HomeMy WebLinkAboutInsurance Certificate: Dicks Wrecker Service
ACc;;;'h'" CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIVYj
~ 10121109
PRODUCER Worldclass Insurance Services THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
731 Pleasant Grove Blvd. #150-300 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
RoseviUe, CA 95678 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Phone (916)789-1523 Fax (916)789-1506 INSURERS AFFORDING COVERAGE NAIC#
J.M. NORTHWEST, INC dba INSURER A: Plaza Insurance Company
INSURED
INSURER B:
DICK'S WRECKER SERVICE INSURER C:
P.O. BOX 1025 INSURER 0:
I MEDFORD, OR 97501 INSURER E:
COVERAGES INSURER F:
THE POLICIES OF INSURANCE LISTED 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.
INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POU~~, EFFECTIVE POLICY EXPIRATION LIMITS
LTR rNSRD DATE MMIDDIY'fL ~{MMIODIYY}
GENERAL LIABILITY EACH OCCURRENCE 1,000,000
~ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000
PTOWKOO0816,OO 11101109 11101110 PREMISES TEa occurence\
00 CLAIMS MADE Ii2I OCCUR MED EXP (Anyone person) 5,000
A Ii2I 0 PERSONAL & ADV INJURY 1,000,000
0 GENERAL AGGREGATE 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG 3,000,000
Ii2I POLICY 0 PROJECT 0 LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
0 ANY AUTO PTOWKOO0816,OO 11101/09 11/01110 (Ea accident)
0 ALL OWNED AUTOS BODILY INJURY
A Ii2I Ii2I SCHEDULED AUTOS (Per person)
Ii2I HIRED AUTOS BODILY INJURY
Ii2I NON OWNED AUTOS (Per accident)
0 PROPERTY DMlJAGE
0 (Per accidenl)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT
0 0 ANY AUTO OTHER THAN EA ACC
0 AUTO ONLY: AGG
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE
0 OCCUR o CLAIMS MADE AGGREGATE
0
0 DEDUCTIBLE
0 RETENTION $
WORKERS COMPENSATION AND o WC STATU. o OTH-
EMPLOYERS' LIABILITY TORY LLMlIS ER
ANY PROPRIETOR {PARTNER I EXECUTIVE EL EACH ACCIDENT
OFFICER {MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE
If yes, describe under un__
SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT
OTHER
A CARGO 1/ ON HOOK PTOWKOO0816,OO 11101/09 11101/10 $75,000, $250,000 $1,000 OED
DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
GARAGEKEEPERS LEGAL LIABILITY: 4048 CRATER LAKE AVE, MEDFORD, OR 97501 & 160 LOWE RD., ASHLAND, OR 97520:
$200,000 LESS $500/$2,500 OED
"THE CITY OF ASHLAND, ITS OFFICERS, EMPLOYEES AND AGENTS SHALL BE NAMED AS ADDITIONAL INSURED"
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
CITY OF ASHLAND 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
90 N MOUNTAIN AVE THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY
ASHLAND, OR 97520 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~-~,-,-
I
ACORD 25 (2001/08) QF
@ACORDCORPORATION 1988