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Insurance Certificate: Planned Parenthood
A CERTIFICATE OF LIABILITY INSURANCE °AT 12/223Y2011 32011 "r Y' 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 Marsh NSA,Inc. NAME: FAX 1166 Avenue of the Americas PHONE ACC No: New Yolk NY 10036 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC0 INSURER A:Markel Insurance Company 36970 INSURED NA WA PLANNED PARENTHOOD OF SOUTHWESTERN INSURER e: OREGON,AN AFFILIATE OF PLANNED PARENTHOOD INSURER C;WA WA FEDERATION OF AMERICA,INC. INSURER°: 360 EAST 10TH AVENUE,SUITE 104 EUGENE,OR 97405 INSUaeRE: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-005763663-06 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 SUBR POLICY NUMBER POLICY IDDIYYYY POLICY EXP LTR /DDYYYY LIMITS A GENERAL LIABILITY 3040607 0110112012 01/0112013 EACH OCCURRENCE $ 1,000,000 AMA X COMMERCIAL GENERAL LIABILITY PREMISE$E.occvnence E 100,000 CLAIMS-MADE M OCCUR MED EXP(Any one emcw%) $ 5,000 X SIR:$100,000 PERSONAL a AOV INJURY $ I,0D0,0W GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2.000.000 POLICY PRO- X LOC S AUTOMOBILE UABI LRY - CEa aBINE OMBINED l SINGLE LIMIT ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per acct.lerv) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS Per E UMBRELIA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTIONS S WORKERS COMPENSATION I VuC STATU- OTH- AND EMPLOYERS'UABIUTY YIN FH ANY PROPRIETOR/PARTNER/EXECUTIVEâť‘ NIA E.L.EACH ACCIDENT s OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E .DISEASE-EA EMPLOYE $ Dyes,describe under DESCRIPTION OF OPERATIONS bete E,I I.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Mach ACORD 101,AddlUonel Remarks Schedule,If more space Is required) RE SOCIAL SERVICE GRANT AWARD RELATED TO DISBURSEMENT OF GRANTS FOR FY 2010-11 WHICH WILL OCCUR ON OR AFTER JULY 1,2010 ITY OF ASHLAND OREGON,ITS OFFICERS,EMPLOYEES AND AGENTS ARE INCLUDED AS ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR. CERTIFICATE HOLDER CANCELLATION CITY OF ASHLAND OREGON,ITS OFFICERS, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EMPLOYEES AND AGENTS - THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN:BRYN MORRISON ACCORDANCE WITH THE POLICY PROVISIONS. 20 EAST MAIN STREET ASHLAND,DR 97520 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Chnsban Victorino C"_ ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD