Loading...
HomeMy WebLinkAboutInsurance Certificate: Mediation Works (2) JUL/14/2014/MON 01:06 PM HUGGINS INSURANCE FAX No,541-269-2381 P.001/001 A CF® CERTIFICATE OF LIABILITY INSURANCE DATE (MwowwYYl 7/14/2014 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 canlficate holder is an ADDITIONAL INSURED, the pollty(iss) must be endorsed. If SUBROGATION IS WAIVED, Subject to the berms and conditions of the policy, certain politics may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In Hau of such endorsements . PRODUCER NACONTACT . Robox $ygg -no Huggins Ins. of Coos Bay PnoNE (543.)269-1103 . (541) Z69-2301 445 Elrod Ave E'1°A1L .bobBhugginainsuranea. Dom PO Box 1019 INSURISKIS) AFrORDING COVERAGE NAICB Coos Hay OR 97420-0223 INSURERA:V.S. Liability Ins. Co. INSURED INSURER B: Mediation Works, A Community Dispute INSURER C: Resolution Center, Inc. INSURER D: 33 N. Central Ave.., Suite 219 INSURER E: . Medford OR 97501 INCURURF: COVERAGES CERTIFICATE NUMBER:13/S4 Maotar Cart. REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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. TYPE OF INSURANCE AUUL SUM POLICYEFF POLICYEXP POLICY NUMBER xx b ..,DDNYY) UNITS GENERALLU(BWTY I I EACH OCCURRENCE S COMMERCIAL GENERAL LABILITY PREMI ET IS. ."n.) S CLAM&MADE O OCCUR I MED EXP me on 3 PERSONAL A ADV INJURY 3 GENERAL AGGREGATE S GENL AGGREGATE LIMIT APPLIES PER; PRODUCTS. COMP/OP AGG S POLICY 1-1 IFCT F7 PRO. LOC 9 AUTOMOBILE I.IABIUTY COMBINED SINGLE LIMIT AMY AUTO BODILY INJURY(Pw Pweal) S ALL AUTOS"" NITOSULED BODILY INJURY(Pw emdenl) S HIRED AUTOS H NON.OWNED AUTOS PROPERTY DAMAGE i B UMRRELLA UAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAMS.MADE AGGREGATE 5 DED S WORKERS COMPENSATION V✓C STATU. OTH. AND EMPLOYERS' LIABILITY YIN OFFICER/MEMBERREXCLUDEDR/CUTIVE❑ NIA E.L EACH ACCIDENT S (Mandalay In NH) GL D18WE- EA EMPLO N yet, deecoty under OESC IPTION OF OPERATIONS below EL DISEASE -POLICY LIMB { A Proresslonal Liability PI022717D /17/20181 /17/2D14 S1 ODD am Each Claim I 6t.000,000 Aggragate DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES {Alreeh ACORD 101,AOmDONI RerNraa BvlP:dule, Nmore apace 4,vquired) 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 ACCORDANCE WITH THE POLICY PROVISIONS. Kra.aty Hla.okman 20 E. Main St:. AUTHORIZED REPRESENTATIVE Ashland, OR 97520 Robert Huggins/R81001 - ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005).D1 The ACORD name and logo are registered marks of ACORD