HomeMy WebLinkAboutInsurance Certificate: American Industrial Door LLCAC"RDr CERTIFICATE OF LIABILITY INSURANCE
DATEO5/1IM1//0242024 YI
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
FEDERATED MUTUAL INSURANCE COMPANY
HOME OFFICE: P.O. BOX 328
OWATONNA, MN 55060
CONTACT
NAME: CLIENT CONTACT CENTER
(A CNNo, Exe): 888-333-4949 Fq c, Nol: 507-4464664
ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
INSURERS AFFORDING COVERAGE
RAIC #
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 391-637-6
AMERICAN INDUSTRIAL DOOR, LLC
6142 CRATER LAKE AVE
INSURER B:
INSURER C:
INSURER 0:
CENTRAL POINT, OR 97502-9414
INSURER E:
INSURER F:
___ ____ �.,...... ...�,.,.�..... �.. KCVIDIUN NUMISt K: U
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,
IproNSR
TYPE OF INSURANCE
ADDL
S BR
POLICY NUMBER
mmln—POLICY EFF
POLICY EXP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑X OCCUR
N
N
9841642
O7/062024
07/06/2025
EACH OCCURRENCE
$1,000,000
DAMAGETO RENTED PREMISES
$100,000
GEN'L
X
MED EXP (Any one person)
EXCLUDED
PERSONAL s ADV INJURY
1 00D 000
AGGREGATE LIMIT APPLIES PER:
POLICY LF—IM-CT O LOC
OTHER:
_
I GENERAL AGGREGATE
$2,000,000
PRODUCTS S COMP/OP AGO
$2,000,000
AOWNED
AUTOMOBILE
JANYAUTO
LIABILITY
AUTOS ONLY AU T
HIRED AUTOS ONLY]SCHEDULED
NON-OSWNED
AUTOS ONLY
N
N
9841842
07/062024
07/06/2025
COEa aaidMBIryED SINGLE LIMIT
en
$1,000,000
BODILY INJURY (Par Person)
BODILY INJURY IPar Accident)
PROPERTY DAMAGE
ec Accid
A
X
UMBRELLA LIAB
EXCESSLIA13
X OCCUR
CLAIMS -MADE
N
N
9841843
07/062024
07/06202S
EACH OCCURRENCE
$5.000,000
AGGREGATE
$5,000,000
DED I IRETENTICIN
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY I
ANY PROPRIETOR/PARTNER/ EXECUTIVE
OFFICER/MEMBER EXCLUDED?
y:diary iunNH)
It s.
l} yes, describe der
DESCRIPTION OF OPERATIONS below
NIA
PER STATUTE TDTHER
E.L EACH ACCIDENT
E.L DISEASE EA EMPLOYEE
E.L DISEASE POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Sdiedule, may be afteched if mom space is required)
391-637-6
CITY OF ASHLAND
ELECTED OFFICIALS OFC & EMPL
20 E MAIN ST
ASHLAND, OR 97520-1814
CANGt LLAI ION
21101 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 A -A V
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
391-637-6 28
#B W N D H BS BBOOO-07 - 0090
#XWXW0021 XXXXXXX5#
CITY OF ASHLAND
ELECTED OFFICIALS OFC & EMPL
20EMain St
Ashland, OR 97520-1814