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HomeMy WebLinkAboutInsurance Certificate: Ennis, Steve & Lisa AC RO CERTIFICATE OF LIABILITY INSURANCE DATE (MM DD WYY) FDA 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 pollcy(les) 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 NAME: CUSTOMER SERVICE PHONN a ac No: 1-800-423-6789 E-MAIL INSURERS AFFORDING COVERAGE NAICN INSURER A: RARTFORD UNDERWRITERS INSURANCE COMPANY 30104 INSURED INSURER B : ENNIS, STEVE & LISA INSURERC: INSURER D : 225 W NEVADA ST INSURER E: ASHLAND OR 97520-1031 INSURERF: 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. EXP INSRR TYPE OF INSURANCE IN.. WVD POLICY NUMBER MMIDDIYYYY MMIDDYIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ AMA ETO COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGG $ POLICY PRO- LOG $ JFCT AUTOMOBILE LIABILITY SSPHL589299 08/30/201308/30/2014 OMBI EDt SINGLE LIMIT Ea II I ANY AUTO BODILY INJURY (Per person) $ 100,000 X ALL OMED SCHEDULED BODILY INJURY (Per amiderd) $ 300,000 AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ 100, 000 HIREDAUTOS AUTOS Par amdem 8 UMBRELLA LIAB OCCUR EACH OCCURRENCE IS EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED RETENTIONS $ WORKERS COMPENSATION !MT OTH- AND EMPLOYERS' LIABILITY YIN I-Lit ANY PROPRIETORIPARTNERIEXECUTIVE❑ NIA E.L. $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE -EAEMPLOYE$ f yes describe under DESCRIPTION OF OPERATIONS belim EL.DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, R more space Is required) 08 ACURA TL 19UUA662X8A040166 - BUSINESS USE 07 HONDA CR-V EX JHLRE48547CO54462 CERTIFICATE HOLDER CANCELLATION CITY OF ASHLAND 20 EAST MAIN ST SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ASHLAND, OR 97520 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V uB'cL~ di~ ~CIO~ LcG~4J ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ~I