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Home My WebLink AboutInsurance Certificate: Visar Construction dba Sesar Beecher Carlson 10/27/2011 9: 10 : 35 AM PAGE 1/001 Fax Server corzo® CERTIFICATE OF LIABILITY INSURANCE DATE(A6Y1� 10/26//2012011 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(les) must be endorsed. H SUBROGATION 15 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 NONE: Baula Ortiz, CIC Beecher Carlson Insurance Agency LLC PHONE . (541)772-1111 1 FAX No,,(A41)772-3786 IN 707,Murphy Rd EbmpkBa.paula.ortiz@beecheraarlscn.com INSURERS AFFORDING COVERAGE NAIC Medford OR 97504 INSURERA West American Insurance Cc 44393 INSURED INSURER B Visor Construction Co, Inc. , DBA: Sesar Homes, INSURERC: Inc; Sesar Equipment LLC INBURER D: PO Box 3101 INSURERE: Central Point OR 97502 INSURER F: COVERAGES CERTIFICATE NUMBER:11-12 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, LTa TYPE OF INSURANCE LSUB POLICY NUMBER POLICY EFF POLICY yP UNITS GENERAL UABI LITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES'Ea 0,borce $ 100,000 A CVUMS-MADE FX1 OCCUR x SOON 4932972 0/26/2011 0/26/2012 MED EXP(MY one person) $ 5,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AEG $ 2,000,000 X POLICY F1 PRD- LOD $ POMOSILE LABILRY EBCOMBINED ebI nISINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per parson) $ A ALL OWNED SCHEDULED AUTOS )[ AUTOS BaW54931972 0/26/2011 0/26/2012 BODILY INJURY(Per a¢itlent) g HIRED AUTOS X AUTOS PROPERTY DAMAGE $ Undedneuredm l.'Isi $ UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION WC STATU- OTH- ANDEMPLOYERS'LABILTY Y/N Y ANY I PR N/A OPRIETOWPARTNETEXECUTIVE E.L EACH ACCIDENT $ OFF CER/MEMBER EXCLUDED? (Mendmory in NH) E.L DISEASE-EA EMPLOYE $ 11 yei desrllbe Under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES Attach ACORD 101,AddBional Remark.Scl odule,11 more spew IB requlmd) e a Crtificte holder included as additional insured as respects general liability where required by mitten contract. This form is subject to Policy terms, conditions, and azolusions. CERTIFICATE HOLDER CANCELLATION (541)466-6DO6 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN l - ACCORDANCE WITH THE POLICY PROVISIONS. / City o£ Ashland uLEI.d,,,,',lI -- 20 East Main Street AUTHORIZED REPRESENTATIVE Ashland, OR 97502 OCT 2 7 2011 ke llaetroni/S!$1!IDOR ACORD 25(2010105) L�` `9 �;1 /! :.�N ®1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).0 the ACORD name'end logo are registered marks of ACORD eecher Carlson 10/27/2011 8 : 55 : 44 AM PAGE 1/001 Fax Server ,acs CERT!F!CAT. E OF �!ABI!ITY !NSURANCE DATE IMIA DD011 10/26/2011 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(les) 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 cerfificate does not confer rights to the cartificate holder in Ran of such endorsements. PRODUCER NAME: Paula Ortiz, CIC Beecher Carlson Insurance Agency LLC PHorIE (541)772-1111 F^U Net Iss1)772- 796 707 Murphy Rd .paula.orti.E @beechercarlson.com INSURER(S)AFFORDING COVERAGE NAICe Medford OR 97504 wsuRERA;West American Insurance Co 4393 INSURED INSURER B: visar Construction Co, Inc. , DBA: Sesar Homes, INSURERC: Inc; Sesar Equipment LLC InsuaeRO: PO BOX 3101 INSURER E: Central Point OR 97502 INSURER F'. COVERAGES CERTIFICATE NUMBER:11-12 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, NOTWfTHSTANDNG 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 TYPE OF INSURANCE SUER POLICY NUMBER MMpDNEYW NNI�DYIYYYY LIMITS 1R GFNFRAL I IARII.ITY EACH OCCORRE14CE 5 1,000,000 ItUMMERCIAL GENERAL LIAUILITY PRFMI'OE$(Ea ossi S 100,000 A CLAIMUMPDC OOCCJR X 1310454931972 0/26/2011 1.012612012 MCD rx 1Any orte Perxin) 6 5,000 PERFONCL X ADV IN.URY 5 1,000,000 UENEkA AGGREGATE S 2,000,000 GEN'_AGGREGATE LIMIT APPLIEG PER: sRODUCTS-COMP.'O-AEG E 2,000,000 X POLICY PRO CC $ AOrOMOSILE LIABILITY COMBINED M SINGLE LIMIT 11000,000 A ANYAHM, 90DILY INJURY(Ferpsrson( $XCT NJTDSM-L x AUTOSUL=O SAWS4931972 0/26/2011 0/26/2012 BODILY IWURY Goraccltlerg) i x HIRED AUTO& x II O NNED 'Paracddenl $ Jndennsurm moto is E UMORELLA LIAB pCGIP E4CH U_CUIKtW $ I.E.95 LIAB 0.41M5-01ADE AGGREGPTE $ GED RETENTION S WORKERS COMPENSATION �STATU- OTH- ANDEMPLOYERS'LMBILITY YIN Y ANY CIDENT $ OFFICERIMEVRER EXCLUDEDi NIA (MantlRRry IRNH) ?L GLSEASE-EA EMPL2 Ec 4 r—T ey� eermbc under UESCRIPrION CF OI•FJiAIIONS below -L.DISEh E PGLI'JY LMR Y DESCRIP ION OF OPERATIONS I LOCATIONS I VEHICLES peacR ACOR010I,AtltlltlPnal Rams4 ScArtldr,Irmarr rPaca Ir requeedJ Certificate holder included as additional insured as respects general liability where required by written contract. This form is subject to policy terms, conditions, and exclusions. CERTIFICATE HOLDER CANCELLATION (541)488-6002 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Ashland ` _ _l ACCORDANCE WITH THE POLICY PROVISIONS. 20 Fast Main Street 11 Ashland, OR 97502 R'�.�--J 'J '-_._Y AUTHORIZEDREPRESENTATNE OCT il 7 2011 L4ike Mastroni/SANDOR ACORD 25(201 D/05) 01988-2010 ACORD CORPORATION. All l iyhls reserved. INS025(mlrmslm ,FThe.ACORD name and logo.are registered marks of ACORD 41 V A b-Lv+ elv-,. . eecher Carlson 10/27/2011 8 : 56: 51 AM PAGE 1/001 Fax Server (>IAl A�0® F e T'" 0 TF I I I I DA E(MM DO C_R . CAP _ O. ABILITY NSURANCE 10/26/2011 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(les) 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 enrlificale holder In lieu of such encinmemknl s. PRODUCER CONTACT Paula Ortiz, CIC NAME. Beecher Carlson Insurance Agency LLC PXO (541)772-1111 Fac NR:(5411772-2795 707 Murphy Rd .paula.orti z @beechercarl son.corn INSURERS AFFORDING COVERAGE NAIL S Medford OR 97504 INSURERA:West American Insurance Co 4393 INSURED INSURER B Visar Construction Co, Inc. , DBA: Sesar Hones, INSURER[: Inc; Sesar Equipment LLC In'21E : PO BOX 3101 INSURER E: Central Point OR 97502 INSURERF. COVERAGES CERTIFICATE NUMBER:11-12 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAIDCLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER MMIDWYYYY IAMMIIYYW LIMITS R GFNFRAI.I MAR nY EACH OCCJRRE14CE 5 1,000,000 X CUMMERCV1*ENERPL L"ILIIY MPMI'GESEa pctlJRmce S 100,000 A CLAIMCIAADC Fx1OCCJR X BMIS4931972 0/26/2011 0126/2012 LAMS (�,l One person) $ 5,000 PERSONAL B ALN INA R Y S 1,000,000 GENERAL AGGREGATE S 2.000,000 GEN'LAGGREGATE LIIAIT APPLIES PER �PODUCG-COMR'01 AC $ 2,000,000 X POLICY FRCi _OC $ AUTOMOBILE LIABILITY W INED SINILE LI I 11000,000 'ru A ANY AIITO. BODILY INUF Y(Pxr parson) b PIJTJSMED X SI I05ULD BAR54931972 0/26/2011 0/26/2012 BODILY PJ-URY(Paraacoew $ X HIREDAUTOs X Pr oOJNJED 'Parac dent)$ Jndenn—Ld moin-is: '$ UMBRELLA LIAR Occ.IP EACH O_CU1HLNCt S EXCESS LIAB CLAIMS-0IADE l GREGATE $ I..D I I RETFNTIONS ¢ WORKERS COMPENSATION 1^M_'STATU- OTII- AND EMPLOYERS'LIABILITY YIN ANY VRJW.�ETOR/H.W2TM1EF/EXECJTIYE❑ rDE OFFICEWMEMBER EXCLUDE Dt NIA IMendnpryln NH) AEMPLJ°EII ps./V be md,r DESCRIP[ION CF OPERAOLI'-Y L WIT ¢ DESCPoPr10N OF OPERATIONS 1 LOCATIONS I VEHICLES(AH.,h ACORD 101,Addle] pemv4r ScM1etlJe,Ir mpn rp¢e Is nqulred) Ccrtifieatc holder included as additional insured as respccto general liability where required by written contract. This form is subject to policy terms, conditions, and exclusions. CERTIRCATE HOLDER CANCELLATION (541)489-6002 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. 20 East Main Street Ashland, OR 97502 AUTHORIZEDREPRESENTATIVE OCT 7 2r") a �I. Mike Mastroni/SANDOR ACORD 25(2010/05) �O'Ar� + f" - O 1988-2010 ACORD CORPORATION. All rights reserved. INSD25 pmnnsl nI The'ACORD name and logo are registered marks of ACORD