HomeMy WebLinkAboutInsurance Certificate: Yellow Cab tf 1/24/2014 08:53 abi Emily Moore-).City of Ashland 1/1
sk.--- CERTIFICATE OF LIABILITY INSURANCE
~ 01/24/2014
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(iss) must be endorsed. U SUBROGATION IS WAIVED, subject 10
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate dues not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER CONTACT
American Business Ins. Services, Inc. PHONE (800) 980-1950 FAA iAm- Ifni.
E-MI
ADDRESS:
32107 W. Lindero Canyon Rd #120 BlSV AFFORDING COVERAGE NAICR
Westlake Village, CA 91361
INSURER A Preserver Insurance Company 15586
INSURED
NSUREI! e
Trent Kimball
dba Yellow Cab MSUPFR C:
410 1/2 Laurel Street INSURER D:
Medford, OR 97501 MSURER P."
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 POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM
EXCLUSIONS AND CONDITIONS OF SUCH POLICES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE of WSURANCE Ism sum F'OLIGY NuMNER YPOIICY EFF YWD 6rP UNIffs
GENERAL LABlITY
EACH OGGVRREN(E S
COMMERCIAL GENERAL LIABILITY
PREMISES (Ea oopunonca S
CLAIMS MADE ❑ OCCUR MED EXP M . $ passm) PERSONALa ADV INJURY $
GENERAL AGGREGATE S
GENT. AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP,VP AGO $
POLICY, PRO- LUC $
A AUTO IOBBE LIABILITY BAP13ZO583313R 01/25/2014 01/25/2015 COMBIINI ED SINGLE LIMO 500,000
(Ea acef) -2
ANYAU'R) BODILY IWURY(Per pe.) S
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY NJURY Per accNerrt) S
HI AUTOS AWNED PROPS DAMAGE $
X UM - 25/50 K 3
UMBRELLA LWB OCCUR EACH OCCURRENCE S
EXCEM UA 1 zc,.uR MADE AGGREGATE $
ED RETENTION S
PNIIKERS COMPENSATION WCSTATU- OTH-
AND EMPIOYEW LIABILITY Y I N
ANY PROPRIET'CRIPARTNEIVE%ECUTN E.L. EACH ACCIDENT S
OFFICER/MEMSER EXCLUDEDT NIA
(MandaWrT In NH) EL. DISEASE - EA EMPLOY
R a MON cede,
ESC ON F P -IQN$ bebw EL DISEASE - Pq.CY LIMB 3
0
05 CRIPWN OF OPERATIONS I LOCATIONS I VEHICLES (AVaaN ACORD 10, Addhlonal RenarM ScNSdula If man Spam Is neulnd)
2001 Maeda 0M31 11IY510174737
A10 day notice of cancellation in the event of mn payment of preedum
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.
AUTNORIffA REPRESENTATIVE
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®1988-2010 ACORD CORPORATION. All rights reserved.
ACORD25(2010105) The ACORD name and logo are registered marks of ACORD
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