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HomeMy WebLinkAboutInsurance Certificate: Thrive a~ CERTIFICATE OF LIABILITY INSURANCE 6/27/ D/27/2DO/Y013 3 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(fes) 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). CONTACT Julie Asher PRODUCER NAME: Ashland Insurance' Inc PHONE (541) 462-0031 rnrc No; (54114eB-sasl 585 A Street Suite 1 MLt,S:7asher@ashlandinsurance.com P. 0. Box HBO INSURERS AFFORDING COVERAGE NAIC9 Ashland OR 97520 INSURER AANIRRG INSURED INSURER 8: The Rogue Initiative For a Vital Economy INSURERC: DBA: THRIVE INSURER O: 340 P Street Suite 205 INSURER E: Ashland OR 97520 INSURER F: COVERAGES CERTIFICATE NUMBER:c1135904157 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 RAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OFINSURANCE A POLICY EFF POLICY EXP POLICY NUMBER MMIDDIYYYY MMIDDNYYY LIMITS were wyn GENERALLIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Eaemmsnca 5 500, OGO A CUMMS-MADE OCCUR X 013-27698 /1/2013 6/1/2014 MED EXP(Any we person) 5 20,000 PERSONAL a ADV INJURY 5 1,000,000 GENERALAGGREGATE 5 2,000,000 GENL AGGREGATE LIMIT APPUES PER PRODUCTS-COMPK]P AGO 5 2,000,000 X POLICY PRO- LOC. 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT En acdteN 5 ANY AUTO BODILY INJURY (Per person) 5 ALL OWNED P SCHEDULED BODILY INJURY (Per ecideN) 5 AUTOS AUTOS NON-OWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS PeremdeN 5 H UMBRELLADAB OCCUR EACH OCCURRENCE 5 EXCESS LEAD CLAIMS44ADE AGGREGATE 5 CEO RETENnONS S WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE❑ NIA EL EACH ACCIDENT 5 CFFICERNIFMSER EXCLUDED? (Mandatary In NHl EL DISEASE - EA EMPLOYE S If yes, desvWa under DESCRIPTION OF OPERATIONS below EL DISEASE -POLICY UNIT 5 DESCRIPTION OFOPERATIONS I LOCATIONS /VEHICLES (AUach ACORD Eel, Addlllenal Remarks Schedule, It mom space Is mqulmd) 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 Ashlandr Its officers and ACCORDANCE WITH THE POLICY PROVISIONS. employees AUTNORDPO REPRESENTATN Bryn Morrison Finance Dept 20 East Main St n Ashlandr OR 97520 //JL Steve Filson ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 (2amosl.ol The ACORD name and logo are registered marks of ACORD