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HomeMy WebLinkAboutInsurance Certificate: SME Solutions LLC Client#:335759 SMESOLUT ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 10/05/2020 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 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Wendy Jones USI Insurance Services NW WC PHONE 503 224-8390 ax 610 362-8130 (A/C,No,Ext): (FAIC,No): 825 NE Multnomah,Suite 1500 E-MAIL wendy.jones@usi.com Portland,OR 97232 ADDRESS: Y 1ones @ 503 224-8390 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Zurich American Insurance Company 16535 INSURED INSURER B:SAIF Corporation 36196 SME Solutions, LLC 680 Quinn Ave. INSURER c: San Jose,CA 95112 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. LTR TYPE OF INSURANCE NW SR VD POLICY NUMBER POLICY EFF POLICY EXP(MM/DD/YYYY) (MM/DD/YYYI) LIMITS COMMERCIAL GENERAL LIABILITY EEAACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES(ERENTED nce) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: _ - $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS AUTOS ONLY AUTOS ONLY (Per a accident) DAMAGE $ — $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE _$ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION 8997923 10/01/2020 10/01/2021 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) **Workers Comp Information** B 992634 Eff Date: 10/01/2020 Exp Date: 10/01/2021 WC Each Accident Limit:$1,000,000 (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Cityof Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 90 North Mountain Ave. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland,OR 97520 AUTHORIZED REPRESENTATIVE „1.1 *4-46Z. ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S30092879/M29989446 JZGZP DESCRIPTIONS (Continued from Page 1) WC Policy Limit:$1,000,000 WC Each Employee Limit:$1,000,000 RE: Repair,maintenance and testing of fuel islands and tanks SAGITTA 25.3(2016/03) 2 of 2 #S30092879/M29989446 USI INSURANCE SERVICES CERTIFICATE RETURN MAIL PROCESSING PO BOX 629035 IE EL DORADO HILLS CA 95762-9035 CITY OF ASHLAND 90 N MOUNTAIN AVE ASHLAND OR 97520-2014