HomeMy WebLinkAboutInsurance Certificate: CVO Electrical
ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE IMMlDDfYYYY)
7/7/2010
PRODUCER (541) 757-1321 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION
Barker-Uerlings Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
340 N W 5th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
POBox 1378
Corvallis, OR 97339 INSURERS AFFORDING COVERAGE NAIC#
INSURED CVO Electrical Systems, LLC INSURER A: Hartford Casualty Insurance Company
1600 SW Western Blvd., Suite 160 INSURER 8, Twin City Fire Insurance Company
Corvallis, OR 97333- INSURER c: U S Specialty Insurance Company
INSURER 0:
INSURER E:
CVOELEC-G1 LIST
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,N~~ ~~~~ TYp., CE POLICY NUMBER PRHS';i~Ff6~f POUCY EXPIRG'~N UMITS
~NERAL LIABILITY . EACH OCCURRENCE $ 1,000,000
A X COMMERCIAL GENERAL LIABILITY 52SBATL7259 7/5/2010 7/5/2011 PREMISES Ea o~r~ncel $ 300,OOC
I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 10,OOC
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
~'~AGG~EnE lIMJT APnSIPER: PRODUCTS-COMProPAGG $ 2,000,000
POLICY ~~,9;: LOG
~TOMOBILE UABILlTY COMBINED SINGLE LIMIT $ 1,000,001
A - ANY AUTO 52SBA TL7259 7/5/2010 7/5/2011 (Eaaccldenl)
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
X SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
X $
NON-QWNED AUTOS (Peraccldenl)
-
f-- PROPERTY DAMAGE $
(Peraccldenl)
RRAGE UABIUTY AUTO ONLY - EAACCIDENT $
ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESSJUMBREllA UABlUTY EACH OCCURRENCE $ 1,000,00
A t!:fOCCUR D CLAIMS MADE 52SBA TL7259 7/5/2010 7/5/2011 AGGREGATE $ 1,OOO,OO(
$
~ DEDUCTIBLE $
X RETENTION $ 10,000 $
. X 1-x:;~~m~Ws I 10TH.
WORKERS COMPENSATION ANa ER
B EMPLOYERS' UABILlTY ~2WECNZ9065 7/5/2010 7/5/2011 $ 500,ooi
E,L EACH ACCIDENT
ANY PROPRIETORlPARTNERfEXECUTIVE 500,001
OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $
g~~~liL~~V~g~6NS below E.L. DISEASE - POLICY LIMIT $ 500,001
OTHER
C Professional Liablllty US 091147105 9/1/2009 9/1/2010 Claims mad basis 1,000,00
DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CITY RECORDER
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF TliE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Ashland DAlE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3~ DAYS WRITTEN
Attn: Karl Olson
90 North Mountain Ave. NOTICE TO THE CERTIACAlE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Ashland, OR 97520- IMPOSE NO OBLIGATION OR UABlUTY OF ANY KIND UPON THE lNSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE . <'?::.:> ~"~ji""~r.
.-=- .
ACORD 25 (2001/08)
@ACORDCORPORATION 1988