HomeMy WebLinkAboutInsurance Certificate: CVO Electrical Systems
CVOELEC-Ol LIST
ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE IMMlDDIYYYY)
8/24/2010
PRODUCER (541) 757-1321 THIS CERTIFICATE IS ISSUED AS A 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 B, Twin City Fire Insurance Company
Corvallis, OR 97333- INSURER C U S Specialty Insurance Company
INSURER 0:
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.
T::= ,..",EOOI POUCY NUMBER POlICY EFfE8~ "g~;.rl EXPlRA110N UMITS
~NERAL LlABIUTY EACH OCCURRENCE $ 1,000,00
A X COMMERCIAL GENERAL LIABILITY 52SBATL7259 7/512010 7/5/2011 PREMISES YEa occurencel $ JOO,OOI
! CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 10,001
- PERSONAL & ADV INJURY $ 1,000,001
GENERAL AGGREGATE $ 2,000,001
- 2,000,00
~'~ AGG~En LIMIT AP~t PER PROOUCTS - COMP/OP AGG $
POLICY ~!Wr LOC
~TOMOBILE UABlUTY COMBINED SINGLE LIMIT $ 1,000,001
A ANY AUTO 52SBATL7259 7/5/2010 7/5/2011 (Eaaccident)
-
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
SCHEDULED AUTOS
X HIRED AUTOS BODILY INJURY
X $
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(Per accident)
~RAGE UASIUTY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCE5SlUMBRELLA UABlUTY EACH OCCURRENCE $ 1,000,001
A !j-OCCUR D CLAIMS MADE 52SBATL7259 7/5/2010 7/5/2011 AGGREGATE $ 1,000,001
$
~ ~EDUCTIBLE $
X RETENTION $ 10,000 $
WORKERS COMPENSAnDN AND X I T~~~I~~Ns I )Ol~'
B EMPLOYERS' UABIUTY S2WECNZ9065 7/5/2010 7/5/2011 SOO,OOC
ANY PROPRIETORlPARTNERlEXECUTIVE E.L EACH ACCIOENT $
OFFICERlMEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE S 500,00
~~EC:l~~~'Ov~S1o~s below E.L DISEASE - POLICY LIMIT $ 500,00
OTHER
C Professional Liability USS 10 20742 9/1/2010 9/1/2011 Claims Made Basis 1,000,00
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
-CERTIFICATE HOLDER
CANCELLATION
"- SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION
City of Ashland DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3L- DAYS WRITTEN
Attn: Kari Olson
90 North Mountain Ave. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHAll
Ashland, OR 97520- IMPOSE NO OBUGATION OR UABlUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATNES.
AUTHORIZED REPRESENTATIVE ~ ~I-
- ~ -
- - 11:-
ACORD 25 (2001/08)
@ACORD CORPORATION 1988