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Home My WebLink AboutInsurance Certificate: S & S Sheetmetal Inc (3)R c" i® 4-. i CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/(YYY) 03/13/2025 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(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 certificate holder in lieu of such endorsement(s). PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 NAME: CLIENT CONTACT CENTER -PHONE (A/C, No, Ext): 888-333-4949 IN., No): 507-446-4664 OWATONNA, MN 55060 E-MAIL ADDRESS: CLIENTCONTACTCENTER®FEDINS.COM INSURERS AFFORDING COVERAGE NAIC a INSURER A:FEDERATED RESERVE INSURANCE COMPANY 16024 INSURED INSURER B: S & S SHEETMETAL INC INSURER C: 912 ANTELOPE RD INSURER D: WHITE CITY, OR 97503-1607 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 275 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 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 ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS -MADE FX] OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 ME EXP (Any one person) EXCLUDED A N N 9910853 04/24/2025 04/24/2026 PERSONALS ADV INJURY $1,000,000 OENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 000 000 X POLICY �E110- LOC PRODUCTS S COMPIOP ACC $2,000,000 OTHER* AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Es accidena $1,000,000 BODILY INJURY (Per Person) AOWNED JANYAUTO AUTOS ONLY ASUTHEDDULED N N 9910853 04/24/2025 04/24/2026 BODILY INJURY (Per Accident) PROPERTY DAMAGE JPer Accidan HIRED AUTOS ONLY NON -OWNED AUTOS ONLY X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $5,000,000 A EXCESS LIAR CLAIMS -MADE N N 9910854 04/242025 04/24/2026 AGGREOATE $5,000,000 DED I RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER STATUTE I THER E.L EACH ACCIDENT ANY PROPRIETORIPARTNERI EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) N/A E.L DISEASE EA EMPLOYEE If yes, describe under E.L DISEASE POLICY LIMIT DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached It more space Is required) PROJECT LOCATION ASHLAND FIRE STATION $1 455 SISKIYOU BLVD ASHLAND OR, 97520 CERTIFICATE HOLDER CANCELLATION 20 E MAIN ST ASHLAND, OR 97520-1814 275 0 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 343-547-6 275 #B W N D H BS BEOOO-04 - 0210 #XWXW0021 XXXXXXX5# CITY OF ASHLAND - PUBLIC WORKS DEPT 20 E Main St Ashland, OR 97520-1814