HomeMy WebLinkAboutInsurance Certificate: Pathway Enterprises A ORO CERTIFICATE OF LIABILITY INSURANCE OP ID DL DATE(MMIDDIVYYV)
PATHW-1 O 10 12
PRODUCER THIS CERTIFICATE SS A A MATTER OF INFORMATIOP
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Western States Ins. - Medford HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
38 N. Central Ave Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Medford OR 97501
Phone: 541-779-1321 Fax:541-779-9187 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Philadelphia Ins CO
INSURER B:
Pathway Enterprises, Inc. INSURER C:
655 Washington St INSURER D:
Ashland OR 97520
I INSURER E:
COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
GATE M&IIDDIYYYY GATE MMIPIRATI Y LIMITS
GENERAL LIABILITY EACH OCCURRENCE 51,000,000
• X COMMERCIAL GENERAL LIABILITY PHPK864677 05/11/12 0$111113 PREMISESD(Ea occurence $ 100,00o
CLAIMS MADE 1K OCCUR MED EXP(Any one person) S 5000
PERSONAL&ADV INJURY 51,000,000
X Professional Liab GENERAL AGGREGATE s3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-OOMPIOP AGG $ 3,000,000
X I POLICY n PRO
ECT LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT 51,000,000
• X ANY AUTO PHPK864677 05/11/12 05/11113 (Ea accident)
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident) $
PROPERTY DAMAGE S
(Per accident)
GAR A NE LAIUBIOLITY AUTO ONLY-EA ACCEA EANCT 8
OTHER THAN
AUTO ONLY: AGG S
EESS I UMBRELLALIABILITY EACH OCCURRENCE 53,000,000
A OCCUR CLAIMS MADE PHLTB382106 0$/11/12 05/11/13 AGGREGATE 5 3,000,000
S
DEDUCTIBLE S
RETENTION 810,000 s
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER
ANV PROPRIETOR/PARTNERIEXECUTI' E.L.EACH ACCIDENT 5
OF FICERIMEMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S
It yes,describe under
SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1 S
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
#627, #637
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
City of Ashland IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Administrative Services Dept
REPRESENTATIVES.
Attn: Morrison AUTHORIZED R PRESENTATIVE
20 E Main in St
Ashland OR 97520
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