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HomeMy WebLinkAboutInsurance Certificate: Modern Machinery Co., Inc. (2) MODEMAC-02 HARNSON TE CERTIFICATE OF LIABILITY INSURANCE D-12/7/2025YY) 12t712025 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 Terry Payne&Co.,Inc.(Marsh USA LLC) PHONE FAX 2291 W.Broadway (Arc,No,Ext):(406)532-5926 (Arc,No): Suite 5 E-MAIL Missoula,MT 59808 INSURERS AFFORDING COVERAGE NAIC# INSURERA:Zurich American Insurance Company INSURED INSURER B: Modern Machinery Co.,Inc. INSURERC: P.O.Box 16660 INSURER D: Missoula,MT 59808 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 CONTRACT OR 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 EXP LTR IN SO D MM/DDIYY IY M DDYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ POLICY❑JECT PRO- ❑LOC PRODUCTS-COMP/OP AGG OTHER: AUTOMOBILE LIABILITY COMBIc aED SINGLE LIMIT(Ea acent) $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ AbT OS ONLY AUOTQS ONLY WEER DAMAGE $ $ _4UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED F RETENTION$ $ A WORKERS COMPENSATION X PER OTH- - AND EMPLOYERS'LIABILITY YIN STATLITE ER ANY PROPRIETORtPARTNERIEXECUTIVE WC959744015 1/1/2026 111i2027 E.L.EACH ACCIDENT $ 1,aaa,aaa OFFICERIMEMBER EXCLUDED? N I A (Mandatary in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under 1,aaa 00a DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) RE:Goods and Services Agreement for on-site service and repair *Certificate Holder Continued:Oregon,its officers,agents and employees CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland* THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 East Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland,OR 97620 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD