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HomeMy WebLinkAboutInsurance Certificate: Planned Parenthood '```°R°® CERTIFICATE OF LIABILITY INSURANCE I DATE (MM DD YYYY) 01/08fN,4 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 2EPRESENTATIVE 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 endorsemen s . PRODUCER Marsh USA, Inc. NAME: 1166 Avenue of the Am&Itl5 PHONE FAX Edi. I- New York, NY 10036 E4AIL A/C xo Attn: heMthcare.acmwmarsh.cpn Fax: 212-94&1307 INSURE S 1AFFORDINGG 109210-NIP-CAS-1415 EUG,O GL INBURERA: Markel Insurance CINSURED PLANNED PARENTHOOD OF SOUTHWESTERN INSURER B: WA OREGON, AN AFFILIATE OF PL ANNED PARENTHOOD INSURER C: WA FEDERATION OF AMERICA, INC. 3579 FRANKLIN BLVD. INSURER 0 EUGENE, OR 97403 INSURER E: NSURER F : COVERAGES CERTIFICATE NUMBER: NYC-006658311-03 REVISION NUMBER:3 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. ZRAN INSURANCE POLICY NUMBER Mh01/DCY EFF MMUOY EXY LIMITS JGENr~ ADOL S L LU3C41034 0,10,120,4 0,101/2015 ,,000.000 EACMI Ea OCCURRENCE S MEENERAL LIABILITY T N S 100,000 M CLDE X OCCUR MEDEXP(An one rap, $ 5,000 $100PERSONAL SADV INJURY $ 1,000,000 GENERAL AGGREGATE IT 2,000,000 GRMIT APPLIES PER: ICY a X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 S ILE - - COMBINED SINGLE LIMIT AUWSCHEDULE p BODILY INJURY (Per pamon) S S AUTOS BODILY INJURY(Pm aw.Wd) f D ANON OWNED AUTOS PROPERTY AMAGE f nt S ELOCCUR SS EACH OCCURRENCE $ CLAUA&MADE AGGREGATE $ NTIONf WORKERS COMP"BATTON S AND EMPLOYERS' LIABILITY WC STATU- OTH- A NY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICERMEMBER EXCLUDEDi N/A E.L. EACH ACCIDENT $ (Membdory in NN) U deewibe under E. L. DISEASE-EA EMPLOYE S DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT IT DESC W PION OF OPERATIONS I LOCATIONS / VEHICLES (Atmch ACORD 101, Additional Remarks Sehedma, if mom we. R requlmd) RE: PPSOS ASHLAND HEALTH CENTER - THE GET YOURSELF TESTED! (GYT) PROGRAM WILL PROVIDE FREE SEXUALLY TRANSMITTED INFECTION (STI) TESTING, COUNSELING, AND TREATMENT COORDINATION FOR YOUTH AGES 25 AND UNDER AT PPSO'S ASHLAND HEALTH CENTER. TARGET GROUPS FOR THIS PROGRAM INCLUDE YOUTH AGES 2425, MEN, AND LGBTO YOUTH. CITY OF ASHLAND IS INCLUDED AS ADDITIONAL INSURED AS THEIR INTERESTS MAY APPEAR. CERTIFICATE HOLDER CANCELLATION CITY OF ASHLLAND ~ TTN: DAVE ANNER, CITY ADMINISTRATOR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE E MAIN STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN .iTILAND, OR 97520 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Ricks Fitzsimmons Z~~_ ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD