HomeMy WebLinkAboutInsurance Certificate: Cascade Communication Services Inc (2) A ��� CERTIFICATE OF LIABILITY INSURANCE 7TE
0,01120P/6YY1
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 INSURERM,AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE
CERTIFICATE HOLDER.
IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policyy{ies) rlulst have ADDITIONAL INSURED provisions or be endorsed. If
SUBROGATION 1S WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
certificate does nut confer rights to the certificate holder in lieu of such ertdorsement(s)_
PRODU CLIENT CONTACT CENTER
EDEcE NAM
TACT
FR E;
FEDERATED MUTUAL INSURANCE CCMPANY emvNh
HOME OFFICE:P.O.BOX 328 iAIC,No,Ext):888-333-4949 1AIc,No):507-446.4054
OWATONNA MN 55060 apnAalEss;CLIENTCONTACTCENTER FEDINS.COM
INSURERS AFFORDING COVERAGE NAIC#
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED INSURER a:FEDERATED RESERVE INSURANCE COMPANY 16024
CASCADE CCMMUNICATION SERVICES INC INSURER C.
2961 HELMS RD
GRANTS PASS,OR 97527-9515 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:176 REVISION NUMBER:0
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTW€THSTANDING 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 SUB,SECT TO ALL THE TERMS. EXCLUSICNS AND CONDITIONS OF
SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
1N5R TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP
LTR INSR WVD POLICY NUMBER MMLI I MOLICY YYY LIMITS
COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE
CLAIMS•MAOE OCUR
$1,000,00D
DMaENED PREMISES
$100,0a0
X BUSINESS OWNER'S LIABILITY MED EXP IAny one peraoh)
A N N 9062279 02/01/2026 02101/2027 PERSONAL&ADV INJURY $1,000,000
CEN'L.AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE $2,000 OOO
OTHER: LLL_J}Y"
X POLICY ❑LOC PRODUCTS&COMPIOP ACC $2,000,000
1
AUTOMOBILE LJABIUTY COMBINED SINGLE LIMIT
(Ea accide" $1,000,000
X gNYAUTC BODILY INJURY(Per Person)
B OWNED AUTOS ONLY SCHEDULED N N 906228D 02 10112 0 2E 02/01/2027 BODILY€NJURY IPer Aeddenj
AUTOS
HIRED AUTOS ONLY kUT05�NL� PROPERTY DAMAGE
(Per Accident
X UMBRELLA LIP,6 X OCCUR EACH OCCURRENCE $1,000,000
A EXCESS LIAR CLAIM"ADE I N N 9062569 02/01/2026 02/01/2027 AGGREGATE $1,D00,000
DED I IRETFNTICN
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY YfN PER STATUTE I THER
�.ANY PROPRIETORIPARTNEW EXECUTIVE E.L EACH ACCIDENT
OFFICEIVIIEMBER EXCLUDED? NIA
1Mandatory in NH) E.L DISEASE EA EMPLOYEE
If yes,describe under
DESCRIPTION OF OPERATIONS below f E.L DISEASE-POUCY LIMIT
E
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be=shed If more Space is required)
CERTIFICATE HOLDER CANCELLATION
CITY OF ASHLAND INFORMATION SYSTEMS 176 0
90 N MOUNTAIN AVE SHOULD ANY OF THE ABOVE DESCRIBM POLICIES BE CANCELLER]
ASHLAND,OR S7520-2014 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
® 1488 2015 ACORD CORPORATION.All rights reserved_
ACORD 25 J201S)W) The ACORD name and logo are registered marks of ACORD