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HomeMy WebLinkAboutInsurance Certificate: THRIVE (2) ACCO O® CERTIFICATE OF LIABILITY INSURANCE 6~ii/2o° 4"I 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(iss) 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 Julie Asher NAME: Ashland Insurance Inc PHONE FAX . (541) 482-0831 .(541)488-5851 585 A Street Suite 1 E+" DAIREL Jasher@ashlandinsurance.com . P. 0. BOX 880 INSURERS AFFORDING COVERAGE NAICM Ashland OR 97520 INSURER A Alliance of Nonprofits for INSURED INSURERS: The Rogue Initiative For a Vital Economy, INSURER C: IDEA: THRIVE INSURE 12: 340 A Street Suite 205 INSURER E: Ashland OR 97520 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1461104848 . 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 REDUCEDBY PAID CLAIMS. INm TYPE OF INSURANCE ADDLSUBR M POUCYNUMBER MMIDDY SIFF MMIDDYIYYY)r LIMITS GENERALUABwTY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES DAMAGES( Ea RENTED 500,000 occurrence E A CLAIMS-MADE F-xl OCCUR X 014-27698 6/1/2014 6/1/2015 MED EXP(Any we Person) S 20,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE IS 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP,OP AGG S 2,000,000 X POLICY PRO LOC $ IFr.T R OMOBILE LIABILITY COMBINED SINGLE UMIT Ea a ocer ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per aatlderH) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE 5 HIRED AUTOS AUTOS Pereccident S UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE E DED RETENTIONS $ WORKERS COMPENSATION WC STATU- OTH- I TORY[ IMITS _R ANDEMPLOYERS'VABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ E1 . EACH ACCIDENT S OFFICERIMEMBER IXCLUDED7 N I A (Mandatory in NH) E. L. DISEASE - EA EMPLOYE $ If yes, desmies under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT E DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, R mom space Is required) City of Ashland, Its officers and employees are listed as additional insured CERTIFICATE HOLDER CANCELLATION - (541)552-2059 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland, Its officers and ACCORDANCE WITH THE POLICY PROVISIONS. employees Bryn Morrison Finance Dept AUTHORIZED REPRESENTATIVE 20 East Main St Ashland, OR 97520 Julie Asher/JAA ~j3 ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 (2 n1 ) o1 The ACORD name and logo are registered marks of ACORD