HomeMy WebLinkAboutInsurance Certificate: Kaylor Electric
ACORD. CERTIFICATE OF LIABILITY INSURANCE CSR JT I DATE (MMlDD/VYVY)
KAYLO-l 04/16/09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Insurance Marketplace, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1998 Skypark Dr Su~te 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford OR 97504
Phone; 541-779-0177 Fax: FAX 772-8235 INSURERS AFFORDING COVERAGE NAlC #
INSURED I INSURER A: Unitrin Insurance
II\:SURER B: CornHusker Casual tv Co
KaOlor Electric, LLC INSURER c: Saif COrDoration
P. .Box 639 INSURER 0:
Phoen~x OR 97535
INSURER E:
COVERAGES.
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY 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.
l(i~ ~~~ TYPE OF INSURANCE POLICY NUMBER ~~~~T,i~~J=,w;E DATE'/MMfDDrvYI' LIMITS
GENERAL LIABilITY EACH OCCURRENCE $1,000,000
- ~~~:S~sYE~~~~nce\
A X COMMERCIAL GENERAL LIABILITY CAP 0750677 01 07/01/08 07/01/09 $ 100,000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone per.;on) $ 5,000
PERSONAL & ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000
II ,-nPRO n
POLICY JECT LOC
AUTOMOBilE LIABilITY COMBINED SINGLE LIMIT
f-- $1,000,000
B ~ ANY AUTO ORA001110 07/01/08 07/01/D9 (Ea accident)
ALL OWNED AUTOS BODilY INJURY
f-- $
SCHEDYLED _AUTOS (Perper.;on)
f-- ,
~ HIRED AUTOS BODILY INJURY
$
~ NON-QWNED AUTOS (Per accident)
..
- PROPERTY DAMAGE $
(Per accident)
~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
:=]ESSlUMBRElLA LIABilITY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
~ OEDUCTIBLE $
RETENTION $ $ ---
I WORKERS COMPENSATION AND X ITd'~/~I~Ws I IU~~-
C EMPLOYERS' LIABILITY $ 500000
ANY PROPRIETORJPARTNERJEXECUTIVE E.l. EACH ACCIDENT
OFFICE!'VMEM~.E~ F.XClUDEO? 448917 ,04/01/09 04/01/1() E.l. DISEASE - E}\ EMPLOYEE. $ 500000
~~~~I~~~~~Jis?6~s below r. _.> -----~. ~-I
l_",,' II.."; n \\ Ii' rr:= r;: E.l. DISEASE - POLICY LIMIT $ 500000
OTHER ~I!":~-~- -- -:- >1\1 )\1
II
iI''.: ^nn 1 7 onn~ 1,1 II
DESCRIPTION OF OPERATIONS I LOCATIONS I,VEHICLES I EXet.USIONS ADDEo'8Y1:NDORSEMENT I SPECIAL PROVISIONS
488-5320 I U \.Ij ------' J p-o -#;; {3 '1 ~r
CERTIFICATE HOLDER
CANCELLATION
CITYJAC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WIll ENDEAVOR TO MAIL 10 DAYS WRITTEN
City of Ashland NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL
Kerry IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
20 E. Main
Ashland OR 97520 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
R. Scott Weaver CIC
ACORD 25 (2001108)
@ACORDCORPORATION1988