HomeMy WebLinkAboutInsurance Certificate: Quality Fence Co
ACORD... CERTIFICATE OF LIABILITY INSURANCE OP 10 AT I DATE (MMlDDIYYYY)
QUALI31 11/14/08
~ODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Western States M~nnville HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1411 NW Adams ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
M~nnville OR 97128
Phone:503-472-2121 Fax: 503-434-5872 INSURERS AFFORDING COVERAGE NAIC#
INSURED Rualitr Fence CO INSURER A: Employers Mutual Insurance
eliab e Electric
Western Vin~l Products INSURER B:
Rei tmann En erprises INSURER C:
Steve Reitmann
114 W Pine St INSURER 0:
Central Point OR 97502
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,
LTR NSR[ TYPE OF INSURANCE POLICY NUMBER ~~,;!~lri~J8J!t~ P9!-~Yf~P1RAT~~N LIMITS
DATE MMlDDIYY
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
f--
A X COMMERCIAL GENERAL LIABILITY 3X80749 11/19/08 11/19/09 UAMAI.:il:1 U_ Kl:N Il:U $ 100000
PREMISES (Ea occurence)
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5000
PERSONAL & ADV INJURY $ 1000000
f--
GENERAL AGGREGATE $2000000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000000
I n PRO- nLOC Emp Ben. 1000000
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
f-- $ 1000000
A X ANY AUTO 3X80749 11/19/08 11/19/09 (Ea accident)
f--
ALL OWNED AUTOS BODILY INJURY
I--- $
SCHEDULED AUTOS (Per person)
I---
HIRED AUTOS BODILY INJURY
I--- $
NON-OWNED AUTOS (Per accident)
I---
f--- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
RANYAUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 4000000
A ~ OCCUR D CLAIMS MADE 3X80749 11/19/08 11/19/09 AGGREGATE $
$
==j DEDucnBLE $
RETENTION $ $
WORKERS COMPENSATION AND ITrr~l~I~Ws [ IU~H-
ER
EMPLOYERS' LIABILITY E,L EACH ACCIDENT $
ANY PROPRIETORlPARTNERlEXECUTIVE
OFFICERlMEMBER EXCLUDED? E.r: DISEASE - EA EMPLOYEE $ .... ,. --,
If yes, describe under E.L DI~~SE -POLICY LIMIT $ .\\
SPECIAL PROVISIONS below
OTHER , I ; \ \
A Commercial Applica 3X80749 11/19/08 11/19/09 \ i
,
1< '- " ('j ?nnR ,
A L: i !
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS . ; I" ,
C:i ty of AshJ.and :is J.:is ted as add:i. t:ionaJ. :insured as respects J.:iab:iJ.:i tr '-.0 I
,_..,-.,~."-,,,-,......---.~_.....,."...;#
arising out of the activities by and on behalf of the named insured ~
L !
.--1
CERTIFICATE HOLDER
CANCELLATION
--PROOF 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
Ci ty of Ashland IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
20 East Main REPRESENTATIVES.
Ashland OR 97520 I v::;:LR~E~
ACORD 25 (2001/08)
@) ACORD CORPORATION 1988