HomeMy WebLinkAboutInsurance Certificate: Durant-Newton Enterprises dba Brother's Fax sent by : 5414885851 ASHLAMD IMSURAMCE 82-27-12 14:83 Pg: 1/1
``fO°® CERTIFICATE OF LIABILITY INSURANCE DATE(MSY°°"""'
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THIS CERTIFICATE I$ 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 terns 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 endorsements).
PRODUCER MTACr Julie Asher
NAME:
Ashland Insurance Inc PxoNE (541)482-0831 F°x . (sul4ee-Best
585 A Street Suite 1 L .jasher @aehlandinsurance-com
P. O. Box 880 INSURERS AFFORDING COVERAGE NAIC0
Ashland OR 97520 INSURER A:Travelers Indeninity Co of Conn-
INSURED
INSURER B
Durant-Newton Enterprises, Inc, DBA: Brother's INBURERC:
642 Sutton Place INSURER D:
NSURER E
Ashland OR 97520 INSURER F:
COVERAGES - CERTIFICATE NUMBER:CL1222703449 REVISION NUMBER:
THIS IS TO CERTIFY 1HAT 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 TH15
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.
INM I TYPE OF MSURANCE L UVAR POLE EFF PODCYEXP
POLICY NUMBER MMIDDIYYYY MMIO YYY LIMITS
GENERAL LIABILITY
EACH OCCURRENCE S 1,000,000
X COMMERCIAL GENERAL LIABILITY pRFMISES Ee aNCCwrence S 300,000
A CLAMS-MADE OCCUR X 6805670L020ACJII /4/2011 /4/2012 MED bXP IAn Ma�e,wn) S 5,000
PERSONAL&ADV INJURY $ 1,000,000
.. GFNFRAL AGGREGATE S 2,000,000
GtN'LAGGREG4TF.L IMIr APPLIES PER PRODUCT$-COMNOP ACG S 2,000,000
X POLICY PNO- LOC S
AUTOMOBILE LIAMII Y COMBIN IL t LIMB
Me ac
ANY AUTO BODILY INJURY(Per ,eMM) $
ALL ONNFD F I SCHEDULED
MITOS AUTOS BODILY INJURY(Per acckanQ S
LIIRED AUTOS NON-O t O PHUYtH 1 Y DAMAGE
AUTOS Pn Aa'.fara 3
3
UMBRELLA LIAR OCCUR EACH OCCURRCNCE $
EXCESS UAB CLAIMSWADE AGGREGATE $
ueo RFfFNTION 3 3
WORKERS COMPENSATION 707 SFATV- OTN-
AND EMPLOYERS'LIABILITY YIN
ANY PROPRIETORIPARTNFRXXECUTIVE F7 E.L.CACI I ACCIOEN I S
OFFICERMEMBFR EXCLUDED? NIA
(Mandamry In NH) E.1-UISEASE-E.X EMPLOYEES
III deav3e urwt
DESCRIPTION OF OPERATIONS b E.L DISEASE-POI ICY LIMIT S
DESCRLPRON OF OPERATION61 LOCATIONS VEHICLES (Artach ACORD 101,Addili...I RMna Schedule,if mcn sp-.is,,,tired)
The City of Ashland, its officers and employees are named as additional insureds,
Location: 95 N Main St, Ashland OR
CERTIFICATE HOLDER CANCELLATION
(541)488-5320 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 E. Main St.
Ashland, OR 97520 AUTHOR12E0 REPRESENTATIVE
Wv'
Julie Asher
ACORD 25(201 DIOS) ®1988-20 CORD CORPORATION. All rights reserved.
1148025(2mo pi The ACORD name and logo are registered marks of ACORD