HomeMy WebLinkAboutInsurance Certificate: Casa of Jackson County
CERTIFICATE OF LIABILITY INSURANCE
FTHIS CERTIFICATE IS ISSUED AS A MATTER OF IkFORMATHON 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
I BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED
REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER- t
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED. the policy0es) most be endorsed. 11 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 endorsementis).
OR°01'~ RORY WOLD INSURANCE AGENCY INC CONTL"~
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2.019 AERO WAY SU1rF- 101 ;A: No az :l=it-773.1. t.: IArc•NOi'Is1• i 97b
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MEDFORD. OR 97504
t>ISURrR S, ArrORDiNG COYLRAGr NAIL X
NSI_RFR A .rr:ate Fa•m F';,:, Irc 3sua Ry Company 25143
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INZ'RED CASA OF JACKSON COUNTY NsUNI Tt
613 MARKET ST NsvaF-a
MEDFORD OR 97504-6125
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
1-H F~ IS TO CERTIFY TI IA' 7HE F+rc srIES OF !Fl t l tAly{ r L S 1!:U !~L ti HAUL ULL% ;S L:) TC THE t:,.URED LBCJVE FOP -F POI =C/ PER+O :
'I CATER NC VVITHSTANDINC Atl`Y REOUIREVE'.' TERNI OR CCt-OT1ON OF A. ^Ot1'RACY OR OTHER DOCUNI N' iOV IH N,LZPL..' "'C wiICH THIS
CERTIFICATE MA- BE iSSI_+ED OR %1A.Y r'FRI.,;IN THE 'riz:UkArJCf_ AFI'()RCX[) tat -t,£ PCOOES CESCRIEED HER_111 'S 3!3SJ_C7 THE rFRhtS i
EXC.LUSIOt4S AN•C COt4Dl^ONS SUCH POLICiFS .:a TS ltnv Na rdAr tiA.vE BF:=n RE JtxF t BY frAtD;:A
j t1YSR ADD(. SUCA MY.4Y EFF POLICI LI.P i
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OfSCR;ATION DF OPERA Ti NHSI LJCA 1IONS! vf7..C-f~ IAtr.Kh Acc'q:'.- In' AEgR'onx ktm arks scnaduft R me i, spscn K
The Cdy of Asniand. as Off mrB. ernploy'ees ana ager!s Sr'ta11 De n3rrled as aOci! Ona~ irs,;reds on a pnrrar.• 3nC non-centrb,'_ or4' SastS on a i n%s _,,ancP po sz:ws
Inged atnxve dnd requ!i" trereundw
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CERTIFICATE HOLDER CANCELLATION
The City of Ashland, its officers. employees, and agents SHOLLD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Y THE EXPIRATION DATE THEREOF. NOTICE WILL HE DFLIVERED IN
20 East Main St. ACCORDANCE WITH THE POLICY PROVISIONS
`shland, OR 97520
n 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ' TJ14815 ' 4 819 8 01-23-2013