HomeMy WebLinkAboutInsurance Certificate: Thomas Giordano (3)
Effective date of certificate:
AI/state Lienhokier Ser vice Center April 14, 2016 Page
1 of 2
PO Box 660349
Dallas, Tx /s,Io6-0349 Policyholder:
THOMAS R GIORDANO
495 CHESTNUT ST UNIT 2
ASHLAND OR 97520-1559
Policy number
II,I,I,II"IIIIIIIIIII'll'III'I'llll'lllllllllll'll'IIII"I"II'I 976 986 806
CITY OF ASHLAND Allstate Insurance Company
20 E MAIN ST Northbrook, Illinois, certifies that
ASHLAND OR 97520-1814 the following insurance is in force:
Policy period:
Beginning February 22, 2016
through August 22, 2016
at 12:01 a.m. standard tirne
Certificate of Insurance
The person or organization designated below is described in the policy as:
CITY" OF ASHLAND LJ Lienholder Agent:
20 E MAIN STREET (Loss Payable Clause) ROBERT N BUCKMISTER
ASHLAND, OR 97520-1814 o Additional Interested Party (541) 488-2516
Coverages designated below are afforded for each described vehicle:
Item VIN Limit of liability Deductible
2006 SOLSTICE 1G2MB33B76Y110178 BI Each Person $100,000
Each Occurrence $300,000
PD Each Occurrence $100,000
• Collision $500
• Comprehensive $100
See reverse side for provisions concerning Loss Payable Clause and Additional Interested Party.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded
by the policy referred to above.
Date: 04/14/16 D1696
Certificate of Insurance Page 2 of 2
Allstate Insurance Company
Policy number: 976 986 806
The Loss Payable Clause of such policy provides:
"The company reserves the right to cancel such policy at any time as provided by its terms, but in such case the company shall
notify the Lienholder when not less than ten days thereafter such cancellation shall be effective as to the interest of said
Lienholder therein and the company shall have the right, on like notice, to cancel this agreement."
The Additional Interest Endorsement of such policy, in part, provides:
"...such insurance as is afforded by the policy" for automobile liability insurance listed on the reverse side hereof applies also to
the person or organization named as Additional Interested Party. "As respects such... interest, no cancellation ...and no
endorsement... adversely affecting such additional interest, shall be effective until ten (10) days following the mailing of written
notice (to the person or organization) of such cancellation or endorsement..."
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