HomeMy WebLinkAboutInsurance Certificate: Southern Oregon Tree Care LLCC-LVJIR" r--��ry�0 DATE (MMIDDIYYYY)
CERTIFICATE LIABILITY INSURANCE 05/21/2024
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 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 endorsements).
NAM*: CONTACT Jim Hatton
PRODUCER NAME*
Jim Hatton PHONE 541 779-0177 FAX
Highstreet Insurance - Medford Or ADDRESS: Jim@insmarket.Com
I INSURED
Southern Oregon Tree Care LLC
PO Box 3815
Central Point, Or 97502
OVERAGES
CERTIFICATE NUMBER:
Century Indemnity Company
Scottsdale Insurance Company
Mutual of Enumclaw
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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.
lNSR
LTR
TYPE OF INSURANCE
ADDL
S BR
POLICY NUMBER
MMIDD
POLICY EFFr03/09/2024
LICY EX
IDD
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
DAMAGE T ENTED
PREMISES Ea occurrence
$ 75,000
X
COMMERCIAL GENERAL LIABILITY
-- -
CLAIMS -MADE ® OCCUR
MED EXP (Any one person)
$ _ 5,000
PERSONAL 8 ADV INJURY
$ 1,000,000
A
X
CCP-1200435
03/09/2023
GENERALAGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
X POLICY PRO LOC
SINGLE LE LIMIT2.000.000
AUTOMOBILE LIABILITY
Eaapciden
—
BODILY INJURY (Per person)v
$
ANY AUTO
BODILY INJURY (Per aoddent)
$
C
ALL OWNED v SCHEDULED
X
BAP0004681
11/01/2023
11/01/2084
AUTOS AUTOS
NON -OWNED
PROPERTY DAMAGE
accident
Por.
r
$
HIRED AUTOS AUTOS
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$ 1,000,000
—
AGGREGATE
$ 1,000,000
B,
X
EXCESS LIAB
CLAIMS -MADE
X
CXS4024896
05/20/2024
03/09/2025
DED RETENTION $
$
WORKERS COMPENSATION
WC STATU- OTH-
AND EMPLOYERS' LIABILITY Y I N
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
$
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N I A
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
Additional Insured: City of Ashland Oregon, along with its elected officials, Officers, , and employees.
TE
City of Ashland -Legal Department
20 E. Main St
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
James A. Hatton
ACORD 25
01988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD