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HomeMy WebLinkAboutInsurance Certificate: Squeeky Clean Window & Exterior Cleaning Inc.SQUECLE-01 CMANSFIELD. CERTIFICATE OF LIABILITY INSURANCE DATh(2/202YYVYI 1/212025 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 pollcy(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 License # 721282 Abel Insurance Agency P.O. Box 1780 Coos Bay, OR 97420 CONTACT OONTCT ..,_ PHONE Nol; 541 267-2002 (Arc, No, t):,(541j 267-4124 t ( ) _ an RttEss: abet@abelinsuranceagency.corn INSURER S AFFORDING COVERAGE NAIC # INSURER A: Empfayers Mutual Casualty_(EMC) Com an 21415 INSURED Squeeky Clean Window & Exterior Cleaning Inc. PO Box 203 North Bend, OR 97459 INSURER B : 1NSURER c : ......- INSURER D : -. iNSE1RERE: ..- INSURER F : n r�t7conn..ce r-r-Qrll=lC.ATr- Ali IMBER• REVISION NUMBER: V V Y LI\HV W V 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. iLT.. SUB© POLICY NUMBER��Mfl p Y F;FF Eyy LihA1T5 TYPE OF INSURANCE INODLSO MWDDI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1000,O00 C LAMS -MADE � OCCUR X 6D52596 2/1512025 2/15/2026 DAMAGE TO RENTED PREhIISF,R (Fa occurrence),,,, 500,000 $ 10,000 h9EO FxP IAnyone raon $ 1,000,000 PERSONAL & ADV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,ODO,000 X POLICY PRO LOC _... JECT PRODUCTS - COMPIOP AGG $ __. LIMIT _„ $ 1,000,000 ' OTHERCMBINED A AUTOMOBILE LIABILITY (Ep c dentSINGLE - $ BOOILY_INJURY leer person $ ANY AUTO 6E52596 2/15/2025 2115/2026 BODILY INJURY (Peraccldenl) OMED X SCHEDULED AUTOS ONLY AUTOS PROPERTY DAhSAGE Per acadenU __,,,, ..$ S _,..... X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY $ A X Uh1BRELLALIAe X OCCUR EACH, OCCURRENCE $ 2,000,000 EXCESS LIAR CLAIMR-MADE 6J52596 2/1512025 2/16/2026 AGGREGATE ...... $ _ 21000,000 DED X RETENTIONS 10,000 $ WORKERS COMPENSATION STAT)�,TE ER" _. AND EMPLOYERS' LIABILITY Y r N ANY PROPRIETOWPARTNERrtXECUTIVE ETL. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICERlDA 1ABER EXCLUDED7 r—] {Mandatory Irr NH) N r A E.L. DISEASE - POLICY LIMIT _....... $ If as, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS r LOCATIONS 1 VEHICLES (ACORD tot, Additional Remarks Schedule, may be attached if more space Is re9ulred) Certificate Holder is Additional Insured for General Liability by Written Contract or Agreement Per Attached CG 7174 n r.nrlrinwrr._ Irr\1 _Mn CANCFI 1 ATICIN VGr\i ir-1-M 1c r1 v L V L-1\ - --- - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES OF CANCELLED BEFORE City Of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main St Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) 9 1988.2016 ACORD CORPORAL ION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION CONTRACT OR AGREEMENT INCLUDING COMPLETED OPERATIONS - PRIMARY AND NONCONTRIBUTORY This endorsement modifies the insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Section II - Who Is An Insured is amended to surveys, field orders, change orders or drawings include as an additional insured: and specifications; or 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy; and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on Your behalf; in the performance of: a. your ongoing operations for the additional insured; or b. "Your work" for the additional insured and included in the "products - completed operations hazard", However, the insrrance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury," "property damage" and "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by the insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III -- Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1.; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. this endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. D. The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary and Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) the additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional 'insured. E. All other terms and conditions of this policy remain unchanged. CG7174.3(I0-13) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 1 of 1