HomeMy WebLinkAboutInsurance Certificate: Central Equipment Co Inc ` E{MM/DD/YYYY)
706/1712026
CERTIFICATE OF LIABILITY INSURANCE
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 NAME: CLIENT CONTACT CENTER
FEDERATED MUTUAL INSURANCE COMPANY RONE FAX
HOME OFFICE:P.O.BOX 328 (AIC,No,EXO:888-333-4949 (A/C,NoU 507-446-4664
OWATONNA,MN 55060 ADDRESS:CLIENTCONTACTCENTER@FEDINS.COM
INSURERS AFFORDING COVERAGE NAIC#
INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED INSURER a:
CENTRAL EQUIPMENT CO INC INSURERC:
3008 BIDDLE RD
MEDFORD,OR 97504-4119 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:12 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 POLICY EXP LIMITS
LTR INSR WVD MMIDDIYYYY MM/DDIYYYY
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000
CLAIMS-MADE �OCCUR DAMAGE TO RENTED PREMISES $100,000
(Ea occurrence)
MED EXP(Any one person) EXCLUDED
A Y N 0639063 08/01/2026 08/0112027 PERSONAL&AOVINJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 00O 000
X POLICY I I:ERO- ❑LOC PRODUCTS&COMPIOP ACC $2,000,000
OTHER, III___NNP
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
(Ea accident)
JANY AUTO BODILY INJURY(Par Person)
AOWNED AUTOS ONLY AU LIT
Y N 0639063 0810112026 08101/2027 BODILY INJURY(Per Accidewl
HIRED AUTOS ONLY NON-OWNED
TOS ONEY PROPER DAMAGE
nDDAMAGE
X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $4,000,000
A EXCESS LIAR CLAIMS-MADE N N 0639068 08/01/2026 08101/2027 AGGREGATE $4,000,000
DED I RETENTION
ANY PROPRIETOR/PARTNER/EXECUTIVE PER STATUTE THER
OFFICERWEMBER EXCLUDED? YIN —
(Mandatory in NH) E.1-EACH ACCIDENT
It yes,describe under N/A .... .........._._
DESCRIPTION OF OPERATIONS below E.L DISEASE EA EMPLOYEE
E.L DISEASE-POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required)
THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ON GENERAL LIABILITY SUBJECT TO THE CONDITIONS OF THE ADDITIONAL INSURED
- OWNERS, LESSEES, OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION ENDORSEMENT.
THE CERTIFICATE HOLDER IS A DESIGNATED INSURED ON BUSINESS AUTO LIABILITY SUBJECT TO THE CONDITIONS OF THE DESIGNATED
INSURED FOR COVERED AUTOS LIABILITY COVERAGE.
CERTIFICATE HOLDER CANCELLATION
CITY OF ASHLAND 120 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
Q 190-2016 ACORD CORPORATION.All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
Additional Insured Copy
POLICY NUMBER: 0639063 COMMERCIAL GENERAL LIABILITY
CG 20 10 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s)Or Or anization(s): Location(s) Of Covered Operations
City of Ashland ANY COVERAGE PROVIDED BY THIS ENDORSEMENT
20 E Main St APPLIES ONLY WHILE THE CERTHOLDER/ADDITIONAL
Ashland, OR 97520-1814 INSURED'S EQUIPMENT IS IN THE CARE, CUSTODY,
AND CONTROL OF CENTRAL EQUIPMENT CO INC FOR
SERVICE WORK.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section 11 - Who Is An Insured is amended to B. With respect to the insurance afforded to these
include as an additional insured the person(s) or additional insureds, the following additional
organization(s) shown in the Schedule, but only exclusions apply:
with respect to liability for "bodily injury", This insurance does not apply to "bodily injury" or
"property damage" or "personal and advertising "property damage"occurring after:
injury" caused, in whole or in part, by: 1. All work, including materials, parts or
1. Your acts or omissions; or equipment furnished in connection with such
2. The acts or omissions of those acting on your work, on the project (other than service,
behalf; maintenance or repairs)to be performed by or
in the performance of your ongoing operations for on behalf of the additional insured(s) at the
the additional insured(s) at the location(s) location of the covered operations has been
designated above. completed; or
However: 2. That portion of "your work" out of which the
injury or damage arises has been put to its
1. The insurance afforded to such additional intended use by any person or organization
insured only applies to the extent permitted by other than another contractor or subcontractor
law; and engaged in performing operations for a
2. If coverage provided to the additional insured principal as a part of the same project.
is required by a contract or agreement, the
insurance afforded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide for such additional insured.
@ Insurance Services Office, Inc., 2018 Page 1 of 2
CG 20 10 12 19 Policy Number: 0639063 Transaction Effective Date: 08/01/2026
Additional Insured Copy
C. With respect to the insurance afforded to these 2. Available under the applicable limits of
additional innunado, the following is added to insurance;
Section III - Limits Of Insurance:
whichever iuless.
If coverage provided to the additional insured is This endorsement shall not increase the
required by m contract or agreement, the most we applicable limits ofineunanoe
will pay on behalf ofthe additional insured is the '
amount ofinsurance:
1' Required by the contract or agreement; or
�
�
Insured:
Central Equipment CoInc
3OU8 Biddle Rd
Medford, OR875O4-4110
Page 2mf2 @ Insurance Services Office, |nc.. 2O18
CG20 101219 Policy Number: 08300G3 Transaction Effective Date: UD/O1/2U28 �
Additional Insured Copy
POLICY NUMBER: 0639063 COMMERCIAL AUTO
CA20481013
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR
COVERED AUTOS LIABILITY COVERAGE
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds"for Covered Auto Liability Coverage
under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided
in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated
below.
Named Insured: Central Equipment Co Inc
Endorsement Effective Date: 08/01/2026
SCHEDULE
Name of Person(s)Or Organization(s):
City of Ashland
20 E Main St
Ashland, OR 97520-1814
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Each person or organization shown in the Schedule
is an "insured"for Covered Autos Liability Coverage,
but only to the extent that person or organization
qualifies as an "insured" under the Who Is An
Insured provision contained in Paragraph A.1. of
Section II - Covered Autos Liability Coverage in the
Business Auto and Motor Carrier Coverage Forms
and Paragraph D.2. of Section I - Covered Autos
Coverages of the Auto Dealers Coverage Form.
CA 20 48 10 13 tJ Insurance Services Office, Inc., 2011 Page 1 of 1