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HomeMy WebLinkAboutInsurance Certificate: FD Thomas Inc ACOV� CERTIFICATE OF LIABILITY INSURANCE DATE(MM DDYYYY) llfaa /' 12/28/2011 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(ies) must be;endorsed.-if SUBROGATIONiIS..WAIVED, su_bject.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 j certificate holder In lieu of such endorsement(s). (PRODUCER - •;•__ .� - " -( ! CONTACT f.. ^.. tcC:� -is---T' Woodruff-Sa er Oregon,Inc. "HON g_ PHONE' ,LGV'LOd al d FAX--' i 1001 SW Stfi Avenue;Suite''1000 I ac NO" E-MAIL 70 . . 1 Portland,OR 97204 L ADDRESS: If (503)416-7180 INSURERS AFFORDING COVERAGE .. . NACd INSURER A: Zurich American Insurance Company 16535 INSURED INSURER 8: F.D.Thomas,Inc. INSURER C: P O Box 4663 Medford,OR 97501 INSURER D: INSURER E: NSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS 70 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY MMIDDAYYY LIMITS AIR im A GENERAL LIABILITY GLA373910206 12/31/2011 12/31/2012 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY _ - _ PRAEM SES RENTED S 300,000 ` CLAIMS-MADE,X OCCUR __ _ _ MED EXP(My me parson) S —10,00 SSOD•Gap$1"000;000" C. PERSONAL E ADV INJURY,f' I,000,00 _ - - -_—___ _ _ "—_- _._ -__. �" _ _ " GENERAL AGGREGATE f -2,000;00 GEWCAGGREGATE LIMIT APPLIES PER: �?s' a"nr�r e•{ -- , - --.� PRODUCTS-COMPIOPAGG $^ 200000 5 - ' POLIOY t.)( PRO- , : .Lod:r- s. .. ... -" E� - :)^:" I I AUTOMOBILE LIABILITY t ,; - - -' COMBINED SINGLE LIMIT ' A �. GLA3 73 91 0206' 12/31/2011 12/31/2012 Eaazdent 1,000,00 IX ANY AUTO BODILY INJURY(Per Perron) $ ALL OWNED SCHEDULED BODILY INJURY(Per acdtlmt) E AUTOS AUTOS HIREDAUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident E UMBRELLA U&S OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTIONS $ WORKERS COMPENSATION WCsTATU- OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE❑ E.L.EACH ACCIDENT $ (Mandatory In SE EXCLUDEDT WA - E.L.DISEASE-EA EMPLOYE E If yes,desmibe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space N required) All Operations Operations of the Named Insured subject to policy terms and conditions Policies contain a 30 day notice of cancellation and a 10 day notice of cancellation for non-payment of premium. CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Service Center ACCORDANCE WITH THE POLICY PROVISIONS. 90 N.Mountain Ave. Ashland,OR 97520 AUTHORIZED REPRESENTATIVE l s LOAN#: ID#: ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD