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HomeMy WebLinkAboutInsurance Certificate: Mountain View Paving Incwww.saif.com Oregon Workers' Compensation Certificate of Insurance Mail to: MOUNTAIN VIEW PAVING INC PO BOX 508 TALENT, OR 97540-0508 Certificate holder: CITY OF ASHLAND 90 N MOUNTAIN AVE ASHLAND, OR 97520 Work. Life, Oregon. The policy of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded by this policy is subject to all the terms, exclusions and conditions of such policy; this policy is subject to change or cancellation at any time. Insured Mountain View Paving Inc PO Box 508 Talent, OR 97540-0508 Producer/contact Hub International Northwest LLC-Eugene Mike Godfrey 541.650,6772 mike.godfrey@hubinternational.com Issued 08/29/2024 Limits of liability Policy 496578 Bodily Injury by Accident $500,000 each accident Period 10/01/2024 to 10/01/2025 Bodily Injury by Disease $500,000 each employee Body Injury by Disease $500,000 policy limit Description of operations/locations/special items All operations performed by the named insured for the certificate holder in accordance with policy terms and conditions. Important This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. This certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the certificate holder. CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED TO THE POLICYHOLDER AND CERTIFICATE HOLDER IN ACCORDANCE WITH THE POLICY PROVISIONS AND OREGON LAW, SAIF WILL ENDEAVOR TO PROVIDE WRITTEN NOTICE WITHIN 30 DAYS WHENEVER POSSIBLE. Authorized representative Chip Terhune President and CEO Po I i c y_ C L CA_Ce rt i 6 ca to Cf I r s u r a n c e 400 High Street SE Saiem, OR 97312 P: 800.285.8525 F: 503.584.9812 www.saif.com Work. Life. Oregon Workers' Compensation Oregon. Certificate of Insurance Mail to: Certificate holder: MOUNTAIN VIEW PAVING INC CITY OF ASHLAND, PARKS AND RECREATION PO BOX 508 DEPARTMENT TALENT, OR 97540-0508 340 S. PIONEER STREET ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded by this policy is subject to all the terms, exclusions and conditions of such policy; this policy is subject to change or cancellation at any time. Insured Producer/contact Mountain View Paving Inc Hub International Northwest LLC-Eugene PO Box 508 Mike Godfrey Talent, OR 97540-0508 541.650.6772 mike,godfroy@hubin.ternational.com Issued 08/29/2024 Limits of liability Policy 496578 Bodily Injury by Accident $500,000 each accident Period 10/01/2024 to 10/01/2025 Bodily Injury by Disease $500,000 each employee Body Injury by Disease $500,000 policy limit Description of operations/locations/special items Attn: All operations preformed by the named insured for the certificate holder in accordance with the policy terms and conditions. Important This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. This certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the certificate holder. CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED TO THE POLICYHOLDER AND CERTIFICATE HOLDER IN ACCORDANCE WITH THE POLICY PROVISIONS AND OREGON LAW. SAIF WILL ENDEAVOR TO PROVIDE WRITTEN NOTICE WITHIN 30 DAYS WHENEVER POSSIBLE. Authorized representative Chip Terhune President and CEO Pe l i c y_ OL CA_Cc r, i f i cat e O fir s u ran cc 400 High Street SE Salem, OR 97312 P: 800.285.8525 F: 503.584.9812