDOW&EXTERIOR CLEANING INC INSURER C: PO BOX 203 INSURER D: ' NORTH BEND,OR 97420 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 INSD WVD IMM/DD/YYYY1 IMMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X CNT020368 08/12/2021 08/12/2022 PREMISES(Ea Dela encel $ 100,000 • MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY _$ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 'f LOC : PRODUCTS-COMP/OPAGG $ INCLUDED OTHER: • $ B AUTOMOBILE LIABILITY (Ea COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO BA-4S497238-21-42 08/12/2021 08/12/2022 BODILY INJURY(Per person) $ AAUTOS ONLY _ SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY NON-OWNEDUTNPROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PPERTUTE EROH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N N/A E.L.EACH ACCIDENT - $ OFFICER/MEMBERaoEXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below • E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER IS ADDITIONAL INSURED FOR GENERAL LIABILITY BY WRITTEN AGREEMENT PER ATTACHED GL 1112 • - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF ASHLAND ACCORDANCE WITH THE POLICY PROVISIONS. 20 EAST MAIN ST ASHLAND,OR 97520 AUTHORIZED REPRESENTATIVE The Abel Insurance Team I ACORD 25(2016/03) ©1988-2015 ACQRD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: COMMERCIAL GENERAL LIABILITY GL 11 1211 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. • ADDITIONAL INSURED - AUTOMATIC STATUS WHEN REQUIRED IN WRITTEN AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II —Who Is An Insured is amended to C. With respect to the insurance afforded to the include as an additional insured any person or additional insureds the following limitations organization for whom you are performing and exclusions apply: operations when you and such person or organization have agreed in writing in a This insurance does not apply to, and the contract or agreement that such person or additional insureds are not insureds for: organization you are contracting with be added as an additional insured on your policy. Such 1. "Bodily injury", "property damage" or person or organization is an additional insured "personal and advertising injury" arising only with respect to "bodily injury" or "property out of the rendering, of, or the-failure to damage" occurring subsequent to execution of render, any professional architectural, the written contract or agreement,while you are engineering or surveying services, performing your ongoing operations at the including: person's or organization's premises, ,and caused only by your negligence in the a. The preparing, approving, or failing to performance of those operations. The person's prepare or approve, maps, shop or organization's status as an additional insured drawings, opinions, reports, surveys, ends when your personnel are no longer field orders, change orders or present at the premises of the person or drawings and specifications; and organization. b. Supervisory, inspection, architectural B. The insurance provided to the additional or engineering activities. insureds is limited as follows: This limitation and exclusion applies even if 1. Any insurance afforded to such additional the claims against an insured allege insureds by this endorsement only applies to negligence or other wrongdoing in .the the extent permitted by law; and supervision, hiring, employment, training or 2. If coverage provided to the additional monitoring of others by that insured, if the insured is required by a contract or written "occurrence"which caused the "bodily injury" agreement, the insurance afforded to such or "property damage", or the offense which additional insured will not be broader than caused the "personal and advertising injury", that which you are required by the contract involved the rendering of or the failure to or written agreement to provide for such render any professional architectural, additional insured; and engineering or surveying services. 3. The person or organization is an additional. 2. "Bodily injury", "property damage" or insured only for vicarious liability resulting "personal and advertising injury" occurring from your negligent acts; and 4. The person or organization are not after: additional insureds for liability arising, out of a. All work, including materials, parts or their own negligence, or the "products equipment furnished in connection completed operations hazard". . with such work, or the project (other than service, maintenance or repairs) • to be performed by or on behalf of the additional insured(s) at the GL 11 12 11 15 Includes copyrighted material of Insurance Services Office, Inc.with its permission. Page 1 of 2 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY GL 11 12 11 15 location of the covered operations has been completed; or b. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for • a principal as part of the same project. 3. Coverage afforded to the additional insured is no greater than that provided to you and is subject to all policy terms, conditions, and exclusions, including those applicable to other insurance, to the same extent they are applicable to you. 4. The following duties are added to the Duties in Event of Occurrence, Offense, Claim or Suit Condition of this policy: Additional insureds under this endorsement shall tender any claim or "suit" to all available insurance and shall give written notice to us of any "occurrence" which may result in a claim or"suit" under this insurance. D. With respect to the insurance afforded to these Additional Insureds, the following is added to Section III—Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or agreement you have entered into with the additional insured; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. GL 11 12 11 15 Includes copyrighted material of Insurance Services Office, Inc.with its permission. Page 2 of 2