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HomeMy WebLinkAboutInsurance Certificate: Silver Ridge Outfitters Inc ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMODNWY) 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 CONS71TUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTA71VE 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 NAME: Insurance Marketplace, Inc. PHONE Est' FAX No PO BOX 278 A ADDR NESS: INSURERS AFFORDING COVERAGE NAIL Medford OR 97501 INSURER A : Capitol Specialty Insurance Corporation 10328 INSURED INSURERS Silver Ridge Outfitters, Inc. INSURER C 9411 West Evans Creek INSURER D: INSURER E Rogue River OR 97537 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 POLICY NUMBER MMIDDIVYVV MM/DDM Y LIMITS INSR W2 GENERAL LIABILITY EACH OCCURRENCE $ 1,000.000 X COMMERCIAL GENERAL LABILITY PREMISES Ea occurrence $ 100,000 DA10AGE TO RENTED CLAIMS-MADE N OCCUR MEDEXP Atone erser $ Excluded A Y CS00332764 11242012 11242013 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea smdeM ANY AUTO BODILY W.UR Y(Per peisan) $ ALL OVMIED SCHEDULED AUTOS AUTOS BODILY w11RY(Parawden) $ NON-OWNED PROPERTY DAMAGE $ HREDAUTOS AUTOS Per acadern 1 H - $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAS CLAIMS,MADE AGGREGATE DED RETENTION $ WORKERS COMPENSATION V d C STATIJ OTH- .d' I AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORRARTNER/EXECUTIVE OFFICERNEMBER EXCLUDED NIA EL EACH ACCIDENT (Maodateryln.NH)._ f s descrioe under DESCRIPTION OF OPERATIONS below E L. DISEASE -POLICY OMIT DESCRIPTION OF OPERATIONS I LOCA arMe Schedule, if more apace Is re quired) Certificate holder is Additional Int e~hgoet~ nsured per form CG2012. FD EC 1 2 2012 CERTIFICATE HOLDER 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 ACCORDANCE WITH THE POLICY PROVISIONS. Ashland OR 97520 AUTHORIZED REPRESENTATIVE ©1988.2010 ACORD CORPORATION. rights reserved. ACORD 25 (2010/05) -The ACORD-name .and logo are registered marks of ACORD