HomeMy WebLinkAboutInsurance Certificate: Alumichem USA Inc. MMIDD
A�® CERTIFICATE OF LIABILITY INSURANCE DA07/15/2026)
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 CONTACTNAME: Andl L. Higgs
BrokerLink Inc. PHONE 403-209-6300 extension 86623 FAX
100-1201 Glenmore Trail SW AIC No Ext: A/C,No):
Calgary,AB ADDRESS: ahiggs@brokerlink.ca
T2V 4Y8 INSURER(S)AFFORDING COVERAGE NAIC#
INSURER A: Lloyd's as arranged by WaterColor Management A.M.Best Rating A++ 32727
INSURED INSURER B:
Alumichem USA Inc. INSURERC:
4400 NE 77th Avenue, Suite 275 INSURER D
Vancouver,WA
98662 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.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR IN SD WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $USD$1,000,000
�/
CLAIMS-MADE OCCUR FIR SESOEa occurrDence $USD $100,000
A X Cross Liability MED EXP(Any one person) $USD $10,000
Severability of Interest Y Y LGLEX000591-00 02/07/2026 02/07/2027 PERSONAL&ADV INJURY $ USD$1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $USD $3,000,000
POLICY❑ JECT PRO ❑ LOC PRODUCTS-COMP/OPAGG $ USD $3,000,000
X OTHER: Pollution Liability $ USD $5,000,000
AUTOMOBILE LIABILITY MBINED SINGLE LIMIT
EaCO accident $
ANY AUTO BODILY INJURY(Per person) $
A OWNED SCHEDULED Y Y LGLFX000591-00 02/07/2026 02/07/2027 BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED IX
NON-OWNED PROPERTY DAMAGE $
X AUTOS ONLY AUTOS ONLY Per accident
NHOA $USD $1,000,000
UMBRELLALIAB X OCCUR EACH OCCURRENCE(CGL) $USD$4,000,000
A [�EXCESSLIAB CLAIMS-MADE Y Y LGLEX000591-00 02/07/2026 02/07/2027 AGGREGATE (CGL) $USD$4,000,000
D RETENTION$ Excess Auto Liabilit $ USD $1,000,000
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY YIN STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? NIA City of Ashland, Oregon,along with its elected officials
(Mandatory in NH) E.L.DISEASE-EA EMPLO PEEL'$eeti
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
Professional Liability Per Claim USD$1,000,000
A Claims Made/Retro Date 02/07/2025 LGLEX000591-00 02/07/2026 02/07/2027 Aggregate Limit USD$3,000 00
Deductible USD$ 10,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Wholesale Provider of Water Treatment Chemicals *Above noted Primary Limits are subject to a USD$10,000 deductible with Excess Liability subject to retained limit of USD$1,000,000*
Primary&Non-Contributory-Included
Underlying Policies ofr Excess Liability-General Liability, Products&Completed Operations, Professional Liability, Pullution Liability
City of Ashland,Oregon,along with its elected officials,officers,and employees are named as
an Additional Insured(Commercial General Liability-but only with respect to the operations of the Named Insured)
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,Oregon, ACCORDANCE WITH THE POLICY PROVISIONS.
along with its elected officials, officers, and employees
20 East Main Street Ashland AUTHORIZED REPRESENTATIVE
Oregon 97520 Andi L. Higgs
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