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HomeMy WebLinkAboutInsurance Certificate: D2000 Safety, Inc.A� v® CERTIFICATE OF LIABILITY INSURANCE DATE2/05/2DIYYYYy 021D512025 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(€es) must have ADDITIONAL. INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the pol€cy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in I€eu of such endorsement(s). PRODUCER CONTACT JenniferStUve NAME: P8C IInsurancePHONE (541) 484-6624 FAX No ; (541) 686-2726 . No Est E-MAIL istuve@pbcins.com ADDRESS: 450 Country Club Road #330 INSURERtS) AFFORDING COVERAGE NAIC & - INSURERA: Rated by Multiple Companies 00914 Eugene OR 97401 INSURED INSURER B : INSURER C : D2000 Safety, Inc. INSURER D : Po Box 2939 INSURER E : INSURER F : Eugene OR 97402 COVERAGES CERTIFICATE NUMBER: CL252547335 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 CONTRACTOR 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. INSR LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER POLICYEFF MMfDD= POLIC EXP (M?,VDDIYYM LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ED CLAIMS -},LADE OCCUR PREf,JSES Ea occurrence)$ LIED EXP (Any one personl 5 PERSONAL&ADV INJURY 5 Y Y GFNL AGGREGATE LIMIT APPLIES PFR: GENERAL AGGREGATE S POLICY JEC7 LOC PRODUCTS -COMPIOPAGG S 5 OTHER: AUTOMOBILE LIABILITY COf lBINEO SINGLE LIMIT Ed accldenl $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident 5 HIRED NON-OYRdED AUTOS ONLY AUTOS ONLY 5 UMBRELLA LIAR OCCUR EACH OCCURRENCE 5 AGGREGATE $ EXCESS LIAR CLAIMS -MADE I DED I I RETENTION S $ 1 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNEF; x— fi-E, ❑ GFF#CER MEMBER EXCLUDED? (Mandatory €nNEI) NIA 52VdECH03368 43110l2025 0311012D26 /-� STATUTE FORT' E.L. EACH ACCIDENT 5 1.000,000 E-L.DISEASE - FA EMPLOYEE S 1,DOO,DDD If yes, describe under DESCRIPTION OF OPERATIONSbe:ax E,L.DISEASE-POLICYLIrdT $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Boise is listed as Additional Iris ured per written contract and policy conditions. L.HIYI.CLL AI IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ofAShland ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Street AUTHORIZED REPRESENTATIVE j Asland OR 97520 ' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD