HomeMy WebLinkAboutInsurance Certificate: American Industrial Door, LLCA� �® CERTIFICATE OF LIABILITY INSURANCE
DATE (M 01202 VYY)
05/2/2025
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 pollcy(les) must have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION IS WAIVED, subject to the terms and condiliowz of the policy, certain policies may require an endorsement. A statement on this
certificate does not confer rights to the certificate holder in lieu :. Axh endorsement(s).
PRODUCER
FEDERATED MUTUAL INSURANCE COMPANY
CONTACT
NAME: CLIENT CONTACT CENTER
AX
IArC, No, Ertl: 868-333-4949 (ArC, No): 507-445 4664
HOME OFFICE: P.O. BOX 328
OWATONNA, MN 550M
noDREss:CLIENTCONTACTCENTER FEDINS.COM
INSURERS AFFORDING COVERAGE
NAIC #
INSURERA:FEDERATED MUTUAL INSURANCE COMPANY
13935
INSURED
INSURER B:
AMERICAN INDUSTRIAL DOOR, LLC
6142 CRATER LAKE AVE
INSURER C
INSURER D:
CENTRAL POINT, OR 97502-9414
INSURER E:
INSURER F:
COVERAGES CERIIFICAIt NUMtlEW LIU REVISION NUMBER:O
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
SU BR
WVD
poU NUMBER
POLICY EFF
MM/DD/YYY
POLICY EXP
MM/DD/YYYY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
N
N
9841842
07/06/2025
07/06/2026
EACH OCCURRENCE
$1,000,000
AMAS T.O. ENTED PREMISES
Ea oc clrn
$100,000
OENIL
X
MED EXP (Any"person)
EXCLUDED
PERSONAL a ADV INJURY
$1,000,000_
AGGREGATE LIMIT APPLIES PER:
POLICY IERCT LOC
OTHER:
GENERAL AGGREGATE
$2 000 000
PRODUCTS S COMPTOP ACC
$2,000,000
A
AUTOMOBILE LIABILITY
X ANYAUTO .
SCHEoDaULEDD
OWNED AUTOS ONLY AUTOS
HIRED AUTOS ONLY AUTOS ONE V
N
N
9841842
07/06/2025
07/06/2026
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODILY INJURY III Person)
BODILY INJURY (Pee Accident
PROPERTY DAMAGE
Par Accid
A
X
UMBRELLA LIAB
EXCESSLUIB
X OCCUR
CLAIMS -MADE
N
N
9841843
07/06/2025
07/06/2026
EACH OCCURRENCE
$5,000,000
AOOREOATE
$5,000,000
DED I IRETENTICN
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/ PARTNER/ EXECUTIVE
OMCER/MEMBER EXCLUDED?
(Mentlatory In NH)
It yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
PER STATUTE THER
E.L EACH ACCIDENT
E.1- DISEASE EA EMPLOYEE
E.1- DISEASE POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
CERTIFICATE HOLDER CANCELLATION
CITY OF ASHLAND
ELECTED OFFICIALS OFC $ EMPL
20EMAIN ST
ASHLAND, OR 97520-1814
2811SHOULD 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
V�kL O�
Q 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
391-637-6 28
#B W N D H BS BK000-07 - 0396
#XWXW0021 XXXXXXX5#
CITY OF ASHLAND
ELECTED OFFICIALS OFC & EMPL
20 E Main St
Ashland, OR 97520-1814