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Home My WebLink AboutInsurance Certificate: Infinity Electrical Contractors, Inc. DATE IMMIpDI`[YYYI CERTIFICATE OF LIABILITY INSURANCE 09/04/2025 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. It 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 NAME: CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY PHONE HOME OFFICE:P.O.BOX 328 IA/C,No.Exu:888-333-4949 1AIC,nm,507-446-46CA CNJATONNA,MN 55060 ADORE$S;CLIENTCONTACTCENTER®FEDINS.COM €NSURERS AFFORDING COVERAGE NAIC# INSURER A:FEDERATED RESERVE INSURANCE COMPANY 16024 INSURED INSURER B: INFINITY ELECTRICAL CONTRACTORS,INC. INSURER c: PO BOX 2575 WRITE CITY,OR 97503-W5 INSURER O: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:93 REVISION NUMBER:0 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 B£ ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITICN15 OF SUCH POLICIES.LIMITS SHOWN MAY RAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE IN)DL SUBR POLICY NUMp£R POLICY EPF POUCY EXP LIMITS SR 'AVLI MMIDWY MMJDDIYYYY X COMMERCtAL GENERAL UABILITY EACR OCCURRENCE $1,000,000 CLA1M5•r fADE OCCUR AMACE TO ELATED PREMISES $1trDi�D Ea ucurrerue MED EXP IAnY�PeO�) EXCLUDED A Y N 9215875 10/30/2025 1013012M PERSONAL$AOV INJURY $1,000 000 OENL AOOREOATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 000 000 X POLICY CT ❑LOC PROMCTS 8 COMPIOP ACC $2,000,000 OTHEq� LLL��!"'�� AUTOMOBILELIABIUTY COMBI14E D SINGLE LIMIT (Es Icc€den X ANYALrro BODILY INJURY 1Per Persm) A OWNEDAUTOS ONLY SCFEDLLED Y N 9215875 10130/2025 10/30i2026 BODILY INJURY[Per AccidentAUT(JS HIREU AUTOS ONLY NON OhhED ROPEY DA11AGE AUTOS O."1LY Per AcR,Tclden X Uh18RELLA LIAR X OCCUR EACH OCCURRENCE $5,0W,000 A EXCESSLIAB CLAIMSMADE N N 9215B76 10/3012025 10/30/2028 AGGREGATE $5,WO,000 DELI J 1RETFNT(CN WORKERS COMPENSATION pfR STATUTE THER AND EMPLOYERS,LIABILITY YIN ANY PROPRFETORJPARTNERI EXECUTIVE El EACH ACC3OENT OFTICERIMEMSEREXCLUDED7 NIA (Mandatory in NH) 91 OtS£ASE fA EMPLOYEE It yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY UMtT OESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Srlfedule,may be atla&Ad it mdie space is re i;Oed) SEE ATTACHED PAGE CERTIFICATE HOLDER CANCELLATION CITY OF A SHUN WORKS 0 DEFT OF PUBLIC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 20 E MAIN ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ASHLAND,OR 97520-1814 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED RtPRESENTATIVE 0 IM-2015 ACORD CORPORATION.All rights reserved. ACORD 25 t2016103) The ACORD name and logo are registered marks of ACORD r...` � AGENCY CUSTOMER ID: A C"R" LOC#: ADDITIONAL. REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURE{) FEDERATED MUTUAL INSURANCE COMPANY INFINITY ELECTRICAL CONTRACTORS,INC, PO BOX 2575 POLICY NUMBER WHITE CITY,OR 97 503-0 57 5 SEE CERTIFICATE#93.0 CARRIER NAIC-DE EFFECME DATE:SEE CERTIFICATE#93-0 SEE CERTIFICATE 93.0 ADDITIONAL REMARKS THIS ADDITIONAL.REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 26 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE PROJECT: THE GROVE EOC EMERGENCY POWER SUPPLY SYSTEM PROJECT NO. 2019-16 THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR GENERAL LIABILITY. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT ENDORSEMENT FOR BUSINESS AUTO LIABILITY. ACORD 101(2008101) 9 2008 ACORD CORPORATION,All rights reserved. The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED BY CONTRACT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. WHO IS AN INSURED for"bodily injury" and "property damage" liability is amended to include: Any person or organization other than a joint venture, for which you have agreed by written contract to procure bodily injury or property damage "auto" liability insurance arising out of operation of a covered "auto" with your permission. However, this additional insurance does not apply to: (1) The owner or anyone else from whom you hire or borrow a covered "auto". This exception does not apply if the covered "auto" is a "trailer" connected to a covered "auto"you own. (2) Your "employee" if the covered "auto" is owned by that "employee" or a member of his or her household. (3) Someone using a covered "auto" while he or she is working in a business of selling, servicing, repairing, parking or storing "autos" unless that business is yours. (4) Anyone other than your "employees", partners (if you are a partnership), members (if you are a limited liability company), or a lessee or borrower or any of their "employees", while moving property to or from a covered "auto". (5) A partner (if you are a partnership), or a member (if you are a limited liability company) for a covered "auto" owned by him or her or a member of his or her household. S. The coverage extended to any additional insured by this endorsement is limited to, and subject to all terms, conditions, and exclusions of the Coverage Part to which this endorsement is attached. In addition, coverage shall not exceed the terms and conditions that are required by the terms of the written agreement to add any insured, or to procure insurance. C. The limits of insurance applicable to such insurance shall be the lesser of the limits required by the agreement between the parties, or the limits provided by this policy. D. Additional exclusions. The insurance afforded to any person or organization as an insured under this endorsement does not apply: 1. To "loss" which occurs prior to the date of your contract with such person or organization, 2. To "loss" arising out of the sole negligence of any person or organization that would not be an insured except for this endorsement. 3. To "loss for any leased or rented "auto" when the lessor or his or her agent takes possession of the leased or rented "auto" or the policy period ends, whichever occurs first. Includes copyrighted material of Insurance Services Office, Inc. with its permission. CA-F-127 (03-03) Policy Number: 9215875 Transaction Effective Date: 10/30/2025 COMMERCIAL GENERAL" LIABILITY CG 20 33 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN A WRITTEN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL_ GENERAL LIABILITY COVERAGE PART A. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured any person or additional insureds, the following additional organization for whom you are performing exclusions apply: operations when you and such person or This insurance does not apply to: organization have agreed in writing in a contract 1. "Bodily injury", "property damage" or or agreement that such person or organization be "personal and advertising injury" arising out of added as an additional insured on your policy. the rendering of, or the failure to render, any Such person or organization is an additional processional architectural, engineering or insured only with respect to liability for "bodily injury", "property damage" or "personal and surveying services, including: advertising injury" caused, in whole or in part, by: a. The preparing, approving, or failing to 1. Your acts or omissions; or prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, 2. The acts or omissions of those acting on your change orders or drawings and behalf; specifications; or in the performance of your ongoing operations for b. Supervisory, inspection, architectural or the additional insured. engineering activities. However, the insurance afforded to such This exclusion applies even if the claims additional insured: against any insured allege negligence or other 1. Only applies to the extent permitted by law; wrongdoing in the supervision, hiring, and employment, training or monitoring of others 2. Will not be broader than that which you are by that insured, if the "occurrence" which required by the contract or agreement to caused the "bodily injury" or "property provide for such additional insured. damage", or the offense which caused the A person's or organization's status as an "personal and advertising injury", involved the additional insured under this endorsement ends rendering of or the failure to render any when your operations for that additional insured professional architectural, engineering or surveying services. are completed. O Insurance Services Office, Inc., 2018 Page 1 of 2 CG 20 33 12 19 Policy Number: 9215875 Transaction Effective Date: 10/30/2025 2. "Bodily injury" or "property damage" C. With respect to the insurance afforded to these occurring after: additional insureds, the following is added to a. All work, including materials, parts or Section III - Limits Of Insurance: equipment furnished in connection with The most we will pay on behalf of the additional such work, on the project (other than insured is the amount of insurance: service, maintenance or repairs) to be 1. Required by the contract or agreement you performed by or on behalf of the additional have entered into with the additional insured; insured(s) at the location of the covered or operations has been completed; or 2. Available under the applicable limits of b. That portion of "your work" out of which insurance; the injury or damage arises has been put to its intended use by any person or whichever is less. organization other than another contractor This endorsement shall not increase the or subcontractor engaged in performing applicable limits of insurance, operations for a principal as a part of the same project. Page 2 of 2 O Insurance Services Office, Inc„ 2018 CG 20 33 12 19 Policy Number: 9215875 Transaction Effective Date: 10/30/2025