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HomeMy WebLinkAboutInsurance Certificate: Devore Electric & Construction ��,...., DEVOELE-01 AHICKS CERTIFICATE OF LIABILITY INSURANCE DATE/25/2D(Y 2 25t2026 6 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). CONTACT Amanda Hicks PRODUCER ,-NAME: -. -- Highstreet Insurance&Financial Services PHONE 541 gg2-5555 FAX No): 1998 Skypark Drive,Ste 100 (E M`o,E a ( )_ _ Medford,OR 97504-5395 ADDRESS:amanda.hicks@highstreetins.cam INSURERS)AFFORDING COVERAGE __- NAIC# INSURER A:Nationwide Assurance Company _ 10723 INSURED ,...INSURER B..:Nationwide Mutual Insurance Company _.. .23787 Devore Electric&Construction INSURER G:SAIF Corporation j36196 _ 792 E Dutton Rd INSURER D: Eagle Point,OR 97524-7975 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. -- ADDL�SUBR T POLICY EFF POLICY EXP ILl'R INSURANCE INSD WVD POLICY NUMBER MM D MMtDD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENGE _ 1'®®®'®QQ CLAIMS-MADE X occuR ACPCG017525924983 2/1712026 $ TYPE OF DAMAGE TO RENTED 100,000 'I i 211712027 i_pREMISES_(Eaoccurrence� ! _MED EXP(Any one person) 10'®QQ - - _ 1,000,000 PERSONAL&ADV INJURY $__ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $_ 2'000'000 PRO- X POLICY JE LOC PRODUCTS-COMP/OP AGG $ 2,000,000 11 CT OTHER:General Aggregate $ COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY _(Ea ac_cident� _ $.... _..__ ANY AUTO ACPBA017525924983 2/1712026 211712027 BODILY INJURY(Per_persn -I-$ OWNED X i SCHEDULED BODILY INJURY LPer accident, $_ AUTOS ONLY ' AUTOS — NON-OWNED PROPERTY DAMAGE HIRED T D ONLY X AUTOS ONLY _(Per accidentZ $--- — _. $ B X UMBRELLA LIAB I X 11 OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAe ACP00017525924983 211712026 ' 211712027 CLAIMS-MADE AGGREGATE $ I 2,0 0 0,Q00 -- DED RETENTION$ PER i $ C WORKERS COMPENSATION X I OTH- AND EMPLOYERS'LIABILITY �... STATUTE .ER '. ANYPROPRIETORtPARTNERtEXECUTIVE YIN 1769387 3/1/2026 3l1/2027 E.L.EACH ACCIDENT.._ $.. 1,000,000-- -- OFFICER/MEMBER EXCLUDED? N t A 1 000,0001 (Mandatory in NH) E_.L.DISEASE-EA EMPLOYEE, $... 1 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS t VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Umbrella policy extends liability of general liability and automobile liability policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main Street Ashland,OR 97520 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD