HomeMy WebLinkAboutInsurance Certificate: Cascade Integration and Development, Inc DATE(MMIDD/YYYY)
ACOR" CERTIFICATE OF LIABILITY INSURANCEF07111/2025
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
Focus1 Insurance Group, Inc NAME: Bethany Tyrrel
PHO720 E Jackson St A/CN No,Ext: 541-772-3120 a/c No: 541-772-7900
Medford, OR 97504 E-MAIL
E-MAIL s: bethany@focus1ins.com
License #: NPN: 16192192 &CA INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA: Lloyd's of London
INSURED Cascade Integration and Development, Inc INSURER : United Financial Casualty 11770
DBA CID Technologies INSURER : Kinsale Insurance Company 38920 38920
20959 Cooley Rd, Ste#100 INSURER D: Security National Insurance Company
Bend, OR 97701 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 00025691-1782583 REVISION NUMBER: 34
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.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSD WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY
A X COMMERCIAL GENERAL LIABILITY Y ESN0240212067 01/23/2025 01/23/2026 EACH OCCURRENCE $ 2,000,000
AMAGE To
X1 CLAIMS-MADE OCCUR PREMISES(E.occurrence) $ 250,000
MED EXP(Any one person) $ 10,000
PERSONAL&ADV INJURY $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
�( POLICY D PRO-
JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000
OTHER: $
MBIB AUTOMOBILE LIABILITY 00822201 07/23/2025 01/23/2026 EOa a.,deDtsINGLE LIMIT $ 1 000 000
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY X AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
C X UMBRELLA LAB X OCCUR Y 0100258577-2 01/23/2025 01/23/2026 EACH OCCURRENCE $ 3,000,000
EXCESS LAB CLAIMS-MADE AGGREGATE $ 3,000,000
DED X RETENTION$ $
D WORKERH-
AND YERS'LABILITOMPENSATION SWC1529770 01/23/2025 01/23/2026 X STATUTE PEROERH
AND EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? NI N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 12000,000
A Professional Liab. ESN0240212067 01/23/2025 01/23/2026 Aggregate 2,000,000
A Pollution Liability ESN0240212067 01/23/2025 01/23/2026 Aggregate 2,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
The City of Ashland, Oregon,and its elected officials, officers and employees are named as Additional Insureds with respects
to General Liability(including Umbrella Liability). 30 Day Notice of Cancellation applies.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS.
20 East Main Street
Ashland, OR 97520 AUTHORIZED REPRESENTATIVE
19 18-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by BJT on 07/11/2025 at 10:22AM