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Insurance Certificate: Civil Air Patrol
DATE (MM 3YY) A CERTIFICATE OF LIABILITY INSURANCE F -1 9/26/200113 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 ON AD Laura Stowers CIC, CISR AHM Financial Group, LLC PNONE (314)523-8800 FAX Net. (31q 053-7555 11975 Westline Industrial Or EMAIL .lstowers@ahmfinancialgroup.com INSURERS AFFORDING COVERAGE NAIC e St Louis MO 63146 INSURER A-Charter Oak Fire Ins Co 5615 INSURED INSURER B-Travelers Indemnity Company Civil Air Patrol INSURER C: 105 S. Hartsell St. INSURER D: Bldg 714, Maxwell Air Force Base - INSURER E: Montgomery AL 36112-6332 INSURER F: COVERAGES CERTIFICATE NUMBER:13/14 Auto only 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YV MMID IYYYY LIMITS GENERAL UASIUTY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY AMA PREMISES Ea rrence f CLAIMS-MADE ā¯‘OCCUR MED EXP(Any one person) S PERSONAL 4 ADV INJURY f GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG S POLICY PRO- IFr,T F7 LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eea adenl 1,000,000 A X ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED 81075OK8747COF13 (ADS) 0/1/2013 10/1/2014 BODILY INJURY (per ectident) $ B AUTOS AUTOS HIRED AUTOS NON-OMED 81075OK87591ND13 (HI) 0/1/2013 0/1/2014 PROPERTY -DAMAGE AUTOS Per accident S S UMBRELLA LIAB OCCUR EACH OCCURRENCE f EXCESS LIAB CLAIMS MADE AGGREGATE $ DED RETENTIONS S WORKERS COMPENSATION WC STATU- OTH- ANDEMPLOYERTUABILITY YIN I TORY I MIT ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED, O NIA E.L. EACH ACCIDENT $ -(ManaCory In NH) -E'.C': DISEASEBA'EMPLOY E'S - - - If yes, descn0a under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remnants Schedule, if more space Is required) 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. Finance Dept. City Hall AUTHORIZED REPRESENTATNE Ashland, OR 97520 Chase Butler/LSTOWE 4r.~p.aa.w. ACORD 25 (2010/05) ©1988.2010 ACORD CORPORATION. All rights reserved. INS025 (2moos).01 The ACORD name and loao are reaiatererl r.,arke r,f arnnn