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Home My WebLink AboutInsurance Certificate: FD Thomas Inc ACORN ® CERTIFICATE OF LIABILITY INSURANCE 1 GATE (MM DD YYYY) 12/20/2013 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 ACONTRACT 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 T NAME: . Woodruff-Sawyer'Oregon,Inc. PHONE',t. - 1 -7 acNa -24 - 15 100.1 $W 5thAyenueiSmte 1000 E-MAIL - - Portland OR 97204 ADDRESS: a nd om' _ - INSURER(S) AFFORDING COVERAGE NAIL4 INSURERA' h American Insurance Company 16535 INSURED FDTHOMA-01 INSURER B: F.D. Thomas, Inc. INSURER C: P O BOX 4663 INSURER D Medford OR 97501 INSURER E NSURER F: COVERAGES CERTIFICATE NUMBER: 1256495871 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. NOTWTHSTAN DING 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 A DL R POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD/YYYV MMIDDIYYYY A GENERAL LIABILITY 13LA373910208 2/31/2013 0/1/2014 EACH OCCURRENCE $1,000,000 DAMAGE TO KEN ILU X COMMERCIAL GENERAL LIABILITY PREMISES Eaoccurrence $300,000 CLAIMS-MADE [XIOCCUR MED EXP(My one person) $10,000 X Stop Gap$1M PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEIJ'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $2,000,000 POLICY' X PRO: 'LOG $ A AUTOMOBILE LIABILITY GLA373970208 12/3112013 0/1/2014 ECOMBINED SIN17TEUMIT s acoidenl $1,000000 X. ANV AUTO - BODILY INJURY (Per person) $ - - ALLOWMED SCHEDULED AUTOS BODILY INJURY (Per accident) $ AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Peraccidenl $ UMBRELLA I-Ve OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION VJC STATU- OTH- AND EMPLOYERS' LIABILITY M YIN ANY PROPRIETOR/PARTN CUTIVE❑ N/A EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? DED4 Mandatory in NH) EL DISEASE - EA EMPLOYEE $ DE SCRdescribe IPTION OF OPERATIONS balsa E.L.D:SEASE POLICY LR.IIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Operations of the Named Insured subject to the terms, conditions and exclusions of the policy issued by the Insurance Company. All Operations 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 Service Center ACCORDANCE WITH THE POLICY PROVISIONS. 90 N. Mountain Ave. Ashland OR 97520 AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD .