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HomeMy WebLinkAboutInsurance Certificate: Ashland Chamber of Commerce 'ABC°® CERTIFICATE OF LIABILITY INSURANCE DAM IMMIDDYY `� 0 510 812 01 2 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 Reinholdt&0' Harra Insurance PHONE Allison ward FAx 618 Washington St E-MAIL (541)482-1921 AIC No.(541 8-4458 Ashland,OR 97520 ADDRESS: amrd@minholdtins.com License,OR9752 INSUR S AFFORDING COVERAGE NAIC0 INSURERA: Zurich Insurance Services Inc. 19356 INSURED INSURER B: Ashland Chamber of Commerce INSURER C: P 0 Box 1360 INSURER D: Ashland,OR 97520 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 00000660-0 REVISION NUMBER: 1 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 POLIC OF INSURANCE ADOL D POLICY NUMBER MMfiXYEFF m�YEXP LIMITS LTR A GENERAL LIABILITY Y N PPS039636353 02103/2012 02/03/2013 EACH OCCURRENCE E 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE REEMMSES E,coalarahce s 1,000,000 _ CLAIMS-MADE OCCUR WED EXP(Any aria person) $ 10,000 PERSONAL E ADV INJURY E 1.000.000 GENERALAGGREGATE E 2.000.000 GEN-L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG E 2,000,000 X1 POLICY PRO- Loc E AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) ANYAUTO BODILYINJURY(PerpeNan) E ALL OAMED SCHEDULED BODILY INJURY(Per acddenp $ AUTOS AUTOS NOhl-CMED PROPERTY DAMAGE E HIRED AUTOS P,AUTOS Per ecddem S UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS Li CLAIMSMADE AGGREGATE Is DIED I I RETENTIONS 1 E WORRERSCOMPENSATION NC STATU- OTH- AND EMPLOYERS LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUPVE❑ NIA E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mental In NH) E.L.DISEASE-EA EMPLOYE E It DESCRRIPTON OF OPERATIONSt E.L DISEASE-POLICY LIMIT E DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Rerni Schedule,It more spew Ie mquimd) The City of Ashland,its officers,employees and agents shall be named as additional insured. 4 CERTIFICATE HOLDER CANCELLATION 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. 20 E Main Ashland,OR 97520 AUTHORIZED REPRESENTATIVE IVV 'may/ 's-V k < 6ja" ✓` ALI ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Printed by ALI on May 08,2012 at 04:19PM AC Rt°® CERTIFICATE OF LIABILITY INSURANCE DA05/08/2TEIMMAydY012 WYI L.� 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:CT Allison Ward Reinholdt&O'Harra Insurance PRONE FAX 518 Washington St IAIG (5a1Naz 1sz1 AC Ne: sat a�458 Ashland, OR 97520 ADDRESS: award@minholdtins.com License#: 800442 INSURER(SAFFORDINGCOVERAGE NAICN INSURERA: Zurich Insurance Services Inc. 19356 INSURED INSURER 8: Ashland Chamber of Commerce INSURER C: P 0 Box 1360 INSURER D: Ashland,OR 97520 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 00000660-0 REVISION NUMBER: 1 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 iNgRS n POLICY NUMBER POLICY EFF MMILOIC EXP LIMITS LTR A GENERAL LWBILITY Y N PPS039636353 02/0312012 02/03/2013 EACHOCCURRENCE E 1,000,000 DAMAGET jt COMMERCIAL GENERAL LIABILITY RENTED 5 1,000,000 CIAIMS-MADE MX OCCUR MEDEXP(An aneperson) $ 10,000 PERSONAL B ADV INJURY E 1,000,000 GENERALAGGREGATE E 2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG E 2,000,000 X POIJCY IECT 7 PRP 1 LOc E AUTOMOBILE MEILITY COMBINED SINGLE LIMIT Ea a OrIt ANYAUTO BODI LY INJURY(Per parson) E ALL OSNED SCHEDULED BODILY INJURY(Per actldene E AUTOS DUED PROPERTY DAMAGE E HIREDAUTOS AUTOS waixde UMBNELLAMB S EACH OCCURRENCE 5 EXCESS MB CLAIMSMADE AGGREGATE $ OED I I RETENTIONS $ WORKER?COMPENSATION YlC STATU- I OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE❑ NIA E.L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (MUIdMdry In NH) E.L DISEASE-EA EMPLOYE E If yes,des w under DESCRIPTION OF OPERATIONS Osbx E.L DISEASE-POLICY LIMIT E DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks ScMdala,If mow space is n,td.d) The City of Ashland,its officers,employees and agents shall be named as additional insured. V CERTIFICATE HOLDER CANCELLATION 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. 20 E Main Ashland, OR 97520 AUTHORIZED REPRESENTATIREPRESENTATIVE V Sc;' �JQ ALI ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Printed by ALI on May OB,2012 at 04:19PM