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HomeMy WebLinkAboutInsurance Certificate: Tactical Business Group LLC S: :,?`'s:;;;;..• :h�x,{f. ® DATE(MM/DD/YYYY) ! . . ACCPRU CERTIFICATE OF LIABILITY INSURANCE ' 09/18/23 (TIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS tic.CfftTIFICATE DOES NOT AFFIRMATIVELY.OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED.BY THE POLICIES BgLC W.. THIS CERTIFICATE OF INSURANCE.DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING.INSURER(S), AUTHORIZED ,REP'�RESENTATIVE 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: If1SUBROGATION 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 CONTACT '. .. NAME: Katie BlaSer. Nielsen Insurance Agency' . (A/c,No..Ext): (503)684-6598 a.No): -(503)244-6881. E-M , 60 SW Hunziker'St,Ste 207 ADDRAIEs's: katie(a�niagency.com /TIggct,OR 97223 INSURER(S)AFFORDING COVERAGE • NAIC# r?''4id i INSURER A: Mid-Century Insurance Company. 21687 INSURED INSURER B::Hiscox Insurance Company Inc' • • 10200 ; r. Tactical Business Group LLC t INSURER C:' -i'1 = 4497 Brownridge Terrace INSURERD: 1-001:40 Suite 102 .. . INSURER E:' . . .04 Medford,OR 97504 OR 97504 INSURER F.: D•i �:COBAGES CERTIFICATE NUMBER:: REVISION NUMBER: Wtt IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED.TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 'f IbICATED.' NOTWITHSTANDING ANY REQUIREMENT, OR CONDITION OF ANY.CONTRACT OROTHERDOCUMENT WITH RESPECT TO WHICH THIS P_i ,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 MD POLICY NUMBER. (MM/DD/YYYY)' (MM/DD/YYYY) •. LIMITS „ X, COMMERCIAL GENERAL LIABILITY - EACH OCCURRENCE $ . 2,000,000 } DAMAGE TO RENTED. ,J-'.._,,., . CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 75,000 t, 7,t,t MED EXP(Any one person). ' $ . . ' 5,000 .:_�, Y 60669-36-80 10/01/23 10/01/24 PERSONAL&ADV INJURY $ : 2,000,000 - ,, GE)'J L AGGREGATE LIMIT APPLIES PER .. GENERAL AGGREGATE $: 4,000,000 ,E'..",.p . POLICY JECT_ LOC PRODUCTS-COMP/OP AGG $ 4,000,000 �( e r 1'• �. COMBINED SINGLE LIMIT . .ii 7 TOMOBILE LIABILITY (Ea accident) $ 2,000,000 ANY AUTO BODILY INJURY(Per person) $ .. Alm., AUTOS ONLY SCHEDULED Y 60669-3680 10/01/23' 10/01/24 BODILY INJURY(Per accident) '$ '.• lA• HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY X $AUTOS ONLY'. : (Per'accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $. ' ' -''' ,' EXCESS LIAB CLAIMS-MADE AGGREGATE —$ I1. DED RETENTION$ $ ¢I:141.ILORKERS COMPENSATION `' PER . 0TH- AND EMPLOYERS'LIABILITY" Y/N - STATUTE ER i!:: . ANY PROPRIETOR/PARTNER/EXECUTIVE 7 N,A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? .. „ A,(ylandatoryin NH) E.L.DISEASE-EA EMPLOYEE $ . . ( IPPS'es,describe under ;11-04: , ,DESCRIPTION OF OPERATIONS below : E.L.DISEASE-POLICY LIMIT $ ' dt rf -..I?rofessional Liability MP 5306244. 02/22/23 02/22/24. Ea Occurence $1,000,000 ', Aggregate • $1. 000 000 )'7EISpRPTION'OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) . . . R FY21-FY23 GEMT contracting services Ashland Fire Rescue. The City of Ashland, its elected officials,officers&employees are included as additional insured for General and Auto Liability. Coverage is primary and non-contributory, CER MICATE HOLDER CANCELLATION `'i l`'•�' City:of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i 1uDr 20.East Main Street THE' EXPIRATION: DATE. THEREOF, NOTICE WILL BE DELIVERED: IN 1' ,,;n ACCORDANCE WITH.THE POLICY PROVISIONS. 1.';I."$ Ashland,OR 97520 I o"' ': SA 4r.w , AUTHORIZED REPRESENTATIVE • ) 07v .,rte, - ©.1988.2015 ACORD CORPORATION. All eights reserved. -NACORD 25(2016/03) The ACORD name and logo are registered marks of AGGRO