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Home My WebLink AboutInsurance Certificate: Converse Enterprises Inc ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/2026 ) Ol/28/ 026 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(les) 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 NAME: CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY "NINE FAX HOME OFFICE:P.O.BOX 328 IAIC,No,Eadl:868-333_4949 tA/C,No):507-46-4664 OWATONNA,MN 55060 ADDRESS:CLIENTCONTACTCENTER FEDINS.COM INSURERS AFFORDING COVERAGE NAIC# INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13M INSURED INSURER B:FEDERATED RESERVE INSURANCE COMPANY 16024 CONVERSE ENTERPRISES INC 57 S FRONT ST INSURER C: CENTRAL POINT,OR 97502-2242 INSURER D: INSURER E: INSURER P. COVERAGES CERTIFICATE NUMBER:43 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. 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 SUER POLICY EFF POLICY EXP INSR WVD LIMITS LTR POLICY NUMBER MMIDD/YWY MM/DD/YYW COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADElil OCCUR AMAGE TOce ELATED PREMISES $100,000 Ea oealrren X BUSINESS OWNER'S LIABILITY MED EXP(My orr person) A N N 0641115 03/01/2026 03/01/2027 PERSONAL AIV INJURY _$1,00_0,000 OENL AGGREGATE �LIMIT pAPPLIES PER: GENERAL AGGREGATE $2 000 000 X POLICY L__wCT LOC PRODUCTS 6 COMP/OP ACC $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Es s=it $1,000,000 X ANYAUTO BODILY INJURY War Person) B OWNED AUTOS ONLY SSAUT CHHEDULED N N BW710 =012026 03/01/2027 BODILY INJURY(Per Accident) HIRED AUTOS ONLY NQN-OWNEQ PROPERTY DAMAGE A TOS ONL Per Accid UMBRELLA LAB OCCUR EACH OCCURRENCE EXCESSLLAB CLAIMS-MADE AGGREGATE DED I IRETENTICIN WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Ym PER STATUTE BTHER ANY PROPRIETORIPARTNER]EXECUTIVE E.L EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A (Mandatory glory In NH) E.L DISEASE EA EMPLOYEE If Yes,describe undw DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION CITY OF ASHLAND 43 0 20 E MAIN ST SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ASHLAND,OR 97520-1814 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE) I O 190-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE FATE(MM/DD/YVYV) 01/28/2026 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 NAME: CLIENT CONTACT CENTER -- FEDERATED MUTUAL INSURANCE COMPANY PRON _ — X HOME OFFICE:P.O.BOX 328 (A/C,No,ExU:888-333-4949 (A/C,No):5074464664 OWATONNA,MN 55060 ADDRESS:CLIENTCONTACTCENT_ERQFEDINS.COM INSURERS AFFORDING COVERAGE INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED INSURER a:FEDERATED RESERVE INSURANCE COMPANY 16024 CONVERSE ENTERPRISES INC - _ 57 S FRONT ST INSURER C: CENTRAL POINT,OR 97502-2242 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:44 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. 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 PODGY EXP LIMITS LTR INSR I W,/D MM/DD/YYYV MM/DDIVYVV COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES j (Ea occurrence $100,000 X BUSINESS OWNER'S LIABILITY MED EXP(Any one person) A N N 0641115 03/01/2026 03/01/2027 PERSONAL&ADV INJURY $1,000,000 OENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 000 000 X POLICY �CT ❑LOC PRODUCTS&COMP/OP ACC $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 (Ea accident) J ANY AUTO BODILY INJURY(Per Person)BOWNED AUTOS ONLY SCHEDULED N N 6084710 03/01/2026 03/01/2027 BODILY INJURY(Per Accident) AUTOS HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY (Per Acciden UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN PER STATUTE ETHER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L DISEASE EA EMPLOYEE If yes,describe order DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule.may be attached If more space Is required) - CERTIFICATE HOLDER CANCELLATION CITY OF ASHLAND 44 20 E MAIN ST 0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ASHLAND,OR 97520-1814 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE/ n O 190-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD