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HomeMy WebLinkAboutInsurance Certificate: OnTrack Inc CERTIFICATE OF LIABILITY INSURANCE 1 4/19/20112) 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 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 CONTACT NAME: Debbie Light, CISR Smith S Crakes Inc. PHONE (541) 6)87-2211 FAX . (541)344-5894 58 W 11th Ave E-MaL .debbie@ smithandcrakes.com INSURERS AFFORDING COVERAGE NAIL 0 Eugene OR 97401 INSURERA:Great American Insurance Comp INSURED INSURERB:SAIF Corporation OnTrack Inc INSURERC: 221 W Main INSURER D: INSURER E: Medford OR 97501 1 INSURER F: COVERAGES CERTIFICATE NUMBER:12/13 GL/Pro/AU/WC/Um 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MIr9ICY EFF PODGY E%P LIMIT TR GENERALUABILITY EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 100,000 A I CLAIMS-MADE OCCUR X PAC6536160 /1/2012 /1/2013 MED EXP(Any we person) $ 5,000 X Professional Liability PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO S 3,000,000 X1 POLICY. PRO LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 A X ANY AUTO BODILY INJURY(Per persm) S ALL OWNED SCHEDULED X 537426740 /1/2012 /1/2013 BODILY INJURY(Per awdenl) S AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per aid nl S X UMBRELLA DAB X OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE S 3,000,000 DED X RETENTIONS 10,00 3070034 /1/2012 /1/2013 $ B WORKERS COMPENSATION X WC STATU- OTH. AND EMPLOYERS'UABILITY I TORY IMITS PR ANY PROPRIETOR PARTNERIEXECUTIVE Y/N E.L.EACH ACCIDENT S 500,000 OFFICERIMEMBER EXCLUDED? NIA 453050 /1/2011 /1/2012 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) As respects all operations of the insured in accordance to policy terms and conditions. City of Ashland, its officers, and employees as additional insured. D CEaC0CEUMCE FAD13 IA" nh CERTIFICATE HOLDER CANCELLATION J UL(541)488-5311 I; 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. FINANCE DEPARTMENT 20 East Main Street AUTHORIZED REPRESENTATIVE Ashland, OR 97520 R Crawford, CPCU/DL ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(20100e).G1 The ACORD name and logo are registered marks of ACORD --�_.