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HomeMy WebLinkAboutInsurance Certificate: Owen Equipment Holdings Corp. (2)? DATE (MM,DD,YYYY) O ACORCERTIFICATE OF LIABILITY INSURANCE 1`� 1 2/14/2024 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 rights to the certificate holder in lieu of such endorsement(s). F ODUCER CONTACT he Plexus troupe DPK PHONE CertificatesFAx 1805 W Field Pkwy, Suite 300 ctl: (AC.No):eer Park IL 60010 ADDResscertificates @plexusgroupe.com IN5URER(3) AFFORDING CUVFRA019 _ NAIC N _ INSURERA:Ascotlnsurance 23752 INSURED OWENHOL-01 INSURERS: Zurich American Insurance Company of Illinois 27855 Owen Equipment Holdings Corp. 4201 NE 66th Ave. Suite 105 INsuRERc: Navigators Specialty Insurance Comparry Vancouver WA 98661 ANSUREIRD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1988118ago 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. DL VVVD POLICY EFF POLICY EXP ILTR TYPE OF INSURANCE IN LTR � IN D POI,ICYNUMBER MMlDD,YYY MM/0D'YYYY LIIRTS A X COMMERCIAL GENERAL LIABILITY ESGL2410003040-01 2/5/2024 2/5/2025 EACHOCCURRENCE $1.000,000 --.. CLAIMS•MADE %� OCCUR I PREMISES (Ea wou ran $100,000 _ $5,000 MED EXP (Any oneperson) $1,DD0,D00 PERSONAL 6 ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMn APPLIES PER: GENERAL AGGREGATE POLICY ❑PRO LOG JECT PRODUCTS - COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY BAP 3007721 - 00 2/5/2024 2/5/2025 OM D SINGLE LIMIT AEM-- a — $1 W0 000 --- BODILY INJURY (Per person) X ! ANY AUTO I $ OWNED SCHEDULED i AUTOS ONLY AUTOS $ BODILYINJURY(Peraccident) X HIRED X NON OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ s C X UMBRELLA LIAS X ,OCCUR CH24EXCZOFZTJIC 2/512024 21W025 EACH OCCURRENCE $5,000,000 AGGREGATE $5.000,000 EXCESS LIAR CLA_IMS-MADE DED X RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORiPARTNEPJEXECUTIVE YIN OFFICER'MEMBEREXCLUDEDI (Mandatory In NH) N/A, WC 3007719 - 00 2/5/2024 2/512025 I X STATUTE ER _ $1,000,000 - $1,000,000 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS bebw E.L. DISEASE. POLICY LIMIT $ 1,000,000 :: DESCRIPTION OF OPERATIONS % LOCATIONS i VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is requited) Blanket Additional Insured. Blanket Waiver of Subrogation and Blanket Primary Non -Contributory are included on the General Liability as required by written contract. Certificate is issued as evidence of coverage CtH 1 II-IGA I t MULUtH CANCI-LLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland 20 E Main St Ashland OR 97520-1814 AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1108: 3 - of 3