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Home My WebLink AboutInsurance Certificate: Lanphier Associates ACC >R& CERTIFICATE OF PROPERTY INSURANCE 0412412014 THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TN 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. N this certNica% Is being prepared for a party who has an Insurable Irttsrost In the property, do not use this form. Use ACORD 27 or ACORD 25. PRODUCER CONTACT Russell P Brown Russell P Brown Ins Agcy Inc PHONR 541-778.5488 541-7788473 j=. N& 1211011 Statelarm 2551 W Main St nlssellerussellbrown.blz AMR- - Medford, Or 97501 PRODUCER CUSTOMERID, S AFFORDING COVERAGE N= # INSURED MURER A : State Farm Fire and Casualty Company 25143 LANPHIER ASSOCIATES INC INSURERS : 3559 NATIONAL RD STE 102 MEDFORD, OR 97504 INSURER D! INSURER E : N P: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: LOCATION OF PREMISES 1 DESCRIPTION OF PROPERTY (AtkUh ACORD 101, AddWomf Remarks Sdw&i , N moos pea b rogtftM San* as above 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. MR TYPE OF INSURANCE POLICY NUMNSR POLICY EFFECTIVE POLICY EXPNIATION COVED PROPERTY LIMITS DATEPOUDWYYYY) DATE(MWDONTM PROPERTY BUILDING s CAUSES OF LOSS DEDUCTIBLES PERSONAL PROPERTY S BASIC BUILI)ING BUSINESS INCOME S BROAD EXTRA EXPENSE S A ~SPECIAL ~ 97-E8-2554-4 09/01/2013 09/01/2014 RENTALVALUE S BLANKET BUILDING S WND BLANKET PERS PROP S FLOOD BLANKET BLOC A PP S Gen Liab X Liability s 2000000- X Liability Aggregate $ 4000000 INLAND MARINE TYPE OF POLICY S CAUSES OF LOSS S NAMED PERILS POLICY NUMBER S CRIME s TYPE OF POLICY S 2 BOILER a MACENIERY1 T BREAKDOWN : S S S SPECIAL CONDITIONS 1 OTHER COVERAGES )Aauh ACORD 101, Ad01Uorlol RMwko Sd*". If more GPM is required) $818 Pramium CERTIFICATE HOLDER CANCELLATION SHOULD OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE AddlInsured: THE E TION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORD E WITH THE POLICY PROVISIONS. 20 E Main St Ashland, Or 97520 AuTNORIZE Tlve t 0 199h-2009 ACO RPORATION. All rights reserved. ACORD 24 (2009109) The ACORD name and logo aro Peghft red marks of ACORD 1004360 142988.2 01-28-2013