HomeMy WebLinkAboutInsurance Certificate: American Industrial Door, LLCurn CERTIFICATE OF LIABILITY INSURANCE
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DATE IM / VI
FOS/1,/2024
024
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 SSOfiO
CONTACT
NAME: CLIENT CONTACT CENTER
fA/CNNo, Eat):888-333-4949 FAX, Nol: 507-446-4664
ADDRESS:CLIENTCONTACTCENTER FEDINS.COM
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED 391-637-6
AMERICAN INDUSTRIAL DOOR, LLC
INSURER 9:
6142 CRATER LAKE AVE
INSURER C:
INSURER D:
CENTRAL POINT, OR 97502-9414
INSURER E:
INSURER F:
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.
IITR NSR
TYPE OF INSURANCE ADDLIwyD SUBR
INSRLIMITS
POLICY NUMBER
I.P.01LAUYFF POLI Y EXP
EACH OCCURRENCE SIA0,000
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OX OCCUR
N N
AGGREGATE LIMIT APPLIES PER'
POLICY �ECOT ❑ LOG
OTHER:
9941842
07/06/2024 07/06/2025
DAMAGE TO ELATED PREMISES
MID EXP (Anr one person)
j100000
GENL
X
EXCLUDED
PERSONAL ADVINJURY
$1.000,000
OENER ACG T$2,000,000
PRODUCTS S COMP/OP AGO
$2,000,000
AOWNED
AUTOMOBILE
JANYAUTO
LIABILITY
AUTOS ONLY
HIRED AUTOS ONLY12,CTH&QULED
NON-OWNED
AUTec
N
N
9841842
07/06/2024
07/06/2025
COMBINED SINGLE LIMIT
Ea acuden
$1,1)00,000
BODILY INJURY IPer Person)
BODILY INJURY fPar AccidanU
PROPERTY DAMAGE
AccidanU
A
X
UMBRELLA LIAR
EXCESS LIAR
X OCCUR
CLAIMS -MADE
N
N
9841843
07/06/2024
OT/D6/2025
EACH OCCURRENCE
55,000,000
AGOREGATE
$5,000,000
DIED RETENTION
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY (
ANY PROPRIETORIPARTNERI EXECUTIVE
OFFICEWMEMBER EXCLUDED?
(Mandatory in re
It yes.s. under dex
DESCRIPTION OF OPERATIONS below
N/A
PER STATUTE DTHEIR
E.L EACH ACCIDENT
E.L DISEASE EA EMPLOYEE
E.I. DISEASE POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be all shed if more space is required)
..te . I rev M CANCELLATION
391-637-6
CITY OF ASHLAND PUBLIC WORKS
90 N MOUNTAIN AVE
ASHLAND, OR 97520-2014
290 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
O 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2015103) The ACORD name and logo are registered marks of ACORD