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HomeMy WebLinkAboutInsurance Certificate: Thrive From: Ashland Office #1 Fax: To +15415522059 Fax +1 541 552205 9 Page 2 of 2 051072015 10 52 AM D07Y CERTIFICATE OF LIABILITY INSURANCE 5 DA/7/2015 5 5/7/ PHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS :ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 3ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 2EPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. MPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(iss) must be endorsed. If SUBROGATION IS WAIVED, subject to :he terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the :ertificate holder in lieu of such endorsement(s). DDUCER CONTACT Julie Asher NAME: rhIcLnd Insurance Inc 1HAlC F Eltti: (541) 482-0831 FA M, (541)4139-5851 Ao 15 A Street Suite 1 e-MAIL ADDRESS: ? ashen@ ashlalldi nsurance .cam 0. Box 880 _ INSURER(S) AFFORDING COVERAGE NAIL 0 - Ihlarld OR 97520 _ INSURER A_Alliance of Nonprofits for WRED INSURERB: 1e Rogue Initiative For a Vital Economy, DBA: INSURER C: - HO% 159 ~NiV4=- INSURER D: INSURER E : - - ~T- - ),lent OR 97540 INSURER F: - ]VERAGES CERTIFICATE NUMBER:CL155705442 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 !NDICATEO. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ^ERTIFICATE 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. ftbl a I TYPE OF INSURANCE f POLICY NUMBER 1 MNiDCD%EVVY 1 ,,076 Y ~ LIMITS I X COMMERCIAL EL LIA l 1 s 1,000,000 I ! EACH OCCURRENCE ~DAl.1AT0aENrEl7 I CIAMSRIAOE !OCCUR - (Pf3S MISES.LEiaq-rTR;V1 s 500,000 X 2015-27698 6/1/2015 6/1/2026 I MED EXP 20,000 Inr*y one par On) Is I PERSONAL 8 AOV INJURY S 1,000,000 GENLAGGREGATE Ufdrf APPLIES PER, GENERAL AGGREGATE I S 2,000,000 X - POLICY PRO- JECT LOG I I PRODUCTS - COMPIOP AGO 15 2,000,000 I OTHER Liqucr Lob'Aly is 1 , DOC , 000 AUTOMOBILE LIABILITY ( ! ( COMBINED SINGLE LIMIT I j ~ nit T~ S ANY AUTO j j I BODILY INJURY IPer parscn) S ALL OWNED - SCHEDULED - AUTOS AUTOS BODILY INJURY (Per■rsidant) S PROPERTY DAMAGE HIRED AUTOS NAO ~SWNE❑ j I I $ (Par ert(dont 1 UMBRELLA LIAR OCCUR ~ EACH OCCURRENCE _ EXCESS LIAR I CLAIMS-MADE I- ( AGGREGATE IS i I DED I RETENTION S - Is WORKERS COMPENSATION _ ANO EIdPLDYERS' LIABILITY YIN; I _ _L7 UT.E L _.I ERH .-I- ANY PROPRIETORIPARTNER/EXECUTIVE I N OFFICERIMEMBER EXCLUDED? f N I A'I E.L. EACH ACCIDENT I ST.._.-_ (Mandatary In NH) E.L. DISEASE `EA EMPLOYEE 5 II yes, descritiO undar DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT S 'SCRIPT10N OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additlonal Rmmrks Schedule, may be attached It more space Is requlreell Lty of Ashland, Its officers and employees are listed as additional insured E_RTIFICATE HOLDER CANCELLATION i41)552-2059 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland, its officers and THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN employees ACCORDANCE WITH THE POLICY PROVISIONS. Kristy Blackman 20 East Main St AUTHORIZED REPRESENTATIVE Ashland, OR 97520 _ Julie Asher/JAA © 1988-2014 ACORD CORPORATION. All rights reserved. CORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD S025 (2014DI)