HomeMy WebLinkAboutInsurance Certificate: Help Now Advocacy Center
2
VIII:aarDara Thayer FaxID:Payneidest Insurance2 Date:1/22/2015 11:27:03 AM Page:
'`aC D HELPNOW-01 BTHAYEF
CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDd YYYV}
THIS GERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDE2/2015
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
R. THIS
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
Medford Office CONTACT
NAME: David Veach
PayneWestlnsurance,Inc. PHONE
arc: No EXtI (541) 779-1321 FAX -
8 North Central Ave- F MA,L sac. NnL(541) 779-9187
Medford, OR 97501 ADCRESS. dveach@Paynewest.com - - -
_ INSURER(S) AFFORDING COVERAGE
NAIC K
INSURED INSURER A Enumclaw Property & Casualty
INSURER B
Help Now Advocacy Center INSURER c
33 N Central Ave #211 - - -
Medford, OR 97501 INSURER D
INSURER E
COVERAGES INSURER F
CERTIFICATE NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED RELOW HAVE BEEN ISSUED TO IHE INSLiRED NIAMOED A OVE FOR THE POLICY PERIOD REV INDICATED. NOTWITHSTANDING ANY REUUIREPAENT,
TERM OR CONDITION CF ANY CCNTRACT OR OTHER L)OCULIENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY RE ISSUED OH MAY PERTAIN THE INSURANCE AFFORDED BY THE POI.IC:IFS DESCRIBED HEREIN IS SUftdFC;T TO Al I THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLARv9S
TYpE OF INSURANCE 'XDDL'SD-9~ - - --INSD POLICY NUMBER POUCY EFF ' -POLICY EXP
A
X COMMERCIAL GENERAL LIABILITY MM DDrYVrY IMMtDO/vyvr LIMITS
CPP000349604 `nr, I < <.auRRlcNC:F S 500,00
CLAIMS MADE X ci cl_+R 03/13/2015 0311312016
' CAI sA~ E T6R=NTEC~ _ -
r RLti ISES ,'Ea c currenzal $ 30,00._
_ _ MED FXP (A,,y ,nv I;r.rsn,,; t s 10,00
(_;EN 'L AGGREGAIL- LINI I AF PL IFS PFR PERSONAL R ADV INJURY $
PRO
X I POLICY JF.CI LOC GENE. IYAI. ALitiHECaAIt $ 1,000 OQ
OTHER. PR( Dci a 5 .;OMPd")I' AGG S - -
- T5 -
AUTOMOBILE LIABILITY
- 8_- - - -
♦~--i - COMBINED SINCLC LIMIT
_ ANY AU TO IFa au ldentl_ S
AUTOS OWNED SCHEDULECI BOGq Y INJURY (Per pecsoo, .g. _
_ AUTOS
HIRFD AUrO8 NON-.OWNED BOG+LY INJURY (Per aczitlent $ -
AUTOS
OCCUR
FANYPR MBRELLA LIAR
CESS LIAB CLAIMS MAUL EACH OCCURRENCE: ! g
:D ! I RL,ENHON$ „L>C,REt_NL RS COMPENSATION PLOYERS ' LIABILITY VIN Sfi@HTATUfE
t)TH-
IPRIETOR1PARTNEREXI-r.L11';(' F.R
.:MFAiyER F.XCLN!A ory in NH) EL. EH 4CCIDEN7 SCf,M! ~I~JC! - 710N OFC)PFRATIONS E1 U15FASE LA &MwLUYLESPC)!ICv LIIAIT OF OPERATIONS / LOCATIONS
1 VEHICLES (ACORD 101, AoAltionai RemarAS SchaAule, may he aUachad U moro apace is -
ao)
a-----CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
20 E Main Street ACCORDANCE WITH THE POLICY PROVISIONS.
Ashland, OR 97520
AUTHORIZED REPRESENTATIVE
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ACORD 25 (2014/01) The ACORD name and logo are registered marrks2oflACORD DCORPORATION. All rights reserved.