HomeMy WebLinkAboutInsurance Certificate: Karin Onkka ALLST4TF.LIFNHOLDER SERVICE CENTER
PO ROX 660349
DALLAS,T.1'75266-0349
111-111111111'I'IIIIIIIIIIII1'111'11111111111111111111
CITY OF ASHLAND OR Date: 02/03/12
340 S PIONEER ST
ASHLAND OR 97520-2729
CERTIFICATE OF INSURANCE
EFFECTIVE.DATE
OF CERTIFICATE.
ALLSTATE INSURANCE COMPANY MARCH 10,2012
Northbrook,lllinois,certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER POLICY PERIOD
KARIN ONKKA 0 87 851554 03/10 MARCH 10,2012 A,12:01 A.M.
125 WIMER S'r SEPTEMBER 10.2012 SI.WUd Tina
ASHLAND OR 97520-1647
The person or organization designated below is described in the policy as:
CITY OF ASHLAND OR LIENHOLDER
340 S PIONEER ST (Loss Payable Clause)
ASHLAND OR 97520-2729
HX ADDITIONAL
INTERESTED PARTY
AGENT ROBERT N BUCKMISTER
PHONE (541)488-2516
Coverages designated below are afforded for each described vehicle:
BI $100,000 EA.PERS.- $300,000 EA.00C. 1997 IMPRE%A
PD, $50,000 EA.00C. JFIGF4855VG913245
Collision- DED. Comprehensive-No Comprehensive Coverage
See reverse side for provisions concerning Loss Payable Clause and Additional Interested Party.
This Certificate o1'Insurance neither affirmatively nor negatively amends,extends or alters the coverage
afforded by the policy referred to above.
D1696
•000003605920344528190101•
�tlfl�fl�fl�fl�fl��fl�� ����� Ilfl��flflllflllllfl�fllllllllfllll Illlfll �
The Loss Payable Clause of such policy provides:
"The company reserves the right to cancel such policy at any time as provided by its terms,but in such
case the company shall notify the Lienholder when not less than ten days thereafter such cancellation shall
be effective as to the interest of said Lienholder therein and the company shall have the right,on like
notice,to cancel this agreement."
The Additional Interest Endorsement of such policy,in part,provides:
"...such insurance as is afforded by the policy" for automobile liability insurance listed on the reverse side
hereof applies also to the person or organization named as Additional Interested Party.
"As respects such...interest, no cancellation...and no endorsement...adversely affecting such additional
interest, shall be effective until ten (10)days following the mailing of written notice(lo the person or
organization)of such cancellation or endorsement..."
592034452819P
d