HomeMy WebLinkAboutInsurance Certificate: Karin Onkka
ALLST.4TE LIENHOLDER SERVICE CENTER
PO BOX 660349
D.4LL4S, T_Y 75266-0349
111111111111111111111111 Jill 1111 111111N1111111
CITY OF ASHLAND Date: 08113114
20 E MAIN ST
ASHLAND OR 97520-1850
CERTIFICATE OF INSURANCE
EFFECTIVE DATE
OF CERTIFICATE
ALLSTATE INSURANCE COMPANY SEPTEMBER 10, 2014
Northbrook,Illinois, certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER POLICY PERIOD
KARIN ONKKA 0 87 851554 03110 SEPTEMBER 10, 2014 At 12:01 A.M.
125 WIMER ST MARCH 10, 2015 St-ad'rsa-
ASHLAND OR 97520-1647
1 he person or organization designated below is described in the policy as:
CITY OF ASHLAND LIENHOLDER
20 E MAIN ST (Loss Payable Clause)
ASHLAND OR 97520-1850 X ADDITIONAL
INTERESTED PARTY
AGENT ROBERT N BUCKMISTER
PHONE (541) 488-2516
Coverages designated below are afforded for each described vehicle:
BI $100,000 EA.PERS.- $300,000 EA.OCC. 1997 IMPREZA
I'D $50,000 EA.OCC. JFIGF4855VG813245
Collision- DED. Comprehensive-No Comprehensive Coverage
See reverse side for provisions concerning Loss Payable Clause and Additional Interested Party.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage
afforded by the policy referred to above.
DI696
*0"03606012525046450101*
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The Loss Payable Clause of such policy provides:
"The company reserves the right to cancel such policy at any time as provided by its terns, but in such
case the company shall notify the Lienholder when not less than ten days thereafter such cancellation shall
be effective as to the interest of said Lienholder therein and the company shall have the right, on like
notice, to cancel this agreement."
T he Additional Interest Endorsement of such policy, in part, provides:
"...such insurance as is afforded by the policy" for automobile liability insurance listed on the reverse side
hereof applies also to the person or organization named as Additional Interested Party.
"As respects such... interest, no cancellation ...and no endorsement... adversely affecting such additional
interest, shall be effective until ten (10) days following the mailing of written notice (to the person or
organization) of such cancellation or endorsement..."
601252504645P