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HomeMy WebLinkAboutInsurance Certificate: Planned Parenthood DATE YYYVJ Av CERTIFICATE OF LIABILITY INSURANCE 06/25/12013 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 Marsh USA, Inc. NAME: FAX 1166 Avenue of the Americas PH"'. No Exit ONE aC No): New York, NY 10036 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE HAD0 INSURER A : Markel Insurance Company 38970 INSURED N/A N/A PLANNED PARENTHOOD OF SOUTHWESTERN INSURER B OREGON, AN AFFILIATE OF PLANNED PARENTHOOD INSURER C : N/A N/A FEDERATION OF AMERICA, INC. INSURER D: 3579 FRANKLIN BLVD. EUGENE, OR 97403 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-006658311-01 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. INSR TYPE OF INSURANCE AIN%R DDL SU D POLICY NUMBER MMILDOV~ MMILD"'0 YYY LIMITS LTR A GENERAL LIABILITY 3040797 011010013 01191014 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED 100,000 COMMERCIAL GENERAL LIABILITY PREMISES Eacccuvence $ CLAIMS-MADE OCCUR MED EXP(My we person) $ 5,000 X SIR: $100,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO- X LOD $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH-TORY LIMITS AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ H Yes, describe under DE SCRIPTION OF OPERATIONS below EL.DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach AC ORD 101, Additional Remarks Schedule, U more space Is required) RE: PPSO'S ASHLAND HEALTH CENTER - THE GET YOURSELF TESTED! CYT) PROGRAM WILL PROVIDE FREE SEXUALLY TRANSMITTED INFECTION (STI) TESTING, COUNSELING, AND TREATMENT COORDINATION FOR YOUTH AGES 25 AND UNDER AT PPSO'S ASHLAND HEALTH CENTER. TARGET GROUPS FOR THIS PROGRAM INCLUDE YOUTH AGES 20.25, MEN, AND LGBTO YOUTH. CITY OF ASHLAND IS INCLUDED AS ADDITIONAL INSURED AS THEIR INTERESTS MAY APPEAR. CERTIFICATE HOLDER CANCELLATION CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: DAVE KANNER, CITY ADMINISTRATOR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. ASHLAND, OR 97520 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. I Rick! Fitzsimmons -Zaz F ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD