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HomeMy WebLinkAboutInsurance Certificate: JM Northwest DICKWRE-01 SHPRIDDLE ,4coRO CERTIFICATE OF LIABILITY INSURANCE DATE 10/19/201 YY) 1a1sno11 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 License#-OD75602 _— I CONTACT NAME: Steve Priddle rV- -- - - — -- -- WorldClass Insurance Services_ HOO a ,a =1 NE FAX-- -_ / No: (916)789 506 - 2351 Sunset Blvd.#170-560 - E-MAIL - Rocklin,CA 95765 , E-MAIL S:stev worldclassins.com— - — - - INSURER(S)AFFORDING COVERAGE_ - NAIC# - - INSURER A:Plaza Insurance Company - 30945 INSURED INSURER B: J.M.Northwest,Inc INSURER C: dba Dick's Wrecker Service P.O.BOX 102$ INSURER D: Medford,OR 97501 INSURER E 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. INSH ADDC SUBR POLICY EFF POUCY U LTR TYPE OF INSURANCE INSR.WVD. POLICY NUMBER (MMIDDNYYY (MMIDDIYYYYt LIMITS GENERAL I-MBILITY EACH OCCURRENCE $ 1,000,000, A X COMMERCIALGENERALLIABILITY X PTOWK000816-02 1111/2011 1111/2012 PREMISES Eaomunence $ :.100,000 CLAIMS-MADE Fx OCCUR I*. `L,-_ : �, ,e-..�I MED EXP(Any one person) _. $ _ ._ _$,0001 PERSONAL B ADV INJURY s,-- .,.,1;000,000 .GENERAL AGGREGATE '�$ � - 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER - -- - — " '-' PRODUCTS"-COMPIOPAGG $_ - 3,000,000' PRO- " ni.•.. - $ X ,P.OLICV JECT LOC -.. AUTOMOBILE LIABILITY •. -- _ COMBINED SINGLE LIMIT 1,000,000' Eaar<ideM $ A ANY AUTO - PTOWK000816-02 11/112011 1111/2012 BODILY INJURY(Per Person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS JX AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS AU TOS Peraccident $ UMBRELLA DAB OCCUR EACH OCCURRENCE $ EXCESS LUIB C!AIMSTMADE AGGREGATE $ DED RETENTION$ �jj WORKERS COMPENSATION WCyTATU OT AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE❑ E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED9 N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yS6 describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A On Hook/Cargo PTOWK000816.02 11/1/2011 11/112012 $75,000-$250,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) GarageKeepers Legal Liability:4048 Crater Lake Ave.,Medford,OR 97504: $200,000 8160 Lowe Rd.,Ashland,OR 97520:$200,000($6001$2,500 Ded) "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, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE City of Ashland 99 hl Mountain Ave ,a!/ Ashland,OR 97520 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD -