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HomeMy WebLinkAboutInsurance Certificate: Rogue Valley Farm to School Aoc Roe CERTIFICATE OF LIABILITY INSURANCE o7loarzo a ) 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 endorsemen s). PRODUCER NAME Allison Ward Reinholdt & O' Harra Insurance PHONE sa1)aez-19z1 u Ne; (sa1)aeeaasa 578 Washington St ° E'N"' Ashland, OR 97520 ADDRESS, award@reinholdtins.com License 800442 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURERA: Griffin Underwritina Services INSURED INSURER B: Rogue Valley Farm to School Tracy Harding INSURERC: P.O. Box 898 INSURER D: Ashland, OR 97520 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 00014506-150286 REVISION NUMBER: 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD 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. NSR TYPE OF INSURANCE ACOL EUBRI POLICY NUMBER MMDCY EFF MMIICY EXP OMITS LTR LM A GENERALLIABILITY y MP0046003001077 0710512013 0710512014 EACHGCCURRENCE E 1,000,000 X CCMMERCMI-GENERALLLABIUTY CWMSNDE PRMI ES Ea ue E 50 ,000 OCCUR MED EYP(A ore Person E Excluded LontJ PERSONAL B AW INJURY E 1,000,000 GENERALAGGREGATE S 2,000,000 1GENL AGGREGATE LIMIT APPLIES PER, PRODUCTS -COMPIDP AGM E Included X POLICY ~ PRO LOC E FANY MOBILE LIABILITY COMBmdenINED "SINGLE UMIT a AUTO BODILY INJURY( Per person) E LL ONNED SCHEDULED BODILYINJURY(Paacadem) $ UTOS AUTOS N(Nl-0 ED PROPERTY DAMAGE E IREDAUTCS AUTOS per aradem E UMBRELLA Use OCCUR EACHOCCURRENCE E EXCESS UAB CLAIMSMADE AGGREGATE S DED RETENTIONS E VJORI(ERS COMPENSATION wC 5TATU- OTH- ANDEMPLOYERS 'UASILITY YIN ANY PROPRIETORIPAATNER/EXECUTIVE E. L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? NIA (MandMoq in NH) E.L DISEASE - EA EMPLOYE $ If yes, des Wunder DESCRIPTION OF OPERATIONS bebw EL DISEASE- POLICY UMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Ashland and all other governmental bodies having jurisdiction in the area, their officers and employees are included as additional insureds. CERTIFICATE HOLDER CANCELLATION 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 I SLR r ( " a " _ ALI ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Printed by ALI on July 02, 2013 at 08:35AM