HomeMy WebLinkAboutInsurance Certificate: Integrity Pest & Home Repair® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
A
05/16/2025
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(ies) 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 CONTACT Christie Wong CISR
NAME:
Pacific Alliance Insurance Brokerage AIc° No Ezt : (877) 505-5310 ac No):
License #OH27230 E-MAIL cwong@pacallins.com
ADDRESS:
P O Box 3947 O* INSURER(S) AFFORDING COVERAGE NAIC #
Fresno C) INSURER A: Markel Insurance Company 38970
INSURED INSURERS:
Integrity Pest & Home Repair INSURER C :
2739 Brookside Or INSURER D
INSURER E :
Medford OR 97604 INSURER F :
CftVPRAt:Pc CFRTIFIRATF MI IMRFR• 25-26 GL POLL RFVISIt7N Nt1MRFR-
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 CONTRACTOR 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.
TR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
MMIDIDY�
MMIDDIIYYYY
LIMITS
X
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE � OCCUR
DA AGE ToEa occurrence)
PREMISES ccurrence
$ 100,000
X
MED EXP (Any one person)
$ 5,000
Herbicide/Pesticide Applicator
PERSONAL & ADV INJURY
$ 1,000,000
A
PCG2003381909
06/12/2025
06/12/2026
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
X POLICY ECT LOC
PRODUCTS-COMP/OPAGG
$ 2,000,000
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Per person)
$
ANYAUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
EXCESS LIAB
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
PER OTH-
STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. EACH ACCIDENT
$
OFFICER/MEMBER EXCLUDED? ❑
NIA
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required)
PCOTICrr AYC unr rncD cAAIrPI I ATIr)M
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Ashland Parks and Rec Dept.
ACCORDANCE WITH THE POLICY PROVISIONS.
340 S. Pioneer Street
AUTHORIZED REPRESENTATIVE
Ashland OR 97520
V Tyt1t1-ZU75 AGUKU L;U11VUMAI IUIV. All ngn[S reservea.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD