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Home My WebLink AboutInsurance Certificate: Metal Masters D. Conditions 1. Duties In The Event Of Notice, Claim or Suit The following is added to paragraph 2., Duties In The Event Of Notice, Claim or Suit: An additional insured under this endorsement must comply with all provisions of this section. 2. Other Insurance With respect to insurance provided by this endorsement to an additional insured, paragraph 4. of Section IV - Commercial General Liability Conditions is deleted and replaced by the following: 4. Other Insurance a. Primary Insurance If required by written contract or written agreement, this insurance is primary and we will not seek contribution from any insurance held by the additional insured for damages we cover. b. Excess Insurance If there is other valid and collectible insurance available to the additional insured, other than insurance held by the additional insured, this insurance is excess over that insurance. In the event the additional insured has other coverage for an "occurrence" by virtue of also being an additional insured on other policies, this insurance is excess over those policies. 3. Waiver of Transfer of Rights of Recovery Against Others to Us Paragraph 8., Transfer of Rights of Recovery Against Others to Us, is amended by the addition of the following: If required by written contract, agreement or permit, we waive any right of recovery we may have against an additional insured above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization. Page 2 of 2 E 487 02 Contains ISO copyrighted material, with its permission Copyright, Insurance Services Office, Inc., 2004 LGL 4032 11 07 -----------~T ACORD... CERTIFICATE OF LIABILITY INSURANCE CSR KS I DATE (MMlDDNYVY) METAL-1 10/02/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Protectors Insurance, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Pilot Rock Ins Agency LLC (CA) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 4669 AL fER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Medford OR 97501 Phone: 541-773-5358 Fax:541-772-1906 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: SAIF Corporation INSURER B: Liberty Northwest Insurance 41939 Metal Masters Inc INSURER C: 3825 Crater Lake Hwy INSURER D: Medford OR 97504 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~~~ ~~':f~ TYPE OF INSURANCE POLICY NUMBER t'&N~1MMlDDJYVf t'8k+1YCMMIODiW) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 I---- PREMISES (E~~~~~nce) B X COMMERCIAL GENERAL LIABILITY C15150259 10/01/08 10/01/09 $ 100,000 I-- n CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 - GENERAL AGGREGATE $2,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 Xl n PRO- nLOC X POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 - B X ANY AUTO C15150259 10/01/08 10/01/09 (Ea accident) - ALL OWNED AUTOS BODILY INJURY - (Per person) $ SCHEDULED AUTOS - HIRED AUTOS BODILY INJURY - (Per accident) $ NON-OWNED AUTOS - - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ==1 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ tJ OCCUR D CLAIMS MADE AGGREGATE $ $ R DEDUCTiBlE $ RETENTION $ $ WORKERS COMPENSATION AND X I TORY LIMITS I JU} M- ER A EMPLOYERS' LIABILITY 812256 10/01/08 10/01/09 E.L. EACH ACCIDENT $ 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500,000 ~~~litSp~~v~g1~NS below E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CITYASH CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTAT @ ACORD CORPORATION 1988 City of Ashland City Hall Ashland OR 97520 ACORD 25 (2001/08) COMMERCIAL GENERAL LIABILITY LGL 4032 11 07 BLANKET ADDITIONAL INSUREDS - CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. A. Section II - Who Is An Insured is amended to include as an insured the following: 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to "bodily injury" or "property damage" directly resulting from your ongoing operations for that additional insured, whether the work is performed by or for you. A person's or organization's status as an additional insured under this endorsement ends the earliest of when your operations for that additional insured cease, when they are completed, or that particular part if "your work" has been put to its intended use. 2. Any person or organization from whom you lease a premises when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an insured only with respect to "bodily injury" or "property damage" directly resulting from your ownership, maintenance, or use of that part of the premises leased to you by such person or organization. A person's or organization's status as an insured under this endorsement ends when their contract or agreement with you for such leased premises ends. 3. The architects, engineers or surveyors, while not engaged by you, that are contractually required to be added as an additional insured to your policy, but only with respect to "bodily injury" or "property damage" directly resulting from a. Your acts or om~ssions; or b. The acts or omissions of those acting on your behalf; In the performance of your ongoing operations performed by you or on your behalf. B. With respect to the insurance afforded these additional insureds, the following additional exclusions apply: 1. The insurance afforded under Paragraph 1.A.1. and 1.A.3. of this endorsement does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, Shop drawings, opinions, reports, surveys, field orders, change orders, drawings, designs or specifications; and b. Supervisory, inspection, architectural or engineering activities. 2. The insurance afforded under Paragraph 1.A.2. of this endorsement does not apply: a. To any "occurrence" which takes place after you cease to be a tenant in that premises; b. To structural alterations, new construction or demolition operations performed by or on behalf of the person or organization from whom you lease the premises. C. Coverage is provided only to the extent that "bodily injury" or "property damage" is caused by you or others performing operations on your behalf. No coverage is provided if, in the absence of this endorsement, no liability would be imposed on you by law. Insurance provided under this endorsement shall not exceed the lesser of: 1. The coverage and limits of this policy; or 2. The coverage and limits required by written contract, written agreement or permit. LGL 4032 11 07 C 841 02 Contains ISO copyrighted material, with its permission Copyright, Insurance Services Office, Inc., 2004 Page 1 of 2 ~-~-------T