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Home My WebLink AboutInsurance Certificate: Ashland Gun Club CERTIFICATE OF LIABILITY INSURANCE 07/16/200113 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 POLICIE 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 WANED, 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 endorsements . PRODUCER C AMONTACT Lockton Affinity, LLC PHONE 877-487-5407 FAx Nok P.O. Box 410679 D~ Kansas City, MO 64141-0679 INSURE 9 AFFOROWG COVERAGE NMI, INSURER A: Certain Underwriter's at Lloyd's, Londob AZZN:AA112 000 INSURED psURfat B Ashland Gun Club INSURER C : P.O. Box 953 IxsuREa o Ashland, OR 97520 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 PERIO 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL s POLICY NUMBER MMID UCY EFF MMID UP Lens LTft A GENERAL uABRJrY X LM201344982 09/05/2013 09/05/2014 EACH OCCURRENCE 11 1,000,000 DAMAGE TO 300,000 IEa X MMMFRCNL GENERAL LIABILITY PREMISES acc nce I S CWMSMAOE a OCCUR MEO FJD' An wla i s 5,000 PERSONAL 6 ACV POURY X11,000,000 GENERAL AGGREGATE s 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS- COMPA AGG 5 2,000,000 1 X C, PRO Lot JFCT AUTOMOBILE UABNTY M. BINED SINGLE UMIT ANYAUTO BODILY INJURY (Pa Tyson) s ALL OWNED SCHEDULED BODILY INJURY P. acoM<nq s AUTOS AUTOS NON NED PROPERTY DAMAGE s HIREO AUTOS AUTO$ acnden S UMBRELLA LAS OCCUR EACH OCCURRENCE Is "LESS UAEI CLNMSJdADE AGGREGATE s DIED RETENTION s Is WORKERS COMPENSATION WCSTATU- OT14 LIVITS AND EMPLOYEUr UApLRY YIN ANY PROPRIETORIPARTN EL EACH ACCIDENT is OFFICER/MEMSER E=MDT NIA I (Mandato,r in NH) E.L. DISEASE - EA EMPLOYEES If y al ~Wund DESCRIPTION OF OPERATIONS pawn EL DISEASE - POLXY LIMIT s DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (AftsPh ACORD 101, MdRionsl R.ft SMW Vla, If mon speu Is ,s9V1TSd) CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E. Main St. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHOWiMD REPRESENTATIVE t 20111 AC RD RPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered arks of ACORD 11635968 110312