HomeMy WebLinkAboutInsurance Certificate: WHA Insurance Agency
ACORD. CERTIFICATE OF LIABILITY INSURANCE sii8%2oo '
p"-r)ucER (800) 852-6140 FAX: (541) 342-3786 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
_son-Heirgood Associates HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2 930 Chad Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO Box 1421
Eugene OR 97440-1421 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURERA: SAIF Service Center
WHA Insurance Agency Inc, DBA: Wilson-Heirgood INSURER B:
PO BOX 1421 INSURER C:
INSURER D:
Eugene OR 97440 INSURER E:
::OVERAGES
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.
SHOWN GREGATE LIMITS AVE BEEN REDUCED BY PAID CLAIMS.
INSR POLICY ADD'L EFFECTIVE POLICY INSRD TYPE OF INSURANCE POLICY NUMBER D TEMM/DDIYYDATE MMI D/YY EXPIRATION LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY DAMAGES (Ea TO RENT ED
I CLAIMS MADE FIOCCUR MED EXP An one person) $
PERSONAL D INJURY $
GENERAL AGGREGATE- $
GEN'L AGGREGATE LIMIT APPLIES PER: OD CT OP A $
PRO-
POLICY
LOC
F-1 JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY AUTO (Ea accident) $
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA A $
AUTO ONLY: AGG $
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR FICLAIMS MADE AGGREGATE $
DEDUCTIBLE $
RETENTION
WC STATU- OTH
A WORKERS COMPENSATION AND x I TORY LIMITS ER
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500 , 000
OFFICER/MEMBEREXCLUDED? 515291 7/1/2006 7/1/2007 500,000
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under 500 000
SPECIAL PROVISION below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ashland EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Kari Olson , Purchasing Representative 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
90 N. Mountain Ave
Ashland, OR 97520 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
INSURER ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE - t -
Raelynn Ortiz/RMO