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Home My WebLink AboutInsurance Certificate: Action Pools & Spas 9ACTIPO OP ID: TS ACV„ 0 DATE (MWDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 05112/2014 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 pollcy(les) must he endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Phone: 541.479.5521 CONTACT Hart Insurance Fax: 541-474-1890 PHONE F P. 0. Box 1240 c xo •at • ac No: Grants Pass, OR 97628 E-MAIL Hart Insurance Agency ADDRESS: INSURERS AFFORDING COVERAGE 'NAIC/ INSURERA:American Hallmark 43494 INSURED Action Pools & Spas INSURER B: 957 Wildflower Dr. Merlin, OR 97532 UISURERC: INSURER D: 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 &SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN. MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AUDI POLICY EFF POLICY INSR LTR POLICY NUMBER (MMf1)DNYYy) (MWDDNYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X CONIMERCIHLGENERALLMINUTY 44CL414239 05/3112014 0613112016 pftE1.11SES Ea scarce S 100,00 CLAIMS-MAnE FRIOCCUR I MEDEXPAnyoneerson _-S 6,00 4CL414239 0613112013 0613112014 PERSONAL d ADV INJURY $ 1,000,00 GENERAL AGGREGATE 5 2,000,00 GEN'L AGGREGATE LR,IIT APPLIES PER PRODUCTS-COMP/OP AGG 5 2,000,00 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eaaccidenl ANY AUTO DODILY INJURY (Per pmsonl 5 ALLOWNED SCHEDULED BODILY INJURY (Far accidarn ) $ AUTOS AUTOS HIREDAUTOS A1UJTxDgWNED PROPERTY DAMAGE 5 UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MAUE AGGREGATE $ OED RETENTION $ WORKERS COMPENSATION WC STATU. OTH. AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR,PARTNEW ECUTNE OFFICEMAEMBER EXCIUDEDt NIA EL EACH ACCIDENT S (Mandatory In NH) E.L DISEASE - EA EMPLOYE S IIym,dow,boudar DESCRIPTION OF OPERATIONS below E.L.DISEASE- POLICY LIMIT 5 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) . CERTIFICATE HOLDER CANCELLATION ASHLPAI 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. Ashland Parks & Recreation AUTHOR2E0 REPRESENTATIVE 340 S Pioneer Street Hart Insurance Agency Ashland, OR 97520 ®1988-2010 ACORD. CORPORA ON. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Kati Olson From: Bruce Dickens [dickensb@ashland.or.us) Sent: Tuesday, May 13, 2014 3:17 PM To: 'Kari Olson' Subject: FW: Message from "ParksDepartment" Attachments: 201405131502. pdf This came in today. I think it belongs to the project that Dave Lockwood has been working on. Bruce Dickens Parks and Recreation - Parks Superintendent City of Ashland 340 S Pioneer st, Ashland, OR 97520 Direct 541-552-2252 541-488-5314 fax This email transmission is official business of the City of Ashland, and it is subject to Oregon public records law for disclosure and retention. If you have received this message in error, please contact me at 541-552-2252. Thank You. -----Original Message----- From: do-not-reply-parks-ricoh(dashland.or.us [mailto:do-not-reply-parks-ricoh(@ashland.or.us] Sent: Tuesday, May 13, 2014 12:02 PM To: Bruce Dickens Subject: Message from "ParksDepartment" This E-mail was sent from "ParksDepartment" (Aficio MP C3002). Scan Date: 05.13.2014 15:02:27 (-0400) Queries to: do-not-reply-parks-ricoh(dashland.or.us 1