HomeMy WebLinkAboutInsurance Certificate: Thomas V Murphy LLC
MURPH-2 OP ID: TMF
A~ fROe CERTIFICATE OF LIABILITY INSURANCE DAM"
05122312013/2013
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 pollcy(ies) must be endorsed. H SUBROGATION IS WANED, 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
cort(ficate holder In lieu of such endorsement c .
PRODUCER Phone: 541-773-5358 CNOAMNI~ CT Ter Friend
Protectors Insurance, LLC PHONE FAx
Pilot Rock Ins Agency LLC (CA) Fax; 541-772-1906 Alc Na E : 541-773-5358 c,Na:541-772-1909
PO Box 4669 ter rotectorsins.com
Medford, OR 97501
Karol M. Igou INSURER(S) AFFORDING COVERAGE NACi
INSURERA: Philadelphia Insurance Comp.
INSURED Thomas V Murphy LLC INSURERS Assurance Company of Am
766 Capella Cir INSURER C:
Ashland, OR 97520
INSURER D :
INSURER E:
N3URCRF
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 POLICY NUMBER IMMDNYYY) (MMID[NYYYYI LIM"
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00
A X COMMERCIAL GENERAL LIABILITY X PPK1022492 05/1912013 0511912014 PREMISES Ea occurrence $ 100,00
CLAIMS-MADE I-vi
OCCUR MED EXP (My are person) $ 5,00
PERSONAL &ADV INJURY $ 1,000,00
X Foresters E&O GENERA-AGGREGATE $ 2,000,00
GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00
X POLICY JE4 LOC Professio $ 1,000,00
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00
B X ANY Aura X PAS08066427 05/19/2013 0511912014 BODILY INJURY (Per person) $
ALL OVMED SCHEDULED BODILY INJURY (Per eccidem) $
AUTO AUTOS
HIRED AUTO AUTOS OWNED (Per accident)
UMBRELLA LAB OCCUR EACH OCCURRENCE $
EXCESS LMB CLAMS-MADE AGGREGATE $
BED RETENTION $
WORKERS COMPENSATION WC STATLL OTI+
AND EMPLOYERS' LIABILITY YIN TORY LIMITS ER
,ANYPROPRIETORPARTNERIFXECUiIVE. E.L. EACH ACCIDENT E
OFFICERIMEMBER EXCLLOEDR -NIA
(YanOa[ery In NM) E.L. DIE E E. EMPLOYEE $
II yes, desalbe under
DESCRIPTION OF OPERATIONS bek E. L. DISEASE - POLICY LIMIT $
X
DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES (Atlach ACORD 101, AddRional Remarks Schedule, I/ mom space Is reRulmciI
Consulting Forester
CERTIFICATE HOLDER CANCELLATION
CITYAS2
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 97520 AUTHORIZED REPRESENTATIVE
Karol M.Igou
GO 1900-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD