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HomeMy WebLinkAboutInsurance Certificate: Mark & Patricia Seder I WILLIS-CLAY INS INC PR4~RE.11/UE~ 202 SE 181STAVE 206 COMMERCIAL PORTLAND, OR 97233 Policy number: 06368027-9 Underwritten by: Artisan and Truckers Casualty Co Insured: MARK A SEDER CITY OF ASHLAND 20 E MAIN ST March 8, 2017 Policy Period: Apr 12, 2017 - Apr 12, 2018 ASHLAND, OR 97520 Mailing Address Artisan and Truckers Casualty Co PO Box 94739 Additional insured endorsement Cleveland, OH 44101 1-800-444-4487 For customer service, 24 hours a day, Name of Person or Organization 7 days a week CITY OF ASHLAND 20 E MAIN ST ASHLAND, OR 97520 The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page. Limit of Liability Bodily Injury Not applicable Property Damage Not applicable Combined Liability $1,500,000 each accident All other terms, limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 06368027-9 Issued to (Name of Insured): MARK A SEDER PATRICIA SEDER Effective date of endorsement: 04/1212017 Policy expiration date: 0411212018 Form H98 (01104) WILLIS-CLAY INS INC PRO9REUMF 202 SE 181ST AV E 206 COMMERCIAL PORTLAND, OR 97233 Policy number: 06368027-9 Underwritten by: Artisan and Truckers Casualty Co Insured: MARK A SEDER CITY OF ASHLAND March 8, 2017 20 ASHLAND, EHLAND, MAIN ST OR 97520 Policy Period: Apr 12, 2017 - Apr 12, 2018 Mailing Address Artisan and Truckers Casualty Co PO Box 94739 Additional insured endorsement Cleveland, OH 44101 1-800-444-4487 For customer service, 24 hours a day, Name of Person or Organization 7 days a week CITY OF ASHLAND 20 E MAIN ST ASHLAND, OR 97520 The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page. Limit of Liability Bodily Injury Not. applicable Property Damage Not applicable Combined Liability $1,500,000 each accident All other terms, limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 06368027-9 Issued to (Name of Insured): MARK A SEDER PATRICIA SEDER Effective date of endorsement: 0411212017 Policy expiration date: 04112/2018 Form 1198 (01;04)