HomeMy WebLinkAboutInsurance Certificate: Abraham Contracting, Inc. ACOORIO CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/ YYY)
6/13/2024
THUS 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 THtCOVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(R), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED,the policy(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 4
PRODUCER k p,tl Insurance N_LC PHONE NADII:A..CT
Lisa M Smith
1111 Gateway Loop t e.JT tI I4 41 f a i _ _ _...._FtAI1D,HI1?I._ 4m1 741 1674 ..............
Springfield CDR 97477 E IM lisa. rr t Imacor CORID
INsu sAFE�9RIDINGCK3VNEA4 .w,,. NAIL#
_._.. INSURER A Arch Insurance gqrnpany 11150
INSURED AS6A0IC INSURERS .......
* AIF f ead��wr tion . . ....... _.. _.. 36196
Abraham Contracting, Inc.
6152 River Banks Rd oNsuRF(_ ,m
Grants,Reiss OR 97527 INSURER ID
INSURER E a
INSURER F;
COVERAGES CERTIFICATE NUMBER:1752132506 REVISION NUMBER.
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,
....._... ..._.__.... w....._...__. _--------- --.-----._...
1.w .. rrlxl�.� .__.�rv.,... _.._.__..� . l5'tD�: e ... ....�o�Ic�r I�uIaR.......... .w._I�"cDa..I �r "�H 'i*"cit:lmav i�...._. Ia�illrs
F INSURANCE
A X COMMERCIAL GENERAL�
LIABILITY Y PK07678308 6/112024 611/202E
EACH OCCURRENCE 1 ooa also
_�. OCCUR iArAAETIItITEI_... � , $1ao rDafD
CLAIMIS•MIACDE X
A1Et PP(And xte perces and aaa
_._ ........_.._.
_.... _.._,..._._ -PERSI I ID AIDV INJURY $1 aaa 000 .........
GEN'L AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATIE $2 aao QCID
POLICY PROLOC PRDDLIC.TS CCDIuI 2,oIDLD,--
OTHER. $
A AUTOMIIrII$S,.ELDABII IT r Y MWPK07678308 6111 024 6M/2026 �n NO Llhoir $1 oaa aoa
ANY AUTO B004LY INJURY(Pot person) $
AUNEDTOS AUTO SCHEDULED BODILY INJURY Y r AUTOS ONLY ... 'AUTOS (Per $
AURED TOS ONLY NON-OWNED
ONLY �DPERT�DAhhIAGE" _.,.._........ ..„
X $
......_ .. er accr errl
$
A UMISRELLALUAS X— OCCUR MIWUM07701805 6/112024 6/1/2326 EACH OCCURRENCE $1,0001000
X EXCESS LIAS CV AIMIS MIADE
AGGREGATE $
_.......
COED RETENTCDN
B WORKER$COMIPENSATION 966645 7/112024` 711/ a25 X P R H
AND EMPLOYERS'UASILrrY Y/N TATI I1E R
ANYPROPRIETORIPARTNISRIEXCCUTIVE E„L EACH ACCIDENT, $I t3aatDf3iD
OFFICERIMEMBEREXCLUDED"? NIA .w .,... _ _.w...
(Mandatory In NH) E';;L DISEASE EA EMPLOYEE $1 sat}aoa
D Sy'C describe PTION under E.L.DISEASE-POLICY LIMIT $1,oaa,000
DESCRIPTI[DN OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddilionvA Remarks Schedwle,may be attached If more space Is required)
City of Ashland,20 E Main St,Ashland,OR 97520 is Additional Insured per form CG202612 19.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE,: EXPIRATION ION DATE THEREOF, NOTICE WILL Be DELIVERED 3D IN
City of AshlandACCORDANCE WITH THE POLICY P'ROV'ISION&
20 E Main AUT►�o ZE REPRESENTATIVE
Ashland OR 97520 W7
D 1988-201 Er ACORD CORPORATION. All rights reserved„
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