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HomeMy WebLinkAboutInsurance Certificate: Childrens Advocacy Center (2) A` °RO® CERTIFICATE OF LIABILITY INSURANCE 6/24/2013 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 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 NAMED $aII Orr Beecher Carlson Insurance Agency LLC PHONE 1)772-1111 FAX (543) 772-3785 707 Murphy Rd I .sandy.Orr@beechercarlson. com • INSURERS AFFORDING COVERAGE NAIC 0 Medford OR 97504 INSURER A:Philadelphia Indemnity Ins Co 18058 INSURED INSURER B: Jackson County Child Abuse Task Force, DBA: INSURER C: The Children's Advocacy Center INSURER D: 816 W 10th Street INSURER E: Medford OR 97501 INSURER F: COVERAGES CERTIFICATE NUMBER:2012-13 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 POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADEL S POLICYEFF POLICY EXP LTR TYPEOF INSURANCE POLICY NUMBER MMID YY (MIWDDrYYyYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO R~TEU X COMMERCIAL GENERAL LIABILITY PREMISES Ea o=w once $ 100 , 000 A CLAIMBMADE OCCUR X PHPK931195 1/1/2012 1/1/2013 MED EXP(Any one person) $ 5,000 PERSONAL B ADV INJURY S 1,000,000 • GENERAL AGGREGATE S 3,000,000 GENL AGGREGATE LIMB APPLIES PER: PRODUCTS -COMP/OP AGG f 3,000,000 X POLICY PRP LOC $ AUTOMOBILE LIABILITY CO BBIINEDt NGL L IT 1,000,000 A ANY AUTO BODILY INJURY (Pat person) $ ALL OVMED X SCHEDULED PHPK931195 1/1/2012 1/1/2013 BODILY INJURY (Per acdcle~ $ AUTOS AUTOS X HIRED AUTOS X AUTOS P eOaERDAMAGE $ PIP-Banc $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB C1-nMSMADE AGGREGATE f DED RETENTIONS S WORKERS COMPENSATION WC STATU- OTH. AND EMPLOYERS' LIABILITY YIN EL EACH ACCIDENT $ ANY PROPRIETOR,PARTNERIO(ECUTNE ❑ NIA OFFICERIMEMBER EXCLUDED? (Mand&ory in NH) E.L. DISEASE - EA EMPLOYE $ II yes, describe uMer DESCRIPTION OF OPERATIONS belon EL. DISEASE-POLICYLIMIT $ A Professional Liability PHPK931195 1/1/2012 1/1/2013 Each Professional Imide,rt $1,000,000 Aggregate Unit $3,000,000 DESCRIPTION OF OPERATIONS I LOCATnNS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space is requhe0) Re: Social Services Grant. CERTIFICATE HOLDER CANCELLATION (541)552-2059 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. its officers S employees Attn:' Dave Kanner AUTHORIZED REPRESENTATIVE 20 E Main Street Ashland, OR 97520 San Orr/SANDOR X-X(~1GVt-a _-r/I K. 6fl1v t, ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 (mlo05).ot The ACORD name and loco are registered marks of ACORD