HomeMy WebLinkAboutInsurance Certificate: Northwest Geometronics
F.1. OF OREGON INSUR PR99REWYE`i6
3110 STATE ST
MEDFORD, OR 97504
Policy number: 03207438-1
Underwritten by:
Artisan and Truckers Casualty Co
Insured: NORTHWEST GEOMETRONICS
CITY OF ASHLAND July 17, 2015
20 EAST MAIN ST Policy Period: Jul 10, 2015 - Jul 10, 2016
ASHLAND, OR 97520
Mailing Address
Artisan and Truckers Casualty Co
PO Box 94739
Additional insured endorsement Cleveland, OH 44101
1-800-444-4487
For customer service, 24 hours a day,
Name of Person or Organization 7 days a week
CITY OF ASHLAND
20 EAST MAIN ST
ASHLAND, OR 97520
The person or organization named above is an insured w;th respect to such liability coverage as is
afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of
another insured and then only to the extent of that liability. We also agree with you that insurance
provided by this endorsement will be primary for any power unit specifically described on the
Declarations Page.
Limit of Liability
Bodily Injury Not applicable
Property Damage Not applicable
Combined Liability $1,000,000 each accident
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number: 03207438-1
Issued to (Name of Insured): NORTHWEST GEOMETRONICS
GEOMETRIX NORTHWEST
Effective date of endorsement: 07/10/2015 Policy expiration date: 07/10/2016
Form 1 198 (01/04)
F 2 ~u15 ~lE