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HomeMy WebLinkAboutInsurance Certificate: Olsson Industrial Electric Inc (2)___`aa8"a NAESCOR-02 PPABI .44CORJ:7 DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 5/6/2024 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). PRODUCER C ACT Certificate Requests Alliant Insurance Services, Inc. PHONE FAX 10 Almaden Boulevard, Suite 650 (A/c, N%Eaty (408) 352.6700 twat, No):(408) 352.6759 San Jose, CA 95113 ASS.: sjcertlficates@alllant.com U-1-1rL1 Olsson Industrial Electric, Inc. 1180 NW Maple Street, Suite 200 Issaquah, WA 98027 INSURER B :American Guarantee and Liability Insurance 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ] OCCUR X GLO 5574116-11 5/20/2024 5/20/2025 EACH OCCURRENCE 2,0009000 DAMAGE TO RENTED rence)MED 1,000,000 EXP (Any oneperson) Included PERSONAL & ADV INJURY 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑X j LOC OTHER: GENERAL AGGREGATE 4,000,000 PRODUCTS - COMP/OP AGG 4,000,000 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUTOS ONLD X BAP 9830191-14 5/2012024 5/20/2025 COMBINED SINGLE LIMIT 2,000,000 X BODILY INJURY Perperson) BODILYBODILY INJURY (Per accident �eE nt AMAGE Comp/Coll Ded 5,000 B X UMBRELLA LIAB EXCESSIJAB X OCCUR CLAIMS -MADE X AUC 3155245-04 5/20/2024 5/20/2025 EACH OCCURRENCE 1,000,000 AGGREGATE 1,000,000 DED I X I RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY M2,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y� FICER/MEMggEER EXCLUDED? andatoryin NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A WC 5574117-11 5/20/2024 5/20/2025 X PER OTH- E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE 2,000,000 E.L. DISEASE - POLICY LIMIT 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space is required) The City of Ashland, Oregon and its elected officials, officers and employees are included as additional insured where required by written contract and allowed by law with respect to General Liability, Automobile Liability, and Excess Liability. This insurance shall be primary and non-contributory and limited to liability arising out of the operations of the named insured when required by written contract. City of Ashland 20 East Main Street Ashland, OR 97520 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD