HomeMy WebLinkAboutInsurance Certificate: Southern Oregon Pride A ROC ROG* CERTIFICATE OF LIABILITY INSURANCE °"T"UDDNYM
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: N the certificate holder Is an ADDITIONAL INSURED,the pulicy(les)must be endorsed. N 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 corder rights to the
certificate holder In lieu of such endoraement(s).
PROOIILFR NArrE Bri a Whitesrarver
For Service Cali: ^ FAx Ne
Gales Creek Insurance Services a division of JD FuNATer ;
5727 SW Macadam Ave AFFonow;wvERAOE NAKH
Portland,OR,97239 MU ER A: United States Fire Insurance Com
MUM11 l3idRa MUREAD: I
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543 South-IBEDrderAve.PO Box 524 INSURER C:
Ashland,OR 97520 s° Dt
NaIMERE:
WSWERF:
COVERAGES CERTIFICATE NUMBER 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.
BIDR TYPE OF MEDRANCE AI)DILSUBR POLM. NUN FHF POLICYYN UMni
GENERAL LIABILITY EACHOCCURRENIE $ 1000000.00
A
17—MERCIAL GENERAL UABIUTY
PREwsss nm.,nnu $ 300,900.00
CWMSNAOE OCCUR FT F MEDEXP(Nv.P ) $ 5000.00
TBD-SOP-10122012 10/12201210/14I2012_r,ERsONL&Ao,, URY i 1000000.00
` GENERAL AGGREGATE f 2,000,000.00
GE/M1AGGREGATE LIMIT APPLIES PER PROWCTe-COYPAJP AGG $ 2000000.00
X Poucr PR0. La s
AUTOMOB6E llAesm ..dd
ANY ADTO BOdLY INJURYa'eP.Ynn) f
ALLONNED SCHEDULED
AUTOS AMO6 BODILY INJURY(ParnrdMM) i
HIRED AUTOS AWDS NEO PR i
S
UI®RHlA L41B OCCUR EACH OCCURRENCE i
ncEeSLNB AGGREGATE i
OED RETEM S f
YIORIER9 C016FNaATgN WC ATLL OT14
ANO EIPLOYER6 LNBIIlTY
ANYPROPRETOR,PARTNBLFJELITTIY£
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OFFILEMEMBER IXOLUDFDt ❑ NIA F7 EL EACH ACflOEM f
(YUMnary In NN) EL pSEASE-EA EllttO f
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aEagaP110N aFGP9i11TpNeILOWTaINaIVEIeLLEe IAeAa ACORD r01,AamtlpW Rwrb Sdw&e ff v r MmWkwi
THE CERTIFICATE HOLDER IS ADDED AS AN ADDITIONAL INSURED BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF OPERATIONS OF THE
NAMED INSURED DURING THE POLICY PERIOD.
CERTIFICATE HOLDER CANCELLATION
City of Ashland,Its 0lfrtere and employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
20 E.Main SL ACCORDANCE WITH THE POLICY PROVISIONS.
Ashland,OR 97520
Almldi®RETAElBITAINE
Brigid Whihscamer
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD