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HomeMy WebLinkAboutInsurance Certificate: Modern Machinery Co., Inc. MODEMAC-02 HARNSON ,ACOI20" CERTIFICATE 4F LIABILITY INSURANCE DAT1YYYY) `..� 91251202�r2o25 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 C ACT Terry Payne&Co.,Inc.(Marsh USA LLC) PHONE FAx 2291 W.Broadway Arc,No,Ext:(406)532-5926 wc,No Suite 5 E-MAIL Missoula,MT 59806 INSURERISI AFFORDING COVERAGE NAIC p INSURER A:Phoenix Insurance Company INSURED INSURER B:Cincinnati Insurance Company Modern Machinery Co.,Inc. INSURER C: P.O.Box 16660 INSURER D: Missoula,MT 69808 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 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 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 NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 CLAIMS-MADE 0 OCCUR X 6601905B059PHX25 10/112025 10/1/2026 DAMAGE TO RENTED $ 100,000 rence)MED EXP(Anyone erson 10,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 20000,000 POLICY 0 jper ❑LOC PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: A AUTOMOBILE LIABILITY BINED COM SINGLE LIMIT S 1,000,000 X ANY AUTO X 8102S9647162514 10/112025 1011r2026 BODILY INJURY Par rson OWNED SCHEDULED AUTOS ONLY :AUTOS S BODILY INJURY Per accident X OF&ONLY X AUTOB y�rN PROPERTY DAMAGE Per accident B UMBRELLA LIAB Nr OCCUR EACH OCCURRENCE X EXCESS LIAB CLAIMS-MADE X EXS0553033 10/1/2025 10/1/2026 AGGREGATE DED RETENTIONS *See DeSc Below WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN �A�??NNEYPROPRIET88OR7PARTNER/EXECUT)VE E,L.EACH ACC IDENT S (Mandato,JMWREXCLUDED? NIA HH}j E.L.DISEASE-EA EMPLOYE _ If yes,descrbe under -� DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS!LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) RE:Goods and Services Agreement for on-site service and repair Additional Insured and Primary r;<Non-Contributory status applies per blanket endorsements attached to policies. Separation of Insureds applies per policy form. *Excess Liability Limits:$1,000,000 Each Occurrence Certificate Holder Continued:Oregon,its officers,agents and employees CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, City of Ashland** ACCORDANCE WITH THE POLICY PROVIS ONTSCE WILL BE DELIVERED IN 20 East Main Street Ashland,OR 97620 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) 01988-2015 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD