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HomeMy WebLinkAboutInsurance Certificate: Jackson County SART 1 v~ ..~^v--J~+r~ ~vv~....~ JI\\~. 1 ~ cl. VL.o C:II.K ~G~(v~LJC. ~«/Va-" Aco ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 44x' 08/19/2014 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 endorsements . PRODUCER CONTACT NAME: HONE Rebecca DeVall FAX Reinholdt & O' Harra Insurance P "C No_ Xtll 518 Washington St E-MAIL (641)482-1921 ac No: (541)488-4458 Ashland, OR 97520 ADDRESS: rdevall@_reinholdtins.com License 800442 INSURERS AFFORDING COVERAGE NAIC a INSURER A INSURED INSURER B : Jackson County SART INSURERC: 43 Morning Light Dr INSURERD: Ashland, OR 97520 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 00002786-247301 REVISION NUMBER: 2 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER PO pICY EFF PO~p EXP LIMITS A GENERAL LIABILITY Y W14147140201 08/17/2014 08/17/2015 EACH OCCURRENCE $ 1.000.000 COMMERCIAL GENERAL LIABILITY PPREMI E Ea omurrence) $ 50,000 CLAIMS-MADE I OCCUR MED EXP (Any one person) $ 2,500 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included 51 POLICY PRO LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS (Per acadent) a UMBRELLA LIAB H OCCUR EACH OCCURRENCE _ $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DIED RETENTION $ WORKERS COMPENSATION WC STATIU OTH- S1 _FR LIM _C AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, desaibe under DESCRIPTI PFRATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Certificate holder is listed as additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF ASHLAND, IT'S AGENTS, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN DIRECTORS, OFFICERS & EMPLOYEE ACCORDANCE WITH THE POLICY PROVISIONS. 20 E. MAIN STREET ASHLAND, OR 97520 AUTHORIZED ZL.-I REPRESENTATIVE , /I~ /~e REB ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Printed by REB on August 19, 2014 at 02:53PM