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Home My WebLink AboutInsurance Certificate: Economic & Financial Analysis aco CERTIFICATE OF LIABILITY INSURANCE-- -DA1008/20YYYY' 10/08/2012 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 TH E 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 NAME: T Dan Bates - Evergreen Insurance Managers Inc ac°NN EA (503)616-7900 ac No: (503)259-3065 5293 NE Elam Young Pkwy.Ste 160 aoDRESa dbates@evergreeninsmgrs.com INSURER(S)AFFORDING COVERAGE NAICIf Hillsboro OR 97124 INSURERA: AXIS Insurance Company 37273 INSURED - - INSURER B Economic&Financial Analysis INSURER C: Raymond J.Bartlett dba: INSURER D: 1409 Franklin St Ste 201 INSURER E Vancouver WA 98660 INSURER F: 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. LTR TYPE OF INSURANCE INSIR MD POLICY NUMBER MMID MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY PREMISES Eex mwce $ CLAIMS-MADE OCCUR MED EXP(Any we non $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ -ALL OWNED - SCHEDULED AUTOS OS BODILY INJURY(Per aaccident)accident) $ AUT HIRED AUTOS - NON-OMED PROPERTY DAMAGE $ _ AUTOS - Peraccident S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ S WORKERS COMPENSATION KC STATU- OTM- ANDEMPLOYERS'WBILITY YIN ANY PROPRIErOR/PARTNERIE%ECUTIVE❑ NIA ELEACHACCIDENT $ OFFICERMIEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTIONOF OPERATIONSWow E.L.DISEASE-POLICY LIMIT I$ A Professional Liability Coverage MCN000079741101 10/2812071 10128/2012 $1,000,000 Each Wrongful AcU $1,000,000 Total Limit of Insurance DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,it more space is required) CERTIFICATE HOLDER =;;;-as CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Of Ashland THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 20 E Main St. CT 1 2 2U12 ACCORDANCE WITH THE POLICY PROVISIONS. O AUTHORIZED REPRESENTATIVE Ashland OR 97520 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD