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HomeMy WebLinkAboutInsurance Certificate: OnTrack Inc „i►10044 ONTRINC-01 PITANI CERTIFICATE OF LIABILITY INSURANCE 1 DATE (MMI20DDIYYYY) 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 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 CONTACT NAME: Alliance Insurance Group PHONE 541 687-4799 FAX 941 Oak St. uc No En:( ) ac No: 541 687-4718 Eugene, OR 97401 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A: Great American Assurance CO INSURED INSURER B : OnTrack Inc INSURER C: 221 W Main INSURER D : Medford, OR 97501 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 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. INSR TYPEOFINSURANCE ADDL5UUK POLICY NUMBER MMIDOYEFF MO M/LDDYEXP LTR LIMITS A X COMMERCIALGENERALLUIBILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE ~ OCCUR X PAC6536160 05/01/2014 0510112015 PREMISES Eaocanence $ 100,00 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 3,000,00 POLICY ❑ PRO- ECT F-] LOC PRODUCTS - COMPIOP AGG $ 3,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident A X ANY AUTO X CAP5374267 05/0112014 05/0112015 BODILY INJURY (Per Parson) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-0WNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident S X UMBRELLA LIAR OCCUR EACH OCCURRENCE E 3,000,00 A EXCESS LUIS CLAIMS-MADE UMB3070034 05101/2014 0510112015 AGGREGATE $ DED X RETENTIONS 10,000 $ WORK ERSCOMPENSATION PER OTH- AND EMPLOYERS' LU NLm' YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERJMEMBER EXCLUDED' NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ - It yes, describe under DESCRIPTION OF OPERATIONS bebw E.L. DISEASE - POLICY LIMIT $ A Professional Liab. PAC6536160 05/01/2014 05101/2015 Each Act 1,000,00 A Professional Liab. PAC6536160 0510112014 0510112015 Aggregate 3,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddIdomd Remarks Schedule, may M attached if mom spa e is required) As respects all operations of the Insured in accordance with policy terms and conditions. The City of Ashland, its officers, and employees are Additional Insureds CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland ATHE CCORDANCEIOWITH THE N DDAT POT THEREOF, PROVISIONS. WILL BE DELIVERED IN FINANCE DEPARTMENT 20 East Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD