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Home My WebLink AboutInsurance Certificate: Rogue Farm Corps A~® ® DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 05125/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Julz McSweeney Ever reen Insurance Mana ers Inc PHONE 503 259-3060 9 9 A1C No Ext : ( ) Arc No : (503) 259-3065 5293 NE Elam Youn P Ste 160 E-MA L g ~ ADDRESS: Jn1CSWeeneylC~~! eVefgreenlllSmgrS.COm INSURER(S) AFFORDING COVERAGE NAIC # Hillsboro OR 97124 INSURERA: Acceptance Casualty Insurance Company 10349 INSURED INSURER B Rogue Farm Corps INSURER C PO Box 533 INSURER D IPISURER E Ashland OR 97520 INSURERF;! COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS tS TO CERTIFY THAT 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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. INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDIYYYY MMlDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGETORENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 100,000 CLAIMS-MADE ~ OCCUR MED EXP An one erson $ 5,000 A Y CL00106614 06109/2017 06/0912018 PERSONAL&ADVINJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOPAGG $ Included X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) HIREDAUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ _ _W_ $ _ ~.__.._~..r.-- Vdv"R~~cRS COMPENSATION WC STATU- OTH- ANUEMPLOYERS' LIABILITY Y 1 N ANY PROPRIETORIPARTNERlEXECUTIVE ❑ N ~ A E.L. EACH ACCIDENT $ OFFICERlMEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Ashland, its Officers and Employees THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Finance Dept, Attn: Tuneberg, Director ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main Street AUTHORIZED REPRESENTATIVE Ashland OR 97520 ~ ~gSS•?010 4CORD CORPOR,.~!TION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD