HomeMy WebLinkAboutInsurance Certificate: Thomas V Murphy LLC OP ID:TMF
CERTIFICATE OF LIABILITY INSURANCE 7051""°
05/30/12 D" yy'
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
REPRESENTATNE'OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: N the certificate holder Is an ADDITIONAL INSURED, the poilcy(les) must be endorsed. If SUBROGATION IS WANED, subject to
the terms and conditions of thepolicy, certain policies may require an endorsement., A statement.;on this certificate does not confer rights to the
eortifieato holder In liou of such endoncenr c.
PRODUCER 541-7735358 Karoline k ou
Protectors Insurance, LLC PHONE
Pilot Rock Ins Agency LLC (CA) 541-772-190 Na Ex :341-7735358 No): 541-772-1906
PO Box 4669 Karol? rotectorsins.com
Medford, OR 97501
Karol M.Igou cusTomEgip,MURPH-2
INSURER(S)AFFORDING COVERAGE NAIC!
INSURED Thomas V Murphy LLC RISURERA:Kinsale Insurance Company
755 Capella Cir INSURERB:Travelers Cas Ins Co ofAmerica
Ashland,OR 97520. 1NSURERC:Darwin Select Insurance Co
INSURER F
COVERAGES INSURERD:
IrvsuRErte:
C 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
JJ1L
POLICYNUMSER IM DIM 211129= LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00
A X COMMERCIAL GENERAL LIABILITY X. 01000022040-1 05/19/12 05119/13 PREMISES Ea occurrence IS 100,00
CLAIMS-MADE El OCCUR MED EXP(My one person) $ Exclude
PER80r &PDV INJURY $ 1,000,00
GENERAL AGGREGATE $ 2,000,00
GENL AGGREGATE LIMIT APPLIES PER PRODUCTS=COMP/OP AGG $ Exclude
xi Pni ICY PRO n[ $
AUTOMOBILE LIABILITY X COMBINED SINGLE LIMIT $ 1,000,00
B X AHV nuro BA-1A665181 05/19112' 05119113 (Ea occident)
BODILY INJURY IPer person) f
ALL OYJNED ALMOS'
BODILY INJURY(Per aceidert) $
SCHEDULED AUTOS PROPERTY DAMAGE
X HIRED AUTOS '(Per accident) $
X NON-OWNED AL70S $
E
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAR CLar. MADF _ - -- - - AGGREGATE $
OLDUCT1oLL $
RETENTION
WORKERS COMPENSATION W A
AND EMPLOYERS'LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE ❑ E.L.EACH ACCIDENT $
Po
OFFICEMEMBER EXCLUDED? NIA
(MmdI In NH) E.L.DISEASE-EA EMPLOYE $
If yes,de.nbe under
DESCRIPTION E.L.DISEASE-POLICY LIMIT $
C 11professioned Let, X 0306-6785 05119112 05119113 Per Claim 1,000,00
Aggregate 1,000,00
DESCRWnONOFOPERAnONSILOCATIONSIWHICLES (Attach ACORD 101;Additional Remarks Schedule,x more space is required)
Consulting Forester
CITY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE'
City of Ashland JUN _ 1 2012 THE EXPIRATION DATE THEREOF, NOTICE WILL, BE DELIVERED IN
20 E Main Street ACCORDANCE WITH THE POLICY PROVISIONS.
Ashland,OR 97520
AUTHORIZED REPRESENTATIVE
Karol M. Igou
O 1988-2009 ACORD CORPORATION. All rights reseed.
ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD