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HomeMy WebLinkAboutInsurance Certificate: Pro-Pipe Inc Client#: 1982221 NATIOUNDI ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/29/2022 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 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 Jennifer Warrington USI Insurance Services, LLC-CL PHONE 954 607-4000 FAX No): (A/C,No,Ext): 2400 East Commercial Blvd. nouRess: jennifer.warrington@usi.com Suite 600 INSURER(S)AFFORDING COVERAGE NAIL# Fort Lauderdale, FL 33308 INSURER A:Steadfast Insurance Company 26387 INSURED INSURER B:American Guarantee Insurance Company 35521 Pro-Pipe Inc. INSURER C:Zurich American Insurance Company 16535 p y 47 Discovery#250 Travelers Casualty&SuretyCo.of Amer 31194 Irvine,CA 92618 INSURERD: 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 ADDL SUBR POLICY EFF POLICY EXP INSR WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X X Q2055400202 08/01/2022 08/01/2023 EACH OCCURRENCE $2,000,000 CLAIMS-MADE X OCCUR PREMISES(Ea RENTED ence) $100,000 X Pollution MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE.LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY X JECRO- T LOC PRODUCTS-COMP/OPAGG_$4,000,000 _ OTHER: $ B AUTOMOBILE LIABILITY X X BAP2055400102 08/01/2022 08/01/2023 COMacciB del nt)SINGLE LIMIT -- $ s 2-000,000 (Ea X ANY AUTO BODILY INJURY(Per person) $ OWNED —,7SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X NONAUTO-OWNED SONLY PROPERTY DAMAGE (Per accident) $ B UMBRELLA LIAB X OCCUR Q2055400002 08/01/2022 08/01/2023 EACH OCCURRENCE $10,000,000 )( EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED RETENTION$ $ C WORKERS COMPENSATION X WC293704903 08/01/2022 08/01/2023 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1000,000 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 A Professional Liab Q2055400202 08/01/2022 08/01/2023 2,000,000 each • 2,000,000 agg D Inland Marine QT6306T179634TIL 08/01/2022 08/01/2023 Scheduled/Rented/Leased DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE: Branch#69 The General Liability Policy includes an automatic Additional Insured endorsement that provides Additional Insured status to City of Ashland only when there is a written contract that requires such status,and only with regard to work performed by or on behalf of the named insured. CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E.Main St. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland,OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S36881487/M36880182 DGSZP This page has been left blank intentionally. USI INSURANCE SERVICES CERTIFICATE RETURN MAIL PROCESSING L PO BOX 629035 EL DORADO HILLS CA 95762-9035 CITY OF ASHLAND 20 E MAIN ST ASHLAND OR 97520-1849 • • • `.. = t • d ..!4;:riv.,..-. ! I _ _ 4. i .t_ .L.. ! i ._ _ t