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HomeMy WebLinkAboutInsurance Certificate: Help Now Advocacy Center m:David Veach FaxID:PayneWest Insurancel Date:7/9/2014 4:47:05 PM Page: 2 of 2 HELPNOW-01 DVEACH CERTIFICATE OF-UABIUTY INSURANCE DAM(MM/DD(YYYY) IF 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 NAME: Medford Office PHONE Ei1 t(541) 779-1321 A)c No: (541) 779-9187 North C Insurance, Inc. PayneWest 38 North Central Ave. E-MAIL ADDRESS: Medford OR 97501 INSURER S) AFFORDING COVERAGE NAIL M INSURER A: Enumclaw Property & Casualty INSURED INSURER B: Help Now Advocacy Center INSURER C 33 N Central Ave #211 INSURER D: Medford, OR 97501 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS TYPE OF INSURANCE POLICY EFF POLICY P LIMBS LYN POLICY NUMBER MM/DDNYYY MWDONYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 500,00 CLAIMS-MADE FYIOCCUR CPP000349603 0311312014 03(13/2015 PREMISES Eaocwrrenca S' 340,60 MED EXP(Any one Person) s 10,00 PERSONAL &ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: i GENERAL AGGREGATE S 1,000,06 X POLICY 17 PERT = LOC PRODUCTS - COMP/OP AGO S OTHER: $ AUTOMOBILE LIABILITY i COMBIN SINGLE LIMIT $ Ea accident MY AUTO ~ BODILY INJURY (Per Person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) S UTOS HIRED AUTOS NON-OWNED - PROPERTY DAMAGE S q - I AUTOS Per erdd.I S UMBRELLA LIAB OCCUR - EACH OCCURRENCE S EXCESS LIAB CLAIMS MADE AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION PER OTM- ANDEMPLOYERS! LIABILITY YIN STATUTE ER ANY PROPRIEtOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT 5 OFFICERRAEMBER EXCLUDED? U NIA (Mandatory in NH) ' E.L. DISEASE - EA EMPLOYE S N es, deacnbe under DE SCRIPTION OF OPERATIONS bal. E.L. DISEASE-POLICY LIMIT S i I DESCRIPTION OF OPERATIONS / LOCATIONSI VEHICLES (ACORD 101, Additional Remarks Schedule, may M adached If mere apace ie repulred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORUZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD