HomeMy WebLinkAboutInsurance Certificate: Kokopelli River Center/Guides
A/a11~11 C E R T I F I C A T E OF I N S U R A N C E ° A5/23/2007'
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PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Evergreen Insurance Managers Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
'O Box 6597 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
Beaverton, OR 97007 A Certain Underwriters a Lloyds
INSURED - - - - COMPANY
Kokopelli River Center and Kokopelli River Guides, Kokopelli B
1655 Parker Street c o M P A N Y
C
Ashland, OR 97520 C O M P A N Y
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM ED 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. LIM ITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS
L T R DATE (MMIDDIYYI DATE (MMIDDIYYI
A G E N E R A L L IA B I L IT Y RBL002073 4/25/2007 4/25/2008 G E N E RA L AGGREGATE $ $2,000,000
X COMMERCIALGENERAL LIABILITY PRODUCTS-COMPIOPAGG $1,000,000
-
( CLAIMS MADE X OCCUR PERSONAL 8 ADV INJURY $ $1,000,000
I- - - - - -
0WNER'S 8 CONT PROT EACH OCCURRENCE - $ $1,000,000
FIRE DAMAGE (Anyone fire) ) $ $100,000
i
MED EXP (Anyone person) $1,D00
$
AU TOM OB ILE LIA BILITY
COMBINED SINGLE LIMIT $
AN Y AUTO ALL OWNED AUTOS BODILY INJURY
(Per person) I', $
HCRHEEDAUTOSUTOS BODILY INJURY
IS
NI- NON - OWNED A UTOS (Peraccident) - - - - -
I
PROPERTY DAMAGE $
I
GARAGE LIABILITY AUTO ONLY _ EA ACCIDENT i$
ANY AUTO OTHER THAN AUTO ONLY
EAC H AC CID ENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
U M B R E L L A F 0 R M AGGREGATE - - $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND STATUTORY LIMITS
EMPL0YERS'LIA BIL ITY
EACH ACCIDENT $
THE PROPRIETORI INCL DISEASE -POLICY LIMIT
PARTNERSIEXECUTIVE - - T - -
OFFICERS ARE: E X C L DISEASE EACH EMPLOYEE 'i$
OTHER
D E S C R I P T I O N OF OPERATIONSILOCATIONSIVEHICLESISPECIALITEMS
Operations: Guided whitewater rafting and rentals of rafts/kayaks including guest lodging and meals.
Rental of snow skis, snowboards and ski tuning/bindings.
Certificate holder as added as Additional Insured
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
-'tyofAshland EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
hland Parks and Recreation
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
340 South Pioneer St.
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Ashland, OR 97520 AU THO RIZED RE PRESEN TATN E
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