HomeMy WebLinkAboutInsurance Certificate: Modern Machinery Co., Inc. MODEMAC-02 HARNSON
,ACOI20" CERTIFICATE 4F LIABILITY INSURANCE DAT1YYYY)
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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.
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