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HomeMy WebLinkAboutInsurance Certificate: WinterSpring Center ® DATE (MM/DD/YYYY) ACORN CERTIFICATE OF LIABILITY INSURANCE 9/30/2014 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 NAMECONTACT Sheryl Wlrts Protectors Insurance, LLC A/C No Ext):(541)842-2968 a/c No : 41 772-1 P.O. Box 4669 E-MAIL Medford OR 97504 ADDRESS: sherylw@Drotectorsins.com _ INSURER(S) AFFORDING COVERAGE - NAIC # INSURERA_ Cincinnati Insurance CM any INSURED WINTE-4 INSURER B : WinterSpring Center INSURER C Transforming Grief & Loss INSURER D: PO Box 8169 - - - - Medford OR 97501-0469 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 652237568 REVISION NUMBER: 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. iADDL SUBR INSR MMIDD/YYYY POLICY EFF POLIC MPM/DD/YYYY EXPY LIMITS I POLICY NUMBER T LTR TYPE OF INSURANCE INSR WVD A ,GENERAL LIABILITY IY IETN0280381. 10/1/2014 1110/1/2015 EACH OCCURRENCE $1,000,000 DAMAGETO RENTED - X COMMERCIAL GENERALIABILITY PREMISES (Ea $Included FX CLAIMS-MADE OCCUR MED EXP (Any one person) !$5,0.00, 1 1 PERSONAL & ADV INJURY 1 .Inclued GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS - COMP/OP AGG $2,000,000 JEC RO- F LOC - $ X POLICY P A AUTOMOBILE LIABILITY ETN 0280381 10/1/2014 10/1/2015 EUUMbINIzU,,1NuLE LIMIT aaCCldent) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED Ali SCHEDULED IBODILY INJURY (Per accident) $ AUTOS AUTOS - DAMAGE 1, $ NON-OWNED p ccare ident X HIRED AUTOS X 'AUTOS UTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE I $ EXCESS LIAB _ DED RETENTION CLAIMS-MADE AGGREGATE $ $ WC STATU- OTH- WORKERS COMPENSATION YIN AND EMPLOYERS' LIABILITY FFI Y PER/MEM OR EXCLUDED. ❑ ~L. EACH LIMIT ER ANY PROPRIETOR/PARTNER/EXECUTIVE (Mandatory in NH) N / A E. EACH ACCIDENT $ AN EL DISEASE EA EMPLOYEE _ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ I1, Ili DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Ashland, its officers, employees and agents are Additional Insureds for General Liability per attached Policy Form GA2620712 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main Street Ashland OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD