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HomeMy WebLinkAboutInsurance Certificate: Southern Oregon Land Conservancy (2) --aaaaaal DI A`°RO® CERTIFICATE OF LIABILITY INSURANCE 0 °4/Masnola µ2014 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: If the certificate holder is an ADDITIONAL INSURED, the policylles) 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 & O' Harra Insurance : Allison Ward 518 Washington St p"L (541)M2-1921 = N°' (sal Ashland, OR 97520 ADDRESS award reinholdtins.com License 800442 INSURE S AFFORDING COVERAGE NAIC 9 INSURER A: Travelers Insurance CO 19046 INSURED INSURER 8: ' Southern Oregon Land Conservancy Diane Garcia INSURERC: IDO Box 954 INSURER D: Ashland, OR 97520 NsuRER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 00014117.114958 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. &RF ILTR TYPE OF INSURANCE A hua. .1 DL U POLICY NUMBER MPOUCY EFF POLICYDY DWTS A GENEALLIABILITY Y 6803607N55A-14.42 04101/2014 0410112015 EACH OCCURRENCE E 1,000,000 X COMMERCIAL GENERAL LIABILITY - PREMISES (Ea occurnerml S 300,000 CLAIMS-MADE FX] OCCUR MED EXP(My one person $ 5000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 21000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMWOP AGG S X POLICY P lPrT RO- LOC f AUTOMOBILE LIABILITY MIN SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY (Per person) $ ALL OAMED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) E MIRED AUTOS AUTQSMED PROPERTY DAMAGE $ NON-O Per saadent 5 UMBRELLA LAS OCCUR EACH OCCURRENCE S EXCESS LIAR CIAIMS-MADE AGGREGATE b DED RETENTIONS $ WORKERS COMPENSATION WC STATUS OTH- ANDEMPLOYERS'LIABIDTY Y/M ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFRCERIMEMBER EXCLUDED? ❑ N/A (Mmdatery in NH) E.L. DISEASE - EA EMPLOYE $ If yes, de=W under DE SDRIPTIONOFOPERATIONShel. E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATONS / VEHICLES ("each ACORD 101, Additional Remarks Setedula, if men "Pace I$ "cuared) City of Ashland it's officers and employees are listed as an additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main Street Ashland, OR 97520 AUTHORD:FD REPRESENTATIVIVE \ Svr( ~a ALI ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Printed by ALI on April 09, 2014 at 02:09PM