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Home My WebLink AboutInsurance Certificate: S & S Sheetmetal Inc (4)Ac"Rh® h® CERTIFICATE OF LIABILITY INSURANCE FATE(MYYV) 03/1312023/2025 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 Calder Is an ADDITIONAL INSURED, the polWles) 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 AID (A/C, No, EXti: 888-333-4949 IA/c, not: 507 446�664 OWATONNA, MN 55060 E-MAIL ADDRESS:CLIENTCONTACTCENTERQFEDINS.COM INSURERS AFFORDING COVERAGE NAIC i/ INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED INSURER B: FEDERATED RESERVE INSURANCE COMPANY 16024 S & S SHEETMETAL INC 912 ANTELOPE RD INSURER C: INSURER D: WHITE CITY, OR 97503-1607 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 429 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 '�L INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDD/YYYV POUCY EXP MM/DD/YYYV LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [X]OCCUR Y N M0853 04/24/2025 04/24/2026 EACH OCCURRENCE $1,000,000 AMAGE TO RENTED PREMISES Ea occu'renre $100,000 MED EXP (Any one person) EXCLUDED PERSONAL a ADV INJURY $1,000,000 7EN1 X AGGREGATE LIMIT APPLIES PER: POLICY RO LOC ECT OTHER: GENERAL AGGREGATE $2 000 000 PR ODUCTS S .OMPIOP ACC $2,000,000 AUTOMOBILE LIABILITY JANYAUTO SUTHEEDULED AUTOS ONLY AOS HIRED AUTOS ONLY NON -OWNED AUTOS ONLY Y N - 9910853 04/24/2025 04/24/2026 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per Person)BOWNED BODILY INJURY (Per Accident) PROPERTY DAMAGE Per Accidan B X UMBRELLA LIAB EXCESS LIAB X OCCUR ICLAIMSiNADE N N 9910854 04/24/2025 04/24/2026 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED I RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERI EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A I PER STATUTE I THER E.L EACH ACCIDENT E.L DISEASE EA EMPLOYEE E.L DISEASE POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule. may be attached If more space is required) SEE ATTACHED PAGE CERTIFICATE HOLDER CANCELLATION 50 E MAIN ST ASHLAND, OR 97520-1814 4290 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 ACC7R[?`� AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of AGENCY NAMEDINSURED FEDERATED MUTUAL INSURANCE COMPANY S & S SHEETMETAL INC 912 ANTELOPE RD WHITE CITY, OR 97503-1607 POLICY NUMBER SEE CERTIFICATE # 429.0 CARRIER NAIC CODE EFFECTIVE DATE: SEE CERTIFICATE # 429.0 SEE CERTIFICATE # 429.0 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE SECONDARY POLICY(S) General Liability Y N 1851508 04/24/2025 04/24/2026 EACH OCCURRENCE $1,000,000 DMG TO RNT PREM EA OCC $100,000 MED EXP-ANY ONE PERSON EXCLUDED PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OP AGG $2,000,000 PROJECT: 3070 HWY 66, ASHLAND OR 97520 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. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT ENDORSEMENT FOR BUSINESS AUTO LIABILITY. ACORD 101 (2008/01) O 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD