HomeMy WebLinkAboutInsurance Certificate: Pacific Powder Coating (3)
SAIF Corporation 4/29/2016 7:48:39 AM PAGE 1/001 Fax Server
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www.saif.com
Oregon Workers' Compensation
saif
Certificate of Insurance corporation
Certificate holder:
CITY OF ASHLAND
20 EAST MAIN STREET
ASHLAND, OR 97520
The policy of insurance listed below has been issued to the insured named belowfor the policy period
indicated. The insurance afforded by this policy is subject to all the terms, exclusions and conditions of
such policy; this policy is subject to change or cancellation at any time.
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Insured Producer/contact
Pacific Powder Coating Inc SAIF Corporation
PO Box 2169 Portland Service Center
White City, OR 97503-0169 971.242.5001 servic@saif.com
Issued 03/22/2016 Limits of liability
Policy 786980 Bodily Injury by Accident $500,000 each accident
Period 01/01/2016 to 01/01/2017 Bodily Injury by Disease $500,000 each employee
Body Injury by Disease $500,000 policy limit
Description of operations/locations/special items
POWDER COATING LIGHT POLES 2016
Important
This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate
does not amend, extend or alter the coverage afforded by the policies above. This
certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the
certificate holder.
Authorized representative
Kerry Barnett
President and CEO
M AY 2 2016
400 High Street SL
Salem, OR 97312
P: 800.285.8525
F. 503.584.9812
Pdicy_OLCA_CertlfcateOflnsumnce