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HomeMy WebLinkAboutInsurance Certificate: Kaylor Electric LLCA� �® CERTIFICATE OF LIABILITY INSURANCE 7TE04 29/20 5 YYI 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 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 certificate holder in lieu of such endorsement(s). PRODUCER FEDERATED MUTUAL INSURANCE COMPANYFAX HOME OFFICE: P.O. BOX 328 OWATONNA, MN 55060 NAME: CLIENT CONTACT CENTER (A/C, No, E.U: OW333-490 IA/e, No): 507-446-4664 ADDRESS. CLIENTCONTACTCENTER FEDINS.COM INSURERS AFFORDING COVERAGE NAIC /J INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED INSURER B: FEDERATED RESERVE INSURANCE COMPANY 16024 INSURER C: KAYLOR ELECTRIC LLC PO BOX 639 PHOENIX, OR 97535-0639 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 13 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 SUER WVD POLICY NUMBER POLICY EFF MMIDD/YYVV POLICY EXP MMIDDIYYYY LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OOCCUR BUSINESS OWNER'S LIABILITY N N 9118896 07/01/2025 07/01/2026 EACH OCCURRENCE $1,000,000 Ee oAGE [cu,. ENiED PREMISES $100,000 X MED EXP (Any one person) PERSONAL S ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 0 OENL J( AGGREGATE LIMIT APPLIES PER: POUCY �CCT ❑ LOC OTHER: PRODUCTS S COMP/OP ACC $2,000,000 B AUTOMOBILE LIABILITY X ANYAUTO OWNED AUTOSONLY AU7MULED HIRED AUTOS ONLY A N N 9118897 07/01/2025 07/012026 (E MccdenCOBINuSINOLE LIMIT $1,000,000 BODILY INJURY (Per Person) BODILY INJURY IPerAcddmQ (PRO UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE AOOREOATE DED I RETENIICN WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/ EXECUTIVE OFFICERIMEMBER EXCLUDED? L (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER STATUTE DTHER E.L EACH ACCIDENT E.L DISEASE 1EA EMPLOYEE E.L DISEASE POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required) CERTIFICATEHOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT ENDORSEMENT FOR BUSINESSOHNERS LIABILITY. r-COTIClrATc unl nFD CANCELLATION CITY OF ASHLAND 20 E MAIN ST ASHLAND, OR 97520-1814 13 0 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 Ali le O 1SM-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD