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HomeMy WebLinkAboutInsurance Certificate: Pathway Enterprises A` °RO® CERTIFICATE OF LIABILITY INSURANCE 6/26/2014 ) 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 CC OONNTACT Marcene Forney NA, Ashland Insurance Inc PHONE (541) 857-0679 LAIC Not- 801 O'Hare Parkway, Ste 101 E4dA1L REss.marcenef@ashlandinsurance.com INSURER(S) AFFORDING COVERAGE NAIC K Medford OR 97504 INSURERA:New Hampshire Insurance Co INSURED INSURERB:SAIF Corporation Pathway Enterprises, Inc. INsuRERc:Philadel hia Insurance 3850 1600 Skypark Drive, Suite #101 INSURER D: INSURER E Medford OR 97504 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1462604889 - - 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. INSR rypE OF INSURANCE POLICY EFF POLICY EXP LTR POLICY NUMBER JMWDDffYYn IMMIDD/YYYYI LIMITS GENERALUABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea RENTED occurrence) $ 100, 000 DAMAGE TO A CLAIMS-MADE fil OCCUR 1LX0240593930000 /1/2014 /1/2015 MED EXP(Am one person) $ 5,000 PERSONAL 4 ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000 X POLICY PRO LOC $ IFCT AUTOMOBILE LIABILITY - EOaM~tceDt SINGLE LIMIT 1 000 000 A X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED 1CA0645980540000 /1/2014 /1/2015 BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accidem Uninsuri motmst corneinee $ 1,000,0001 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED RETENTIONS lUD0428658860000 /1/2014 /1/2015 $ $ WORKERS COMPENSATION VvC STATU- OTH- ANDEMPLOYERS'LIABILITY YON ANY PROPRIETOR/PARTNER/EXECUTIVE r N/A E.L EACH ACCIDENT $ 500,000 OFFICECJR!ET-BER U- CLUDED? 24679 /1/2014 /1/2015 (Mandatory in NH) E.L. DISEASE- EA EMPLOYE $ 500,000 N yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 C Professional Liability HSD843162 /1/2014 /1/2015 Aggregate Limit 3,000,000 Occurrence per incident 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space Is required) CT ff 627 CERTIFICATE HOLDER CANCELLATION D C~ EMS NLD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland RDANCE WITH THE POLICY PROVISIONS. Attn: Accounts Payable JUN 3 0 2014 20 E Main St DREPRESENTATIVE Ashland, OR 97520 Marce a Forney/MARC ACORD 25 (2010/05) - ©1988.2010 ACORD CORPORATION. All rights reserved. INS025 (2o1Das).o1 The ACORD name and logo are registered marks of ACORD - -