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HomeMy WebLinkAboutInsurance Certificate: J.M. Northwest,Inc. dba Dick's Wrecker Service, dba Maynared Hadley Towing From:Sharon Prlddle FaxID: Date:10/312019 12:41:21 PM Paae:2 of 2 DICKWRE-01 SHPRIDDLE ACORL CERTIFICATE OF LIABILITY INSURANCE DATE(rAMIDDIYYYY) 10/28/2019 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(leu of such endorsement(s). PRODUCER • cox CT Steve Priddle 6757WorldClass Insurance Services • PHONE FAI( 8757 Auburn Folsom Rd.#3067 (A/C,No,Ea):(916)789-1523 (Arc,Na):(916)789-1506 Granite Bay,CA 95746 igasxservicegwortdclassins.com_m INSURER(SJ.AFFORDING COVERAGE _..__._..NAIC#._._._. _._._._._._._._.._._._._.._._._._.._._._._....._........._....»........................................... INSURER A:National Interstate Insurance Compang__._._._.. 32620 INSURED INSURER B: J.M.Northwest,Inc.dba:Dick's Wrecker Service INSURER C: dba Maynard Hadley Towing P.O.Box1025 J „INSURER Medford,OR 97501 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 ADDL' POLICY EFF POUCY EXP Am TYPE OF INSURANCE E�,11,��477a��_._._._.._._._.POLICY NUMBER,_.._._.__._._ (( IID.RIY.YYY B�MIQ'+• LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED 100,000 CLAIMS-MADE [—X I OCCUR TWT 0000067 03 111112019 11/1/2020 •R. I6E.S.(E.a_szcclLrNnr�L.__$ MED , EXP(An one,persen, $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 •_._._ S "'M 3,000,000 GENLAGGREGATE UMITAPPLIESPER: GENERAL $ ,POLICY GA1s TPRODUCTS $ 3,000,000 OTHER COMBINED SINGLE LIMIT $ 1,000,000 A AUTOMOBILE LIABILITY ,(Ea acadmI ANYAUTO _ TWT 000/)06703 11/1/2019 11/1/2020 BODILY INJURY(Per Person) ,$ —'OWNED X SCHEDULED AUTOSREONLY AUTOSBODILY INJURY(Per accident) $ X AUTOS ONLY © VMS ONLY Pe acaTRGE._._._._._..$._._._._._._._._._.._._._._. • UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB J CLAIMS-MADE I AGGREGATE $ DED RETENTIONS WORKERS COMPENSATION PER 0TH • - AND EMPLOYERS'LIABILITY I ._.....LABIUM... .Ef3._._._._._._._._._._._._.__._._.._._._._. - Y I,N ANY PROPRIETORIPARTNERIEXECUTIVE l E.L.EACH,ACCIDEf1T,_,_,_,_,_„ O FICERIMEMBER EXCLUDED/ ^_1 N(A (Mandatary In NH) ,E.L.DISEASE-EA EMPLOYEES If yes,describe under . • DESCRIPTION OF OPERATIONS below - E.L.DISEASE_POLICY LIMIT $ A Motor Truck Cargo TWT 0000067 03 11/1/2019 11/112020 W$2,500 Ded$100,000 250,000 A Motor Truck Cargo TINT 0000067 03 11/1/2019 11/112020 W!$2,500 Ded 400,000 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space is required) Garagekeepers Legal Liability:4155 Crater Lake Ave.,Medford,OR 97504: $200,000&160 Lowe Rd.,Ashland,OR 97520:$200,000($5001$2,500 Ded) • CERTIFICATE HOLDER CANCELLATION 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. 99 N Mountain Ave • Ashland,OR 97520 _......................_............................»........».»...._....._._._._..».».»._._....».._...._._..........._.._....._.».............. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered;marks of ACORD