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HomeMy WebLinkAboutInsurance Certificate: Yellow Cab Y( 1/21/2014 09:40 abi Emily Moore- City of Ashland 1/1 A~ & CERTIFICATE OF LIABILITY INSURANCE oi;2(i; o°,. Y' 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. U 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 Neu of such endorsements . PRODUCER CONTACT AD1eriC Business Ins. Services, Inc. NUEL PHONE (800) 980-1950 Fax Nal. E4 ADDRE68: 32107 W. Lindero Canyon Rd #120 MSUR AFFORDING COVERAGE NAICe Westlake Village, CA 91361 INSURER Apreserver insurance Company 15586 INSURED WWRER B: Trent Kimball MBUFER C: dba Yellow Cab 410 1/2 Laurel Street INSURER O: Medford, OR 97501 MBURER E: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS B 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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LILIRB LNTR TYPE OF MURANCE M IN9R WO POD[Y NUMBER Is POLICY 6F RWUD E10' GENERAL UARIUTY EACH OCCURRENCE S DAMAGE O R"EM COMMERCIAL GENERAL LIABILITY PREMISES a 5 CLAIMS MADE ❑ OCCUR MED EXP (Ary one nn $ PERSOVAL& ADV INJURY 5 GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER PRODUCTS- COMFIOP AGO S PDLICY F7 JECT F-1 PRO LOG $ fE2 COMBINED LIMB 500,000 A AVi011008.E UAOUTY 11hMZ0563313 01/25/201301/25/2014 ANYAUTO BODILYMURY(Perpenwn) $ ALL OWNED X SCHEDULED BOOLY INJURY F. accoent) $ AUTOS NO -0WNED PROPERTY DAMAGE $ HIRED AUTOS Amos (P..ocklenO $ UaISRELIA LIAR OCCUR EACH OCCURRENCE S EXCES5 LNe CLAIMSMADE AGGREGATE 5 FETE N 3 WORRER3 COMPENSATIDR WCSTATU- OTH- AND EMPLOYERS LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIY E.L. EACH ACCIDENT S OFFICERWMMSER EXCLUDED? © NIA (Mandatory in NH) EL. DISEASE - EA EMPLOY 6 deacnhe der ESC 5g0N VF PE TIONS low EL. DISEASE - POLICY LIMB S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Mach ACORD 10, Addhional Reharlm Schadula If man span la ,ayuten 2001 Maeda JM3LW26Y510174137 e10 day notice of cancellation in the event of non payment of premium CERTIFICATE HOLDER CANCELLATION City of Ashland Fax: 541-552-2059 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED RESENTATNE ~~^ppp~~.~~- "6- ' ~ay 01988-2010 ACORD CORPORATION. All rights reserved. ACORD25(2010105) The ACORD name and logo are registered marks of ACORD DS#2357472