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Home My WebLink AboutInsurance Certificate: Ashland Bed & Breakfast Network Inc 11/16/2021 05:20 FAX Z002 Certificate of Insurance This certifies that x State Farm Fire and Casualty Company, Bloomington, Illinois sr•ec FAtM State Farm General Insurance Company, Bloomington, Illinois State Farm Fire and Casualty Company, Aurora, Ontario INSUTANC® State Farm Florida Insurance Company, Winter Haven, Florida State Farm Lloyds, Dallas, Texas insures the following policyholder for the coverages indicated below: Policyholder ASHLAND BED S BREAKFAST NETWORK INC Address of policyholder 586 E MAIN ST ASHLAND OR 97520 Location of operations Description of operations BED & BREAKFAST The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms, exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. Policy Period Limits of Liability Policy Number Type of Insurance Effective Date ! Expiration Date (at beginning of policy period) 97-BC-U619-5 Comprehensive 11-14-2014 11-14-2015 BODILY INJURY AND Business Liability PROPERTY DAMAGE This insurance includes: Products - Completed Operations X Contractual Liability Each Occurrence $ 1,000,000.00 X Personal Injury X Advertising Injury General Aggregate $ 2,000,000.00 Product - Completed $ 2,000,000.00 Operations Aggregate Policy Period BODILY INJURY AND PROPERTY DAMAGE Policy Number EXCESS LIABILITY Effective Date Expiration Date (Combined Single Limit) Umbrella Each Occurrence $ i Other Aggregate $ Policy Period Effective Date 3 Expiration Date Part I - Workers Compensation - Statutory Workers' Compensation Part II - Employers Liability and Employers Liability Each Accident $ Disease - Each Employee $ Disease - Policy Limit $ Policy Period Limits of Liability Policy Number Type of Insurance Effective Date Expiration Date (at beginning of policy period) l 500.00 DEDUCTIBLE j ANNUAL PREMIUM 465.00 THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. Name and Address of Certification Holder If any of the described policies are canceled before their expiration date, State Farm® will try to mail a ADDL INSURED - SECTION 11 written notice to the certificate holder 30 days CITY OF ASHLAND before cancellation. If we fail to mail such notice, no ITS OFFICERS & EMPLOYEES obligation or liability will be imposed on State Farm or its agents or representatives. 20 E MAIN ST , ASHLAND OR 97520-1814 ~Jna of Au onze a resentative AGENT'S ASSISTANT 12/17114 Title Date BRIAN CONRAD Agent Name Telephone Number (541) 482-8470 Agent's Code Stamp Agent Code 37-2155 AFO Code F-472 1001260 106399.10 08-25-2009