HomeMy WebLinkAboutInsurance Certificate: Greenway Spray (2) i
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TOWNE CENTRE INS COMMERCIAL
315 SE 7TH STREET
GRANTS PASS, OR 97526
1-541-476-3311
Policy number: 03967552-0
Underwritten by:
ARTISAN AND TRUCKERS CASUALTY CO
February 28, 2017
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Certificate of Insurance
Certificate Holder Insured Agent
Additional Insured GREENWAY . . . . . SPRAY . LLC . TOWNE CENTRE INS
CITY OF ASHLAND 208 GLENWOOD DR 315 SE 7TH STREET
20 EAST MAIN ST EAGLE POINT, OR 97524 GRANTS PASS, OR 97526
ASHLAND, OR 97520
This document certifies that insurance policies identified below have been issued by the designated insurer to the insured
named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon
the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below.
The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and
conditions of these policies.
Policy Effective Date: Dec 8, 2016 Policy Expiration Date: Dec 8, 2017
Insurance coverage(s) Limits
BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT
UNINSURED MOTORIST BODILY INJURY $1,000,000 COMBINED SINGLE LIMIT
EMPLOYER'S NON-OWNED AUTO BIPD $1,000,000 COMBINED SINGLE LIMIT
HIRED AUTO BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT
Description of LocationNehicles/Special Items
Scheduled autos only
2005 DODGE RAM 2500 3D6WS26D05G832400
UNINSURED MOTORIST PROPERTY DAMAGE $20,000 W/$200 DIED ($300 IF HIT & RUN)
PERSONAL INJURY PROTECTION $15,000
COMPREHENSIVE $500 DED
COLLISION $500 DED
RENTAL REIMBURSEMENT $30 PER DAY ($900 MAX)
ROADSIDE ASSISTANCE SELECTED
1992 FORD F250 1 FTHX26G6NKB46378
UNINSURED MOTORIST PROPERTY DAMAGE $20,000 W/$200 DED ($300 IF HIT & RUN)
PERSONAL INJURY PROTECTION $15,000
ROADSIDE ASSISTANCE SELECTED
2017 DNS TRLR BLDRS TRAILER 1 D9D1 VC2XHM731023 Stated Amount $2,600
COMPREHENSIVE $250 DED
2015 HOMEMADE TRAILER 99999999999999999
Continued
Policy number: 03967552-0
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Certificate number
05917NET552
Please be advised that additional insureds and loss payees will be notified in the event of a mid-term
cancellation.
A~r,__,,_
Form 5241 (10/02)