HomeMy WebLinkAboutInsurance Certificate: S & S Sheetmetal Inc (5) www.saif.com
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saifOregon.Work.
Life.
Oregon Workers' Compensation
Certificate of Insurance
Certificate holder:
CITY OF ASHLAND
90 N. MOUNTAIN AVE
ASHLAND, OR 97520
The policy of insurance listed below has been issued to the insured named below for the policy period
indicated.The insurance afforded by this policy is subject to all the terms,exclusions and conditions of
such policy; this policy is subject to change or cancellation at any time.
Insured Producer/contact
S&S Sheetmetal Inc Hub International Northwest LLC-Eugene
912 Antelope Rd Mike Godfrey
White City, Or 97503-1607 541.650.6772 mike.godfrey@hubinternational.com
Issued 09/26/2025 Limits of liability
Policy 811929 Bodily Injury by Accident $1,000,000 each accident
Period 10/01/2025 to 10/01/2026 Bodily Injury by Disease $1,000,000 each employee
Body Injury by Disease $1,000,000 policy limit
Description of operations/locations/special items
All Operations
Waiver of subrogation is endorsed for persons and/or organizations with whom the insured-employer is required by
written contract to waive subrogation rights.
Important
This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate
does not amend, extend or alter the coverage afforded by the policies above.This
certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the
certificate holder.
CANCELLATION:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE
THEREOF, NOTICE WILL BE DELIVERED TO THE POLICYHOLDER AND CERTIFICATE HOLDER IN
ACCORDANCE WITH THE POLICY PROVISIONS AND OREGON LAW. SAIF WILL ENDEAVOR TO PROVIDE
WRITTEN NOTICE WITHIN 30 DAYS WHENEVER POSSIBLE.
Authorized representative
Qom- 7
Chip Terhune
President and CEO
400 High Street SE
Salem,OR 97312
P:800.285.8525
Policy_OLCA_Certificate0flnsurance F: 503.584.9812