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HomeMy WebLinkAboutInsurance Certificate: Rabe Consulting (2) CERTIFICATE OF LIABILITY INSURANCE D 0806//DD/YYYY) 8/ 6/2026 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:Progressive Commercial Lines Customer and A ent Servicing USAA Insurance Agency Inc. PHONE FAX 9800 FRDRCKSBRG HSVCW,SAN ANTONIO,TX 78288 A/C No Ext:1-800-444-4487 A/C No): E-MAIL ro ressivecommercial email. ro ressive.com ADDRESS:P 9 C P 9 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Artisan and Truckers Casualty Company 10194 INSURED INSURER B: Andrea Rabe DBA:Rabe Consulting 421 Commercial St INSURER C: Klamath Falls,OR 97601 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 507572840493044086D080626T115035 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISESOEa oN.,rDrence $ MED EXP(Any one person) PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- PRODUCTS-COMP/OP AGG $ POLICY JECT LOC OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $2 000 000 ANY AUTO BODILY INJURY Perperson) $ A OWNED SCHEDULED AUTOS ONLY X AUTOS Y N 987843687 10/08/2025 10/08/2026 BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DIED I I RETENTION$ $ WORKERS COMPENSATION Y/N H- AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ yes,describe under D E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below See ACORD 101 for additional coverage details. $ A Y N 987843687 10/08/2025 10/08/2026 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Ashland, Oregon and its elected officials,officers and employees are additional insured when required by written contract per the attached form. Coverage is primary&noncontributory. 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 Public Works ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main Street Ashland,OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: ACC>R EP ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED USAA Insurance Agency Inc. Andrea Rabe DBA:Rabe Consulting POLICY NUMBER 421 Commercial St Klamath Falls,OR 97601 987843687 CARRIER NAIC CODE Artisan and Truckers Casualty Company 10194 EFFECTIVE DATE:10/08/2025 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Additional Coverages Insurance coverage(s) Limits ............................................................................................................................................................................................................ Uninsured/Underinsured Motorist $2,000,000 Combined Single Limit Description of LocationNehicles/Special Items Scheduled autos only ............................................................................................................................................................................................................ 2024 FORD F250 1 FT8W2BT7REC85851 Comprehensive $1,000 Ded Collision $1,000 Ded Personal Injury Protection $15,000 each person Additional Information The following are scheduled drivers: Andrea Rabe MEGAN RABE The Certificate holder is an additional insured if required by written contract executed by the named insured prior to the occurrence of any loss,per blanket Al endorsement. ACORD 101 (2008/01) ©2008ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD