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HomeMy WebLinkAboutInsurance Certificate: Southern Oregon Land Conservancy A`° ® CERTIFICATE OF LIABILITY INSURANCE 1 D041ATE a 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: H the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. IT 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 endorsements). PRODUCER CONTACT Allison Ward Reinholdt S O' Harra Insurance PHONE FA% 518 Washington St Me aid) (541 2.1821 uc No: (641)488-4468 Ashland, OR 97520 ADDRESS: award@minholdtins.com INSURE S AFFORDING COVERAGE NAIC0 License#:800442 INSURER A: Travelers Insurance C 19046 INSURED INSURER 8: Southern Oregon Land Conservancy Diane Garcia INSURER C: PO BOX 954 INSURER D: Ashland, OR 97520 NSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 00014117.114968 REVISION NUMBER: 2 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 rypE OF INSURANCE ADDLSUSR POLICY EFF POLICY UP LTR POLICY NUMBER MWDDIYYf( MMIDD/YYYY UNITS WAR W~ A GENERAL LIABILITY Y 680-3607NSSA-14.42 0410112014 0410112015 EACH OCCURRENCE S 11000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Eaomrnen S 300,000 CLAIMS-MADE FX] OCCUR MED (Any one person) S 5,000 PERSONAL a ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO S X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SIN LELIMI Ee amident ANYAUTO BODILY INJURY (Per Person) $ ALL S OWNED AUTOS SCHEDULED AU BODILY INJURY(Perarndent) $ 1 11 HIREDAUTOS AUTOS Perremdenttl $ E UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION NC STATU- OTH- AND EMPLOYERS' LIABILITY YIN Y LIMITS ER ANY PROPRIETORIPARTNERIEXECUTIYE E.L. EACH ACCIDENT $ OFFICERIMEMSER EXCLUDED? F-1 NIA (Mandatory In NN) E.L. DISEASE - EA EMPLOYE $ It yea, dexui0e under DESCRIPTION OF OPERATIONS lee. E.L. DISEASE - POLICY LIMIT S DESCRI"ON OF OPERATIONS / LOCATIONS I VEHICLES (Aeaeh ACORD 101, Additional Remarb Schedule, If Mora spa" Is r"Wrael City of Ashland ifs officers and employees are listed as an additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ab~scfl-l ~Q ALI ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registeredmarks of ACORD Printed by ALI on April 09, 2014 at 02:09PM