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HomeMy WebLinkAboutInsurance Certificate: St Vincent de Paul Society '```°RO® CERTIFICATE OF LIABILITY INSURANCE 6/15iZ072 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 Sand OTT NAME: y Beecher Carlson Inauraace Agency LLC PHONE (541)772-1111 FAX . ($41)992-3985 707 Murphy Rd AE�,�AI��Lss.sandy.orr@beechercarlson.com INSURERS AFFORDING COVERAGE NAIC e Medford OR 97504 INSURER A:Philadel hia Indemnity Ins Co 18058 INSURED INSURER B Rogue Valley District Council St Vincent INSURER C: de Paul Society INSURER D: PO Box 1663 INSURER E: Medford OR 97501 INSURER F: COVERAGES CERTIFICATE NUMBER:2012-13 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 MMDCY EFF MMLICDY EXP LIMITS ITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence) $ 100,DDD A CLAIMS-MADE 7X OCCUR X PHPK880309 7 /1/2012 7/1/2013 MED EXP(Any one person) $ 51000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 JECT X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E accident 11000,000 A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED - PHPK980304 7/1/2012 7/1/2013 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) PIP-Basic $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 11000,000 A EXCESS LAB CLAIMS-MADE AGGREGATE $ 11000,000 DED I X I RETENTION$ 10,00 PHUB385834 7/1/2012 7/1/2013 $ WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS'LIABIUTY YIN ANY PROPRIETORIPARTNERIEXECUTIVE❑ E.L.EACH ACCIDENT $ OFFICEWMEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,N more space is required) The City of Ashland, its officers, officials, agents, volunteers and employees are additional insureds as respects General Liability when required by written agreement. This form is subject to policy terms, conditions and exclusions. 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 Street Ashland, OR 97502 AUTHORIZED REPRESENTATIVE Mike Mastroni/SANDOR �fftw� ACORD 25(2010/05) ©1988.2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD