HomeMy WebLinkAboutInsurance Certificate: Oregon Nordic Club
12/21/2009 15:46 FAX 5412981365 T.D. CHRONICLE
IN02
OR"Isi 0
1812009
ACORD,m CERTIFICATE OF LIABILITY INSURANCE DATE 12/1ar2oa9
PRODUCER Commercial Lines 205-701-5000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Wells Fargo Special Risks, Inc. CAL# OG13561 HOLDER. THIS CERTIFICATE D0E8 NOT AMEND, EXTEND OR
520 Pike Street, Suite 2,106 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Seattle, WA 98101 INSURERS AFFORDING COVERAGE NAIC #
INSURED Oregon Nordic Club INSURERA: NOVA Casualty Company
420 West 10th Street INSURER e:
wwf;WR C.
INSURER D:
The Dalles, OR 97058 INSURER E:
COVERAGES
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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ICYSIF
TYPE OF INSURANCE POLICY NUMBER P
LIMITS
A GENERAL LIABILITY WFR-GL-0010058-0 11/01109 11101/10 EACH OCCURRENCE $ $t,oo4,000
X COMw* IAL GENERAL LIA6ILFFY T $ 1,000,400
CLAIMS MADE ID OCCUR MED EXP (Any one person) $ Not Covered
PEP-%ONAL & ADV 1N."Y $ 1.000,000
GENERAL AGGREGATE S None
GENIL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG S 2,000,000
X POLICY R CT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(r:a ac ddant) $
ANY AUTO
ALL OWNED AUTOS
60DILY INJURY $
SCHEDULED AUTOS (Per Iwsn) HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accidert)
PROPERTY DAMAGE $
(Pat aGddent)
"PAGE LIABILITY AUTO ONLY - EA ACCIDENT S
ANY AUTO OTHER THAN FA ACC $
AUTO ONLY: AGG $
EXCESSIUMBRIMLA LIABILITY EACH OCCURRENCE $
OCCUR CLAMS MADE AG(MGATE S
$
DEDUCTIBLE $
RETENTION $ $
WORKERS COt1Il'ENSATION AND TWO STAY TU- OTH-
EMPLaYERS• LIABLITY
ANY PROPRIETOWPARTNEWEXECUTIVE E L EACH ACCtOpNT S
OFFICERIMEMBER EXCLUDED? EL. DISEASE -EA EMPLOYEE S
It describe under
CIAL RO S NS bel E.L. DISEASE - POLICY LIMIT IS
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I V 941CLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
RE: SKI SWAP TO BE HELD IN JANUARY, 2010.
EVIDENCE OF INSURANCE. DJT
CERTIFICATE HOLDER CANCE TIO en ay Notice for Non-rayment
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSM43 INSURER WLL ENDEAVOR TO MAR 30 DAYS VMTTEN
Ashland Parks a Recreation NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,13UT FAILURE TO DO SO SHALL
Attn: Joy Bannon IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
340 S Pioneer Street REPRESENTATIVES.
Ashland, OR 97520 AUTHOPS" REPRESENTATIVE C^
ACORD 2S (200108) 4 of 2 4044905 w ACORD CORPORATION 1988
(This certificate replaces certiflcate# 1041902 issued on 12118/2009)