HomeMy WebLinkAboutInsurance Certificate: Castaneda, AbelWORLD OF INS LLC
1091 MEDFORD CENTER
MEDFORD, OR 97504
City of Ashland Public Works
20 E MAIN ST
ASHLAND. OR 97520
Additional insured endorsement
PR99RE11/UEF
COMMERC/AL
Policy number: 03584112
Underwritten by:
Artisan and Truckers Casualty Co
Insured:
ABEL CASTANEDA
May 7, 2025
Policy Period: May 2, 2025 - Nov 2, 2025
Mailing Address
Artisan and Truckers Casualty Co
PO Box 94739
Cleveland, OH 44101
1-800-444-4487
Name of Person or Organization For customer service, 24 hours a day,
City of Ashland Public Works 7 days a week
20 E Main St
Ashland, OR 97520
This endorsement modifies insurance provided under the commercial auto policy and any endorsements
thereto affording liability coverage.
The person or organization named above is an insured with respect to such liability coverage as is
afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of
another insured and then only to the extent of that liability. We also agree with you that insurance
provided by this endorsement will be primary for any power unit specifically described on the
Declarations Page and showing liability coverage.
Limit of Liability
Bodily Injury Not applicable
Property Damage Not applicable
Combined Liability $2,000,000 each accident
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number: 03584112
Issued to (Name of Insured): ABEL CASTANEDA
GREGORIA CABRERA
J & A CONCRETE CONSTRUCTION LLC
Effective date of endorsement: May 6, 2025 Policy expiration date: November 2, 2025
Form 1198 (07/16)