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HomeMy WebLinkAboutInsurance Certificate: Civil Air Patrol A"R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/Y 1`.~ F 9/30/2015 5 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 endorsement(s). PRODUCER NCONTACT AME, Laura Stowers CIC, CISR AssuredPartners of Missouri, LLC PHONE (314) 523-8800 FAXC o (314)453-7555 AI 11975 Westline Industrial Dr E-MAIL ADDRESS: lstowers @APMi$SOUr7 . CO3A INSURERS AFFORDING COVERAGE NAIC # St Louis MO 63146 INSURERA:Phoenix Insurance Com an 5623 INSURED INSURER B :Travelers Indemnity Com an Civil Air Patrol INSURERC: 105 S. Hansell St. INSURER D : Bldg 714, Maxwell Air Force Base INSURER E : Montgomery AL 36112-6332 INSURER F: COVERAGES CERTIFICATE NUMBER:15-16 Auto Only 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. INSR D R POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY AMA E 0 NT PREMISES Ea occurrence $ CLAIMS-MADE D OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- jECT F__1 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident 1,000,000 A X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED 810SE298221PHX15 (AOS) 0/1/2015 10/1/2016 BODILY INJURY (Peraccident) $ AUTOS AUTOS HIRED AUTOS A~TOSWNED 8105E5364972ND15 (HI) 10/1/2015 10/1/2016 PROPERTY DAMAGE $ Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAfMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- Y "MIT, '1 1 FIR AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ (Mandatory In NH)_ L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space I. required) 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. Finance Dept. City Hall AUTHORIZED REPRESENTATIVE Ashland, OR 97520 Chase Butler/ABBI .lef::44'. . ACORD 25 (2010105) © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD