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Home My WebLink AboutInsurance Certificate: Patterson Plumbing Co. DATE[MM/DDrYYYY) AC"RH CERTIFICATE OF LIABILITY INSURANCE 03/1712026 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). CONJACI PRODUCER NAME: CLIENT CONTACT CENTER FEDERATED MUTUAL INSURANCE COMPANY _p`R6R[F_— HOME OFFICE:P.O.BOX 328 (A/C,No,ExtU 888-333-4949 50�7446A664 OWATONNA,MN 55050 E-MAIL ADDRESS:C LIE NTCONTACTCENTER@FEDINS.COM INSURERS AFFORDING COVERAGE NAIC# INSURER A!FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED INSURER B: PATTERSON PLUMBING CO. INSURER C: 2086 LARS WAY MEDFORD,OR 97501-3753 INSURER D: INSURER E: I INSURER F: COVERAGES CERTIFICATE NUMBER:50 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 A'C yEFF POLICY E11) LIMITSLTR INSR WVD MM DDr YYY) MIDDl YYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 CLAIMS•MADE XOCCUR _1DAMAGE TO RENTED PREMISES $100,000 (Ea occurrence) MED EXP(Any one person} EXCLUDED A Y N 9841215 05/01/2026 05/0112027 PERSONAL&ADV INJURY $1,000,000 _G_EN1 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY F___11R4 [--PECT D LOG PRODUCTS&COMP/OP ACC $2,000,000 OTHER: COMBINED AUTOMOBILE LIABILITY (E.accident)SINGLE LIMIT $1,000,000 X ANYAHTC BODILY INJURY(Per Person) A OWNED AUTOS ONLY]SCHEDULED Y N 9841215 05/01/2026 1 05101/2027 BODILY INJURY(Per Accident) AUTOS HIRED AUTOS ONLY NON-OSWNONED I ROPERTYrA..id..DAMAGE AUTOLY (PP. Q X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS-MADE N N 9841216 05/01/2D26 05/01/2027 AGGREGATE $2,000,000 _f.E.T ]PEIEN1ION WORKERS COMPENSATION I I AND EMPLOYERS'LIABILITY Y.] PER STATUTE oTHER ANY PROPRIETORIPARTNER/EXECUTIVE r— EL EACH ACCIDENT OFFICIEWMEMBER EXCLUDED? N/A (Mandatory i.NH) E.L DISEASE EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below I E.L DISEASE POLICY LIMIT DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) SEE ATTACHED PACE CERTIFICATE HOLDER CANCELLATION CITY OF ASHLAND Soo 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 16J_LI le Q 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: a LOC##: ADDITIONAL L Page 1 of 1 AGENCY NAMEDINSURED FEDERATED MUTUAL INSURANCE COMPANY PATTERSON PLUMBING CO. 2086 LARS WAY POLICY NUMBER MEDFORD,OR 97501-3753 SEE CERTIFICATE##50.0 CARRIER NAIC CODE EFFECTIVE DATE'SEE CERTIFICATE##%0 SEE CERTIFICATE##50.0 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE RE: OFCI VALVE REPLACEMENT AT THE CITY OF ASHLAND WASTE WATER TREATMENT PLANT FOR 51,350.00. ADDITIONAL INSURED ALSO INCLUDES CITY OF ASHLAND, ITS ELECTED OFFICIALS, OFFICERS & EMPLOYEES. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU ENDORSEMENT FOR GENERAL LIABILITY. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT ENDORSEMENT FOR BUSINESS AUTO LIABILITY. INSURANCE PROVIDED BY THE GENERAL LIABILITY COVERAGE IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE SUBJECT TO THE CONDITIONS OF THE PRIMARY AND NONCONTRIBUTORY CLAUSE- OTHER INSURANCE CONDITION. INSURANCE PROVIDED BY THE BUSINESS AUTO LIABILITY IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE SUBJECT TO THE CONDITIONS OF THE PRIMARY AND NONCONTRIBUTORY CLAUSE- OTHER INSURANCE CONDITION. COMMERCIAL UMBRELLA FOLLOWS FORM ACCORDING TO THE TERMS, CONDITIONS, AND ENDORSEMENTS FOUND IN THE COMMERCIAL UMBRELLA POLICY. ACORD 101 (2008/01) ID 2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO KAQ44S11 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARYAND mu�mv�m��m� m ��m�� x��n��*m� wu�,��wv �*muo �� Q�� U�0�� OTHER mm��m��w��~�� CONDITION o��u� This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE F{}RK4 With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless nnudiDod by the endorsement. A. The following is added to the Other Insurance B. The following is added to the Other Insurance Condition in the Business Auto Coverage Form Condition in the Auto Dealers Coverage Form and and the Other Insurance - Primary And Excess supersedes any provision to the contrary: Insurance Provisions in the Motor Carrier This Coverage Furnn'u Covered Autos Liability Coverage Form and supersedes any provision to Coverage and General Liability Coverages are the contrary: primary boand will not seek contribution from any This Coverage Fornn's Covered Autos Liability other insurance available to an "insured" under Coverage is primary to and will not seek your policy provided that: Y Such "insured" is a Named Insured under contribution from any other insurance available to - such other insurance; and an "ineuned" under your policy provided that: � 1. Such "insured" is a Named Insured under 2' You have ugnamd in writing in a contract or such other insurance; and agreement that this insurance would be primary and would not seek contribution from2. You have agreed in writing in a contract or any other insurance available to such agreement that this insurance would be "insured". primary and would not seek contribution from any other insurance available to such "insured". 0 |nouranoo Services Office, Inc., 2016 Page 1 of THIS EWDORSEMENTCHANGESTHEPQUCY- PLEASE READ [TCAREFULLY. ADDITIONAL INSURED BY CONTRACT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply un|aoo modified by the endorsement. A. WHO IS AN INSURED for"bodily injury" and "property dunnage" liability is amended to include: Any person or organization other than ajoint vonture, for which you have agreed by written contract to procure bodily injury or property damage "auto" liability insurance arising out of operation of covered "auto" with your permission. Hovvevor, this additional insurance does not apply to: (1) The owner or anyone else from vvhorn you hire or borrow a covered "auto". This exception does not apply if the covered "auto" is a "trailer" connected to a covered "auto"you own. (2) Your "employee" if the covered "auto" is owned by that "employee" or u onamnbmr of his or her household. (3) Someone using u covered "auto" while he or she is working in a business of selling, aervioing, repuiring, parking or storing "autos" unless that business is yours. (4) Anyone other than your "employees", partners (if you are a partnership), members (if you are a limited liability compuny), or a lessee or borrower or any of their "emnp|oyeeo", while moving property toor from a covered "auto". (5) A partner (if you are a padnenship), or a member (if you are a limited liability company) for u covered "auto" owned by him nr her oru member of his or her household. B. The coverage extended to any additional insured by this endorsement is limited to, and subject to all terms, conditions, and exclusions of the Coverage Part to which this endorsement is attached. In addition, coverage ohu|| not exceed the terms and conditions that are required by the terms of the written agreement ho add any insured, orto procure insurance. C. The limits of insurance applicable to such insurance shall be the |oomer of the limits required by the agreement between the parties, or the limits provided by this policy. D. Additional exclusions. The insurance afforded to any person or organization as an insured under this endorsement does not apply: 1. To "loss" which occurs prior to the date of your contract with such person or organization; 2. To "loss" arising out ofthe sole negligence nfany person or 'organization that would not be an insured except for this endorsement. 3. To "loss" for any leased or rented "auto" when the lessor or his or her agent takes possession of the leased or rented "uuto" or the policy period ends, whichever occurs first. Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract Condition and supersedes any provision to the or agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the This insurance is primary to and will not seek additional insured. contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and © Insurance Services Office, Inc., 2018 Page 1 of 1 CG 20 01 12 19 Policy Number: 9841215 Transaction Effective Date: 05/01/2026 COMMERCIAL GENERAL LIABILITY CG 20331218 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ��U�U��N �� u . ��m��n�� mu��v�� u��mm�� m�m��w��u�� m� CONTRACTORS ~ AUTOMATIC �� x� � w��m� m ��nu�� rn�� o ��u�m��m o�� STATUS ��u ,m�m� REQUIRED IN A WRITTEN CONSTRUCTION ��o�U��0�� ^�U� ��0N AGREEMENT WITH m m YOU This endorsement nnmdiUeu insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section |U - Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured any person or additional inuuredo, the following additional organization for whom you are performing exclusions apply: operations when you and such person or This insurance does not apply to: organization have agreed in writing in a contract 1' "Bodily injury", "property damage" or or agreement that such person or organization be "personal and advertising injury" arising out of added as an additional insured on your policy. the rendering of, or the failure to render, anySuch person or organization is an additional professional architectural, engineering or insured only with respect to liability for "bodily injury", "property damage" or "personal and surveying services, advertising injury" caused, in whole orin part, by: m. The pnoparing, upproving, or failing to prepuraor �pprove nnmpa. ohopdruwinga. 1 Your or or ' ' ' opiniona, naportm, ourveya, field orders, 2. The acts or omissions of those acting on your change orders or drawings and behalf; specifications; or in the performance of your ongoing operations for b~ Superviaory, inspactiun, architectural or the additional insured. engineering activities. However, the insurance afforded to such This exclusion applies even if the duinos additional insured: against any insured allege negligence or other q. Only applies to the extent permitted by law; wrongdoing in the aupervimion, hiring, and ennp[oyrnent, training or monitoring of others 2. Will not be broader than that which you are by that inoured, if the "occurrence" which required by the contract or agreement to caused the "bodily injury" or "property provide for such additional insured. damagm", or the offense which caused the A person'm or orgenization'a ,tcdue as an "personal and advertising injury", involved the additional insured under this endorsement ends rendering of or failure to rende r any professional architectural, engineering or when your operations for that additional insured surveying services. are completed. ' / 0 Insurance Services Office, |nc, 2O18 Page of 2- "Bodily injury° or "property damage" C. With respect tothe insurance afforded to these occurring after: additional inauredm, the following is added to a' All work, including mmateha|s, parts or Section III - Limits 0fInsurance: equipment furnished in connection with The most we will pay on behalf ofthe additional such vvork, on the project (other than insured is the amount nfinsurance: oen/icm, maintenance or repairs) to be 1' Required by the contract or agreement you performed by or on behalf of the additional have entered into with the additional insured; insured(s) at the location of the covered or operations has been conmp|eted� or 2' Available under the applicable limits of ---- 6. That portion of "your work" out of which insurance; the injury or damage arises has been put whichever im |eam Lo its intended use by any person or � organization other than another contractor This endorsement who|| not increase the or subcontractor engaged in performing applicable limits ofinsurance. operations form principal as part ofthe same project. Page 2 of 2 Insurance Services Office, Inc., 2018 CG 2033 12 19 Policy Number: 0841215 Transaction Effective Date: O5/0i/2U28 290-013-2 50 #BWNDHS BI000-03-0204 #XWXW0021XXXXXXX5# CITY OF ASHLAND 20 E Main St Ashland, OR 97520-1814