HomeMy WebLinkAboutInsurance Certificate: Mt Ashland Association (2)
SKI31499
A~ ® DATE, MM/DD YYYY
EVIDENCE OF PROPERTY INSURANCE 9/30/2011
THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMAT' VELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE
COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE
ISSUING INSURERIS;, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST.
06 701-5000 COMPANY
AGENCY PHONE 206-701-5000------
A C No, Exl--
Commercial Lines 206-701-5900 AIX Specialty Ins Co.
Wells Fargo Special Risks, Inc. CAL# OG13561
520 Pike Street, Suite 2100
Seattle, WA 98101
FAX E-MAIL
A;_C No): ADDRESS:
CODE: I SUB CODE:
AGENCY
CUSTOMER ID 1f: -
INSURED LOAN NUMBER POLICY NUMBER
Mt. Ashland Association WFZ-CL-0020037-2
EFFECTIVE DATE EXPIRATION DATE
P.O. BOX 220 CONTINUED UNTIL
10/01/11 1 10/01/12 TERMINATED IF CHECKED
Ashland, OR 97520 _ - - -
THIS REPLACES PRIOR EVIDENCE DATED:
PROPERTY INFORMATION
LOCATION/DESCRIPTION
PROPERTY & INLAND MARINE
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
EVIDENCE OF PROPERTY INSURANCE 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.
:OVERAGE I NFORMATI ON
AMOUNT OF INSURANCE DEDUCTIBLE
COVERAGE PERILS, FORMS
Buidlings and Business Presonal Property $7,028,610 $5,000
Scheduled Equipment $729,674 $5,000
i
REMARKS Includ n Special Cond tions
Re: Interest in owned assets acquired 07/01/92.
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
ADDITIONAL INTEREST
NAME AND ADDRESS MORTGAGEE ADDITIONAL INSURED
X LOSS PAYEE
City of Ashland, Its Officers & Employees
LOAN 4
20 E. Main Street
gshland, OR 97520 AUTHORIZED REPRESENTATIVE
I
ACORD 27 (2009112) The ACORD name and logo are registered marks of ACORD O 1993-2009 ACORD CORPORATION. Al r ghts reserved.
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