HomeMy WebLinkAboutInsurance Certificate: Rotary Clubs
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ACORD, CERTIFICATE OF LIABILITY INSURANCE '9/26/2009
PRODUCER LOCICT -N COMPANIBS,LLFK CHICAGO THIS CERTIFICATE IS. ISSUED AS A MATTER OF INFORMATION
$25 W- Ivtanroe, Suite 600 ONLY AND CONFERS NO RIGHTS. UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND oR
C141CAGO IL 60661 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(312) 669-490D
INSURERS AFFORDING COVERAGE NAIC #
iNSUaeD All Active US Rotary Clubs & Distriols INSVRERA ACE American ranw Um Sn 22667
Attn; lt)sk Manag=sut Dcparttuent INSURER e: ACE Pro tar & Casualty Insurance Cb 20699
1560 Sham= Ave. INSURER C.
Bvanston IL 60201-3698
INSURI=ft D:
INSURER E:
COVERAGR=S T+1 a PI~C1lppTT11{{4PIN~4JW1tiQIDPpQVto 0
_ INB~ 8 AU7NUHrLGD A!<PHfiBENTATIV~ oA PIt:,Klf d A.
THE POUCIE'S OF INSURANCE LIMO BELOW MAVE 13F-EN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED- NOTWYTHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RVESPECT TO WHICH THIS CERTIFICATE MAY 13E ISSUED OR
MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGVLRI-GATE LIMITS SHOWN MAY HAVE BEEN REDUCED 13Y PAID CLAIM8-
W&R ' POLICY NUMBER POLICY (MM(DD~) PDAi`e tM~K1p1YY N l1Mfr8
LTR TYPE OA INHURAJJCZ;
LTR
GPHLIPAL Lwfla)TY DA t CURREENCEr 2,0D0,000
A X COMMERCIAL OENERAL LIABILITY PMIG23861355 7/1/2009 7/12010 $ 500.000
G'LA4ME MADE 0 OCCUR ME0 W An vrlc pomyn) $ XXXxNLXX
X Liquor L1abillty PERSONAL a ADV INJURY $ 2,000,000
included $ENi=RALAGGREGATF- S 4,000 000
GEN - AGGRECIATE LIMIT APPL)» PER: PRODUCTS - COMPIOP AGG $ 4,000,000
Y POLIGY P
I ECT LOO '
AUTOMOBILE LIABILITY COMBINED EINGsLlr OMIT
A ANY AUTO P'MIG23961355 7/1/2009 7/1/2010 (1118 aoddcrd) b 1,000,000
ALL OWNED AUTOS 13012ILYINAJRY
13CHEDUL -D AUTOS (Per person) S xxxxxxx i
X HIRED AUTOS BODILY INJURY
(Per accident) g XXXXXXX
X NON.OWN)3D AUTOS
PROPERTY DAMAGE
TAr,,Y " LIABILITY Auro ONLY-LA AcCIDENT 3 XXXXXXX
AUTO NOT APPLICABLE oTH~e9 EA ACC 3 xxxxxxx
AUTO ONLY; AGG $ xxxxxxx
ED(CWGJUM0ReLLA LIA91LIrY EAG)4 OCCURRENCE $ i .5,000,000
13 %t OCCUR ~ CLAIMS MADE? MOOS34092 7/ L/2009 711/2010 AG(3RI GQATZ $ 5,00%000 XxXxxxx
UMBRELLA $
R DEDUMDLE x FORM X
9A 6 B xxxx
ftEfE cX
D STATU- OTIt-
WORKERS COM?EN3ATION AND -NOT APP-LICAI3LE TORY UMITS E
EM PL OY ER.6' LIp6fC
RFEAECUTIVE E.L. pJ1C1iACCIpENT $ XXX?.JC~CJC
ANY PROPRI5TQKFAiUWE
OFFiCE13/ma0t?R I!X4CLUDE09 EL DISEASE-EA EMPLOYEE $ xxxxxxx
lE yyrree deec0a under
8EC1AL PROVISIONS Wow F-L DISEASE- POLICY LIMIT s xxxxxxx
OTHER
DRSCRIPTION OF OPERA-rIONS I LOOATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDDRSEMENT I SPECIAL. PROVISIONS
The Certificate Bolder is included as Additional Insuzed where required b written coJa>;ract or emit subject to the '
terms and conditions of the General Liability policy, but only to the extent bodily injury or property damage is caused
in whole or in part by the acts or omissions of the insured-
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OFTHE ABOVE D68CRIRN D POI 0110 9l? CANCELLED BEFORE T14P E XPMATION
City of Ashland DATE THEI IEOF, 7HI: ISSUINO INSURER WILL ENDEAVOR TO MAIL DAYS WRITTSH
20 East Main Street, Ashland OR 97520 NOTICE TO TNI= C)=RTIRCATE HOLDER NAMFU TO TH2 LEFT, SLIT FAILURE TO DO SO SHALL
(54X) 5 52-2103 or (541) 488-6002, TTY 800-735-2900 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TFI£ INSURER. ITS AGR TS OF
REPIZPSENTATNES.
FAX: (541) 488•-5311
ACORD 25 (20011M) rw gvupcnv rsBaMfng W oeMQoolo, eontuttha R,RODrtr listed lathe 'Produoar' acWlwt abtnv er~tlR&~(y the albnt codv'R0 )Ot', AC I7D CORPORATION 19135