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HomeMy WebLinkAboutInsurance Certificate: Jahnke Heating & Air Conditioning IncDATE 11AMlODIYYYYI CERTIFICATE OF LIABILITY INSURANCE I 02/1912025 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: It the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) 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 certif€cats holder In lieu of such endorsement(s). PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 CONIACI NAME; CLIENT CONTACT CENTER -PRONE"— f,c, wo, £rU: SBB-333-4943 IAJo, No): 507-446-46CA nODRlESS:CLIENTCONTACTCENTER®FEDfNS.COM CNJATONNA, MN 55060 INSURERS Arf'ORGING COVERAGE NAFC# INSURER A:FEDERATED RESERVE INSURANCE COMPANY 16024 INSURED INSURER B: JAHNKE HEATING & AIR CONDITIONING INC 112 3 PACIFIC HWY INSURER C: - INSURER D: TALENT, OR 9754"648 _ INSURER E: INSURER F. COVERAGES CERTIFICATE NUMBER: 72 REVISION NUMBER: 0 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INS URPI{CE ADDL INSR SUBR WVn POLICY NUMBER POiICY EFF MMlgpryYY POUCY EXP rALAJDDIYYYY Ll7A1TS A X COMMERCULLO£NERALUABILITY CLAIA75-MADE OCCUR Y N 908W8 0410812D25 0410812026 EACH OCCURRENCE $1,000,000 AMAGE, TOncELATED PREMISES Ea aAG1 e $1(10,000 MED EXP (Any wm Person) EXCLUDED PERSONAL . AOvIHJURY $1,000,000 660. X AGGREGATE IJMiT APPLIES PER: POUCY COT ❑ LOC L_JAOTHER: GENERAL AGGREGATE $2 00O 000 PRODUCTS 6 C0MP1*P ACC $2,000,000 AUTOMOBILE LIABILITY JANYAUTO AUTOS ONLY ]SCHEDULED HtREDAUTOSOILY NO'N-O'7^ED ALTOS ONLY N N 9089608 D410812025 0410812D26 EE COMBINED SMOLE LIMIT lecideno $1 BODILY INJURY (Per Porten)AO'NNED BODILY INJURY (Per Ac denll ROPED DAMAGE Per Accrden LA X UMBRELLA LM FXCESr,0AB X OCCUR CLAMIS-MADE N N 9089609 04/08/2025 04/08/2026 EACH OCCURRENCE $1,ODD,000 AGGREGATE $1,000,000 DED RETENTION WORKERS COMPEHSAT ION AND EMPLOYERS' LIABILITY Wit ANY PROPRILToRfPARTNERr EXCCOTiVC OFFICEWMEMBER EXCLUDED? L (Mandalay in N H) If yes, describe uMer DESCRIPTION OF OPERATIONS below NIA - PER STATUTE THEN E.L EACH ACCIDENT E.L MSEAS E CAEMPLOYEE E.L DISEASE - POLICY UMIT DESCRIPTIOR OF OPERATIONS 1 LOCATIONS) VEHICLES (ACORD 101, AMdonV Remarks Schedule, may be amdnes V more space Is reglAred) THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR GENERAL LIABILITY. CERTIFICATE HOLDER CANCELLATION 20 E MAIN ST ASHLAND, OR 97520-1814 72 0 I 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 (2016103) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 20 33 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL. GENERAL LIABILITY COVERAGE PART A. Section 11 - Who Is An Insured is amended to include as an additional insured 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. Such person or organization 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., 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", „property damage" or "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, surveys, field orders, change orders or drawings and specifications; or 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 that 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. CG 20 33 12 19 © Insurance Services Office, Inc., 2018 Policy Number: 9089608 Page 1 of 2 Transaction Effective Date: 04/08/2025 2. 'Bodily injury" or "property damage" occurring after: a. All worst, Including materials, parts or equipment furnishers in connection with such work, on the project (other than service, maintenance or repairs) to be perforated by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. That portion of "your work" out of which the injury or damage arises has been put to Its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. 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 you have entered into with the additional insured; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 33 12 19 Policy Number: 9089608 Transaction Effective bale: 04/08/2025 368-839-9 72 #B WN ©HB S BK000-04 - 0341 #XWXW0021 XXXX XX5# CITY OF ASHLAND 20 E Main St Ashland, OR 97520-1814