HomeMy WebLinkAboutInsurance Certificate: Harrang Long Gary Rudnick ACORD. 04/1100/D/22012 012)
CERTIFICATE OF LIABILITY INSURANCE GATE
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
certificate holder In lieu of such endorsement(s).
PRODUCER NAME, Brenda Branson
LaPorte & Associates, -Inc. PA"C" E, : 503.239.4116 IFAX
WC,Nog 503.231.9021
5515 S.E. Milwaukie-Avenue ik%6-ra—nson@laporte-insurance.com
Portland, OR 97202 INSURER(S)AFFORDING COVERAGE NAICC
INSURER A: Continental Casualty Company
INSURED Harrang Long Gary Rudnick INSURER B:
360 E 10th Avenue, Suite 300 INSURERC:
Eugene, OR _97401 ' INSURER D: - --
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 12-13 GL, Auto & Umb 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.
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMID MNUD LIMITS
GENERAL LIABILITY 401817252 04114/2012 04/14/2013 EACH OCCURRENCE $ 2,000,00
X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurten ) $ 300,00
CLAIMS-MADE [X] OCCUR MED EXP(My we Person) $ 10,00
A PERSONAL B ADV INJURY $ 2,000,00
GENERAL AGGREGATE $ 4,000,00
G 1 AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG $ 4,000,00
POLICY PRO-
JECT LOC $
AUTOMOBILE LIABILITY 401817252104/1412012 04114/2013
(Ea amident $ 1,000,000
ANY AUTO BODILY INJURY(Per person) $
A ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Per accident) $
X HIRED AUTOS X NON-OWNED FRUP1,11 I Y DAMAGE $
AUTOS (Par accident)
UMBRELLA LIAB X OCCUR 4018174222 04/14/2012 04114/2013 EACH OCCURRENCE $ 2,000,00
A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,00
DED RETENTION$ 10,00 $
WORKERS COMPENSATION -
AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER
ANY PROPRIETOWPARTNEWEXECUTIVFj� E.L.EACH ACCIDENT $
OFFICEWMEMBER EXCLUDED? u N/A
(Mandatory In NH) - E.L.DISEASE-EA EMPLOYEE $
U.yyes describe Untler
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I WHIOLES(Mach ACORD 101,Additional Remarks Schedule,H mom space Is n,qulmd)
� cCo V
APR 1 3 2012 Ini
CERTIFICATE HOLDER J ul LATION
SHOU ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
RATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POUCY PROVISIONS.
City of Ashland
Attn.: Lee Tuneberg AUTHORQED REPRESENTATIVE
20 East Main Street
Ashland; OR 97520 Blake Schellenber /BRENB
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