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HomeMy WebLinkAboutInsurance Certificate: CVO Electrical Systems CVOELEC-01 SHKI CERTIFICATE OF LIABILITY INSURANCE 1 UAT 6/114/2011 1412011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE.ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER (541)757-1321 CONTACT Sharon King Barker-Uerlings Insurance Inc PHONE FAX 340 N W 5th Street - AFL Eah,(541)757-1321 x314 Ac Nob (541)757-1326 P O Box 1378 ADDRESS:sharonk@barkeruerlings.com Corvallis,OR 97339 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Casualty Insurance Company INSURED CVO Electrical Systems, LLC INSURER B:Twin Cily Fire Insurance Company 1600 SW Western Blvd., Suite 160 INSURER C:U S Specialty Insurance Company Corvallis, OR 97333- N IS INSURER URER E D: INSURER F: COVERAGES CERTIFICATE NUMBER.: REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR rypE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR D POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 52SBATL7259 71512011 71512012 PREMISES Ea occurrence $ 300,00 CLAIMS-MADE FX I OCCUR - MED EXP(Any one person) $ 10,00 PERSONAL B ADV INJURY S 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,00 POLICY PRO LOG $ JECT 1-1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 A ANY AUTO 52SBATL7259 715/2011 7/512012 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS M NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIMB OCCUR EACH OCCURRENCE $ 1,000,00 A EXCESS LUIS CLAIMS-MADE 52SBATL7259 7/512011 7/512012 AGGREGATE S 1,000,00 DED I X I RETENTION$ 10,000 $ WORK ERSCOMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY X TORY IMITS R B ANY PROPRIETOR/PARTNER/EXECUTIVEYr1 R/A 52WECNZ9065 7/5/2011 7/612012 E.L.EACH ACCIDENT $ _ 500,00 OFFICER/MEMBER EXCLUDED? —. ---" —_—"-- '--- --'-' --"" -- (Mandatory in NH) LJ E .DISEASE-EA EMPLOYEE[S 500,00 If yes,describe under DESCRIPTION OF OPERATIONS below E .DISEASE-POLICY LIMIT $ 500,00 C Professional Liability USS 10 20742 9/112010 91112011 Claims Made Basis 1,000,00 DESCRPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,It more space Is required) ITY RECORDER CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Kari Olson 90 North Mountain Ave. AUTHORIZED REPRESENTATIVE Ashland, OR 97520- ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD