Loading...
HomeMy WebLinkAboutInsurance Certificate: Rogue Valley Farm to School Aco ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIOD/YYYY) 06/10/2014 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 Allison NAME: Reinholdt & O' Harra Insurance PHONE Ward FAx O,M . (541)482-1821 ac xo: (541)488.4458 518 Washington St EJ Ashland, OR 97520 ADDRESS: award@minholdtins.com License 800442 INSURERSmrORDINGCOVERAGE NAIC# INSURER A: Griffin Underwritin Services INSURED Rogue Valley Farm to School INSURER B: Indemnity Excess and Surplus Tracy Harding INSURER C: P.O. Box 898 INSURER D : INSURER Ashland, OR 97520 E: INSURER F COVERAGES CERTIFICATE NUMBER: 00014506.150286 REVISION NUMBER: 8 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 TYPE OF INSURANCE Jllm SUBR POLICY NUMBER MM/DDYIYVYY MMIDDY EXP LTR LIMBS A GENERAL LIABILITY Y MP0046003001077 07/0512013 07/0512014 EACH OCCURRENCE $ 1000000 DAMAGE TO X COMMERCIAL GENERAL LIABILITY PREMISES Ee occurrence $ 50,000 CLAIMS-MADE FRIOCCUR MEDEXP(Anyone perwn) $ Excluded PERSONAL& AW INJURY $ 1,000,000 GENERAL AGGREGATE $ 2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ Included X POLICY PRO- LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acddenl ANY AUTO BODILY INJURY (Per ,erwn) $ ALL OWN ED SCHEDULED BODILY INJURY (Per amdent) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Peramident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMSMADE - AGGREGATE E DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NN) - E.L. DISEASE - EA EMPLOYE $ If yBS, d8seriW under DESCRIPTION OF OPERATIONS below EL.DISEASE- POLICY LIMIT $ B Directors & Officers 7561788 03121/2014 03121/2017 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Ramada Schedule, if more apaee is requlrad) The City of Ashland and all other governmental bodies having jurisdiction in the area, their officers and employees are included as additional insureds. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland, ACCORDANCE WITH THE POLICY PROVISIONS. 20 E. Main Street Ashland, OR 97520 AUINORUMD REPRESENTATIVE ` U UY( ~,06 k-cll 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 June 10, 2014 at 01:55PM