HomeMy WebLinkAboutInsurance Certificate: Ashland Bed & Breakfast Network
.ac~oFZO°® CERTIFICATE OF LIABILITY INSURANCE °071226/2 an
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 BRIAN CONRAD STATE FARM INSURANCE NAME: SANDY
PHONE -
1806 ASHLAND ST ' I qt 482- 470 FAk A,c No: 414822461
E-MAIL
5tateFarmgSHLAND, OR 97520 ADDRESS
INSURER(S) AFFORDING COVERAGE NAICY
INSURER A : State Farm Fire and Casualty Company 4
INSURED ASHLAND BED & BREAKFAST INSURER e:
NETWORK INC INSURER C:
586 E MAIN ST INSURER D:
ASHLAND OR 97520-2114 INSURER B:
SUER 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
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 B POLICY EFF POLIOY EXP
PDLJCY NUMBER MMIDD YY M. Y LIMITS
GENERAL LAIN TY
EACH OCCURRENCE S 500,000
X COMMER=IAL GENERAL LWBIInY 97-SC-U619-5 1ID1412012 11/1412017 PREMISES (Ea accurrenoa r
CLAIMS-MADE ❑ OCCUR MED EXP (Any one .,w) 1 5,000
PERSONAL B ADV INJURY 3
GENERAL AGGREGATE $ 1,000,000
GENL AGGREGATE LIMIT APPLIES PER - PRODUCTS -COMPIOP AGO $ 1,000,000
XPOLICY PRO- LDC
$
AUTOMOBILE LIABILITY 8 IN LMI
Ea arndent $
ANY AUTO BODILY INJURY (Pa Parton) 1
ALL OVMEO SCHEDULED - -
AUTOS AUTOS BODILY INJURY (Per mcidere) s
NON-OMED
HIRED AUTOS AUTOS PROP~gMA E
[Pereggantl S
$
UMBRELLA LUIS OCCUR EACH OCCURRENCE $
EXCESS LIAO CLAIMS WIDE
AGGREGATE 1
DED RETENTIONS
3
MWERSCOMPENSATTO
IL VvL STAT E WE
AND EMPLOYERS' rEas• LuwuT TV "
ANY PROPRIETOR ARTNERIE%ECUTIVE Y/N T Y C
OFFICEMEMBER EXCLUDED? ❑.NM❑ - E.L. EACH ACCIDENT s
(MYROetary I. NH) E. L. DISEASE - EA EMPLOYE $
If yee, deSCIiM elder
E L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCAnONS I VEHICLES (AMCN ACORD 101, MdINRPtl Remarks 9[Mdu1a, N mon epecY It flRlYaaE)
BED AND BREAKFAST NETWORK- BUSINESS OFFICE POLICY -
LOCATION: 586 E MAIN ST
ASHLAND OR 97520
CERTIFICATE HOLDER CANCELLATION
CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ITS OFFICERS & EMPLOYEES ACCORDANCE WITH THE POLICY PROVISIONS.
20 E MAIN ST
ASHLAND OR 97520-1814 AUTHORMEO REPRESENTATIVE
C9c
®1988-2010 ACO CORPORATION. All rights rerued.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.8 01-23-2013