HomeMy WebLinkAboutInsurance Certificate: Pathway Enterprises Inc
A OKO CERTIFICATE OF LIABILITY INSURANCE OP ID DL DATE(MMIDDYYYY)
PATHW-1 O1
PRODUCER MATTER THIS CERTIFrCWTi IS ISSUED AS A INFORMATIOP
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Western States Ins. - Medford HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
38 N. Central Ave Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Medford OR 97501
Phone: 541-779-1321 Fax: $41-779-9187 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Philadelphia Ins Cc
INSURER B:
Pathway Enterprises, Inc. INSURER C:
6$$ Washington St INSURER D:
Ashland OR 97520
INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -
R~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
DATE EFFECTIVE DATE MM/IRATI Y LIMITS
LTR NS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A X X COMMERCIAL GENERALLIABILITV PHPR565846 0$/11/11 0$/11/12 PREMISES Ea oaurence) $ 100,000
CLAIMS MADE OCCUR MED EXP(Anyone person) $ 5000
PERSONAL B ADV INJURY $ 1,000,000
X Professional Liab GENERAL AGGREGATE $ 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $3,000,000
X POLICY PRO- LOG
RO
AUTOMOBILELIABILITY COMBINED SINGLE LIMIT $ 1,000,000
A X X ANYAUTO PHPR565846 05/11/11 05/11/12 (Ea accident)
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) $
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
H ANYAUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ 3,000,000
A X X OCCUR F-1 CLAIMSMADE PHUB306719 05/11/11 05/11/12 AGGREGATE $3,000,000
DEDUCTIBLE $
X RETENTION $10,000 $
-
WORKERS AND EMPLOYERS' COMPENSATION LIABILITY YIN . TORY LIMITS ER
ANY PROPRIETORIPARTNERIEXEGUTIVG~ E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? u
(Mandatory in NH) E.L. DISEASE- EA EMPLOYE $
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder is additional insured.
R i i Y RCI30 E"EIR
#627
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
City of Ashland
Attn: Rari Olson REPRESENTATIVES.
90 N Mountain AUTHORIZEDR PRESENTATIVE 9 40 Ashland OR 97520
ACORD 25 (2009/01) IV19M-2M Ai TION. All rights reserved.
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