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HomeMy WebLinkAboutInsurance Certificate: Help Now Advocacy Center HELPNOW-01 KAMMIRATA CERTIFICATE OF LIABILITY INSURANCE "T6112512013 ~ 25/2013 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 CONTACT Kathleen Ammirata NAME: Medford Office PHONE FAx PayneWest Insurance, Inc. (=.NP,En);(541)779-1321 I (A/C,No)_(541)779-9187 38 North Central Ave. E-MAIL . Suite 100 ADDRESS: kammirata@paynewest.com Medford, OR 97501 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A : Enumclaw Propertta Casualty INSURED INSURER B: _ Help Now Advocacy Center INSURER C : Larry Kahn 33 N Central Ave #211 l INSURER D Medford, OR 97501 INSURER E : 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 1 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. INSR IADOC~SUBR POLICY EFF I~POUCY UP j LTR TYPE OF INSURANCE - INSRWVD._ POUCYNUMBER (MMIOD/YYYY) (MM/DD/YYYY)I -LIMITSS MGENE~LUASIUTY - - EACH OCCURRENCE 500,000 A MERCIAL GENERAL LIABILITY I CPP000349602 311312013 3113/2014 PREMISE S ERENTED 000I PREMIS(Ee oaurrenca) E 300r CIAIMS-0tAOE ^ I OCCUR MED Up (Any one person) f 10,0001 1171 ,i I t r PERSONAL B ADV INJURY sI - r _ GENERA-AGGREGATE S 1 000000 GEITL AGGREGATE LIMIT APPLIES PER. PROD-- --COMP/OP AGG E: I POLICY / JE C LOC_- _ _ E , AUTOMOBILE LIABILITY - " - COMBINED SINGLE LIMIT -(E- accident) 1$ ANY AUTO BODILY INJURY (Per person) If ALL OWNED SCHEDULED AUTOS F IAUTOS ! BODILY INJURY (PeravJtlenl) I S r NON-OMED PROPERTYDAMAGE HIRED AUTOS I AUTOS D (PER ACCIDENT) _1 E - UMBRELLA UAB !OCCUR EACH OCCURRENCE f EXCESS UAB f CLAIMS4ItADEII AGGREGATE _{5 DED -I RETENTIONS - WORKERS COMPENSATION 1 I WC STATU-I OTH- AND EMPLOYERS UABWTY YIN I iTORYlIM1T$J~ ER ANY PROPRIETOMPARTNEREXECUTIOF - N/A l E.L. EACH ACCIDENT _IS j OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE' S If y25, EaSGihB UDjC! DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT IS DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) I CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ' City of Ashland - 20 E Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD