The URL can be used to link to this page

Home My WebLink AboutInsurance Certificate: Southern Oregon Pride D ,4~ o® CERTIFICATE OF LIABILITY INSURANCE 07126r2013 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(les) must be endorsed. N 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 NAME: Bri It Whitescarver For Service Call: PHONE FAX (AlcIft): 503-9M-5848 Gales Creek Insurance Services a division of JD Fulwiler -~L Do I. 5727 SW Macadam Ave INSURE S AFFORDING COVERAGE NAIC e Portland, OR , 97239 INSURER A: United Stales Fire Insurance Company INSURED INSURER B : Southern Oregon Pride 2180 Birchwood Lane INSURER C: Ashland, OR 97520 INSURER D: 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 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 POUCYNUMBER POLICY EFF POLICY E%P LIMITS GENERAL LIABILITY EACH OCCURRENCE f 1,000,000.00 X COMMERCVLL GENERAL LIABILITY PREMISES Es aoDrmmoe f 300,000.00 A CLAIMS4IADE O OCCUR F_x F_ DAMAGE TO RENTIED MED EXP (Arty are pecan) f 5,000.00 TBDSOP-10122013 10/12/2013 10/13/2013 PERSONAL &ADV INJURY f 1000000.00 GENERAL AGGREGATE f 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-CCMP/OP AGG f 2,000,000.00 X POLICY PRO- LOC r f COMBINED AUTOMOBILE LIABILITY I~ I (Ea e f ANY AUTO BODILY INJURY (Per person) f ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per ectldere) f NON-OWNED PROPERTY DAMAG HIRED AUTOS AUTOS Pm amide f is UMBRELLA l1AB OCCUR I 17 EACH OCCURRENCE f EXCESS UAB CLAIMS-MADE AGGREGATE f DEC) RETENTIONf S WORKERS COMPENSATION NCSTATV- OTH- AND EMPLOYERS- LIABILITY ANY PROPRIETOR,PARTNER/EXECUTIVE YIN OFFICERAEMBER EXCLUDED? NIA EL EACH ACCIDENT f (Men&Wq In NN) EL. DISEASE - EA EMPLOYE f N ym, cl~be !!9 QFAQRI TIONOdO F_ E.L DISEASE-POLICY LIMIT f I F_ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHIC E4 (Al1ACA pCORD 101, pddMOntl Remerlo SelAedub, a mna epAp b nRUbW) THE CERTIFICATE HOLDER IS ADDED AS AN ADDITIONAL INSURED BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF OPERATIONS OF THE NAMED INSURED DURING THE POLICY PERIOD. CERTIFICATE HOLDER CANCELLATION City of Ashland, its officers, and employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 East Main St. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE Brigit Whitescarver ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD