HomeMy WebLinkAboutInsurance Certificate: Mark & Patricia Seder I
WILLIS-CLAY INS INC PR949RFff111F
202 SE 181ST AV E 206 COMMERC/AL
PORTLAND, OR 97233
Policy number: 06368027-8
Underwritten by.
Artisan and Truckers Casualty Co
Insured: MARK A SEDER
CITY OF ASHLAND April 13, 2016
20 E MAIN ST Policy Period: Apr 12, 2016 - Apr 12, 2017
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 E MAIN ST
ASHLAND, OR 97520
The person or organization named above is an insured with 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: 06368027-8
Issued to (Name of Insured): MARK A SEDER
PATRICIA SEDER
Effective date of endorsement: 04/12/2016 Policy expiration date: 04/1212017
Form 1198 (01104)
a
911-