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HomeMy WebLinkAboutInsurance Certificate: Tree Mend UsAC>O�® V ^ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/Yl2 5 F02/25/2025 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 endorsements . PRODUCER Hart Insurance Agency PO Box 1240 CONTACT NAME: Xristi Dolma e PHONE FAX 541) 779-4232 AIc No: 541 772-3963 E-MADDRESS: SS: kdolmge@hartinsurance.com Grants Pass OR 97528 INSURERS AFFORDING COVERAGE NAIC 0 INSURERA: SAIF Corporation INSURED INSURER B: Artisan & Truckers Casualty CO 36196 Tree Mend Us INSURER C: Red Shield Insurance Co. 10194 INSURER D- 1019 W 2nd Street INSURERE: Medford OR 97501 INSURERF: (541) 621-7256 COVERAGES KD CERTIFICATE NUMBER:Cert ID 31314 (19) 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. TYPE OF INSURANCE ADDL SUER POLICY NUMBER M/DD POLICY EFF MOMILDICDY EXP LIMITS C X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE a OCCUR CNT020713 02/24/2025 02/24/2026 AMAGE TO pR MISES EaEoccurrence) $ 1,000,000 MED EXP (Any oneperson) $ 10 000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY 0 JEC7 LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ccident $ 1,000,000 BODILY INJURY (Per person) $ B ANY AUTO 993404539 02/24/2025 02/24/2026 BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY X. AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLYL PROPERTY DAMAGE Per accdent $ $ UMBRELLALWB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAS DIED I I RETENTIONS -PER $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANYPROPRIETOR/PARTNER/EXECUTIVE 798624 06/01/2024 06/01/2025 TH- S ATUTE OR E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) N / A E.L. DISEASE - POLICY LIMIT $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below $ $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is r"ulred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland Public Works Dept. AUTHORIZED REPRESENTATIVE 20 E. Main St Ashland OR 97520�� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1