HomeMy WebLinkAboutInsurance Certificate: Rose Circle Mentoring Network
ACUR" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)
06/13/2016
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 endorsements .
PRODUCER Rhodes Insurance Agency CONTACT Mark Rhodes
2202 Cove Avenue #B PHONE (541) 963-3212 F IC (541) 963-0473
(Air Nn Fyt)- A No):
P.O. Box 668 E-MAIL mark@rhodesinsuranceagency.com
ADDRESS
La Grande OR 97850 INSURERS AFFORDING COVERAGE NAIC #
INSURER A :Alliance of Nonprofits for Insurance
INSURED INSURER B :
The Rose Circle Mentoring Network INSURER C :
295 E. Main Street, Suite 6 INSURER D :
Ashland OR 97520- INSURER E :
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 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 TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS
A X COMMERCIAL GENERAL LIABILITY X 2016-29829 04/01/2016 104/0112017 EACH OCCURRENCE $ 1,000,000
DAMAGE TO RENTED 500,000
PRFMISFS (Ea occurrence) CLAIMS MADE OCCUR $
MED EXP An one erson $ 20,000
PERSONAL & ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000
POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG $ 1
I
OTHER $
:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Fa accident) ANY AUTO BODILY INJURY (Per person) $
ALL OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS AUTOS i
NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS (Per accident) -
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION $
WORKERS COMPENSATION PER OTH-STATUTE IF
AND EMPLOYERS' LIABILITY Y / N
E.L. EACH ACCIDENT $
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION F OPERATIONS below E.L. DISEASE - POLICY LIMIT $
~ i
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The City of Ashland, its officers, employees and agents are Additional Insureds only with respects to Financial Assistance Award contract effective July 1, 2016
to June 30, 2017.
CERTIFICATE HOLDER CANCELLATION A1000281
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.
20 E Main Street
Asland OR 97520- AUTHORIZED REPRESENTATIVE
@ 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD