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HomeMy WebLinkAboutInsurance Certificate: Advanced Air & Metal IncA� �0 CERTIFICATE OF LIABILITY INSURANCE GATE(MMf001YYY 09/03/2024 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(ios) 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 Hart Insurance Agency - Medford PO Box 1240 Grants Pass OR 97528 CONTACT NAME: Tom Kaldunski __._._... PHONE -.. F {AlC.No.Ext): (541) 779-4232 E-MAIL ADDRESS: melt'@hartinsurance.com iNSURER(S)AFFORDING j j NAM# ,COVERAGE INSURER A; SAIF Corporation 36196 INSURED Advanced Air & Metal Inc INSURER B : INSURER C : INSURER D*,_,,,, 695 E Vilas Road Ste 101 INSURERE=: Central Point OR 97502 INSURER F : CnVFRAAFS ME CERTIFICATE NUMBER: Cert ID 29951 (198) 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. [t#ISR LTR mm„ TYPE OF INSURANCE IADDL D SUBR� j W � � � POLICY NUMBER POLICY EFF MMM13 I POLICY EXP MMIDD LIMITS COMMERCIAL GENERAL LIABILITY n CLAINIS-MADE L E OCCUR EACH OCCURRENCE DAMAGE TD RENTED PRFMISES, (Ea occu(rence)__ MED EXP (Any one person) PERSONAL & AD INJURY GENERAL AGGREGATE PRODUCTS - COMPIOP AGG �_,,._, S S S $ GEWL AGGREGATE LIMIT APPLIES PER: POLICY jE' G LOG OTHER: $ S AUTOMOBILE LIABILITY A ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NOWOWNED AUTOS ONLY AUTOS ONLY i COMBINED SINGLE LIMIT t (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PR PPiRTYDAI.iAGE - (Per accident) $ $ $ - - $ UMBRELLALtAB OCCUR EXCESS LIAB CLAIMS -MADE DED RETENTION $ EACH OCCURRENCE I AGGREGATE _ $ $ S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRI£TORPARTNER,EXECU I IVE OFFICERIMEMBEREXCLUDED? I (Mandatory In NH) If es, describe under DESCRIPTION OF OPERATIONS below N ! A 737940 10/01/202410/01/20251 X I PER I OTH- STATUTE I ER_,_.,,,,_ E.L. EACH ACCIDENT „_,,, E.L. DISEASE - EA EMPLOYE_EI E.L. DISEASE - POLICY LWIT S 1,000,000, $ 1,000,000 $ 1, 000, 000 S S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Ashland 20 East Main Street Ashland OR 97520 [iH14LCLL_P%I iV14 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 YY\_�� ©1988-2015 ACORD UORPORA I ION. All rignrs reservea. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD