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HomeMy WebLinkAboutInsurance Certificate: Pathway Enterprises (2) PATHENT-01 DLEONG CERTIFICATE OF LIABILITY INSURANCE 5 DAT1912D/YYYY) /9/2014 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 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: Dena Leon Medford Office PNONE (541) 778-1321 ac No: (541)779-8187 MneWest Insurance, Inc. No Eat orth Central Ave. E-ADDRMAILESS: dleong@paynewest.com Medford, OR 97501 INSURER(S)AFFORDINO COVERAGE NAICd INSURERA:Philadelphia Insurance Cc INSURED INSURER e Pathway Enterprises, Inc. INSURERC: 1600 Sky Park Dr. INSURER D : Medford, OR 97504 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. L ILTNSR R TYPE OF INSURANCE POLICY NUMBER MMIDDYM MM/uD~Y FxP LIMITS A X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE S 1,000,00 CA AGE To R CLAIMS-MADE T OCCUR PHPK1019706 05111/2014 0613012014 P REMISES Eaoccu0ance E 100,00 MED EXP (Any one Parson) 1$ 5,00 PERSONAL B All INJURY E 1,000,00 GEN-L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 3,000,00 X POLICY JECT J LOC PRODUCTS-COMP/OP AGG f- 3,000,00 OTHER: E AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,00 Ea awdent A X ANY AUTO PHPK1019706 0511112014 0613012014 BODILY INJURY (Per Person) E ALL OWNED SCHEDULED - AUTOS i~ AUTOS BODILY INJURY(Peraccident) E H NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident Is UMBRELLA LIAR X OCCUR EACH OCCURRENCE f 3,000,00 A X UCESS LAB CLAIMS-MADE PHUS420624 05/11/2014 06130/2014 AGGREGATE $ 3,000,00 DED RETENTIONS f WORKERS COMPENSATION PER 0TH- 'ANDEMPLOYERS'.UABRITY YIN - STATUTE__ ER ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑N/A E.L. EACH ACCIDENT E (Mandatory In NH) E.L. DISEASE -EA EMPLOYE E It ye; describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is rmlulred) 0627,#637 . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland Administrative Services Dept THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Bryn Morrison 20 E Main St - Ashland, OR 97520 - AUTHORIZED REPRESENTATIVE W © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD