HomeMy WebLinkAboutInsurance Certificate: Full Circle Real Estate
•0 09/07/2015 21:56 5412426462 UTA PAGE 01/01
■1:1 CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYY)
M ■ 109108/2015
■ 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 andorsement(s).
PRODUCER CONTACT
United Insurance Agencies, L1_C "NE,,,) ~(541) 242.64fiq PAx . 641 242-6462
~Di PO Box 2589 nngr a,___uia clearwire.net
Eugene OR 97402 I PORDINO COVERa[s NAIC
CNA Insurance Companies
INSURED
I
Full Circle Real Estate
240 East Main Street
Ashland OR 97520 INSURER E:
IIN$URMR F!
COVERAGES CERTIFICATE NUMBER: 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 RECUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PtRTAIN, THE INSURANCE AFFORDEO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POI..ICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
IN
LTR SR TYPE OF IN8URANCE ADDL BURR POLICY EPP POLICY EXP LIMITS
COMMERCIAL GENERAL LIABILITY EA OCCURRENC $
CLAIMS-MADE OCCUR DAMAGE TO RENTED
uSE$ (Ea~ccuseoca)
MED EXP An one pgr~On
PERSONAL &,NOV INJURY $
FAN L AGGRF9ATE LIMIT APPL IF9 PER' GENERAL AOQREGATE 8
~Il
POLICY JECT-
PRO LOC PROD 3 -COMPIOP AQ_O_ S
OTHER: $
AUTOMOBILE LIABILITY C( OM13NCO SINGLE LIMIT $
ANYAL)TO BODILY INJURY (PorpgmQP) S
ALL OWNED AUTOSULP,O
AUTO,'; BODILY INJURY (Per acedonq $
NON-OW
TOS NED PROPERTY DAMAGE
HIRED AUTOS AU
AUTOS S
,(Per oeeldanp
UMBRELLA LIAB OCCUR EACH DC RENCE 91
EXCESS LIAB CI,AIMS-MAD~ AGGREGAT $
S
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY Y 1 N % IT 111 -1 IFR
ANY A OFFICER! ETOREXCTNER1 ECUTIVE 1 N;A
(Mand FFICEeryln NH) L~J 4017769363 10/0212015 10102/2016 E .L. EACH GIbENT $500 .000
DISEASE - EA EMPLOYE $500,000
K yes, deocrll7g Urttler
E low E 013EASE - POLICY LIMIT $ 50,000
DESCRIPTION OF OPERATIONS I LOCAMOt48 I VEHICLEP (ACORD 101, AddItIgnal Remerlta Sohedulo, may b(i attached If more epsoe h required)
fax: 541-488-6311
CERTIFICATE HOLDER CANCELLATION
City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICI69 BE CANCELLED BEFORE
THE ExPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
20 E Main Street ACCORDANCE WITH THE POLICY PROVISIONS,
Ashland, OR 97520 AUTHORIZED NTAnVE
1988- CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD