Loading...
HomeMy WebLinkAboutInsurance Certificate: Mark Seder (2) WILLIS CLAY INS INC 202 SE 181ST AVE 206 PORTLAND, OR 97233 COMMERCIAL MARK SEDER ARCHITECTURE+URBAN DESIGN MARK A SEDER Policy Number: 06368027-9 PATRICIA SEDER Underwritten by: ARCHITECTURE+URBAN DESIGN Artisan and Truckers Casualty Co 3219 NE THOMPSON ST PORTLAND, OR 97212 Date of Mailing: March 6, 2018 Policy Period: Apr 12, 2017 - Apr 12, 2018 Page 1 of 1 WILLIS-CLAY INS INC 1-503-661-9095 Online Service prog ressiveagent.com Customer Service 1-800-444-4487 Your policy has been reinstated Thank you for your payment of $1,742.60. We recently sent you a cancellation notice stating that your policy was canceled on March 7, 2018. We have now reinstated your policy effective March 7, 2018. There was no lapse in your coverage. We appreciate having you as our customer. Form 6270 (10/10) WILLIS-CLAY INS INC PR499/7E.fJfME' 202 SE 181ST AVE 206 COMMERC/AL PORTLAND, OR 97233 Policy number: 06368027-6 Underwritten by: Artisan and Truckers Casualty Co Insured: CITY OF ASHLAND MARK A SEDER 20 E MAIN ST March 8, 2018 ASHLAND, OR 97520 Policy Period: Apr 12, 2018 - Apr 12, 2019 Mailing Address Artisan and Truckers Casualty Co PO Box 94739 Additional insured endorsement Cleveland, OH 44101 1-800-444-4487 Name of Person or Organization For customer service, 24 hours a day, CITY OF ASHLAND 7 days a week 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: 06368027-6 Issued to (Name of Insured): MARK A SEDER PATRICIA SEDER Effective date of endorsement: 04/12/2018 Policy expiration date: 04/12/2019 Form 1198 (01104) - - - - - - - - - - WILLIS-CLAY INS INC P/4'DMEMAY 202 SE 181ST AVE 206 COMMERCIAL PORTLAND, OR 97233 Policy number: 06368027-6 Underwritten by: Artisan and Truckers Casualty Co Insured: CITY OF ASHLAND MARK A SEDER 20 E MAIN ST March 8, 2018 ASHLAND, OR 97520 Policy Period: Apr 12, 2018 -Apr 12, 2019 Mailing Address Artisan and Truckers Casualty Co PO Box 94739 Additional insured endorsement Cleveland, OH 44101 1-800-444-4487 Name of Person or Organization For customer service, 24 hours a day, CITY OF ASHLAND 7 days a week 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: 06368027-6 Issued to (Name of Insured): MARKA SEDER PATRICIA SEDER Effective date of endorsement: 04112/2018 Policy expiration date: 04/12/2019 Form 1198 (01;04) WILLIS-CLAY INS INC AR499 I.FUML 202 SE 181ST AVE 206 COMMERC/AL PORTLAND, OR 97233 Policy number: 06368027-6 Underwritten by: Artisan and Truckers Casualty Co Insured: CITY OF ASHLAND MARKA SEDER 20 E MAIN ST March 8, 2018 ASHLAND, OR 97520 Policy Period: Apr 12, 2018 -Apr 12, 2019 Mailing Address Artisan and Truckers Casualty Co PO Box 94739 Additional insured endorsement Cleveland; OH 44101 1-800-444-4487 Name of Person or Organization For customer service, 24 hours a day, CITY OF ASHLAND 7 days a week 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: 06368027-6 Issued to (Name of Insured): MARK A SEDER PATRICIA SEDER Effective date of endorsement: 04/12/2018 Policy expiration date: 04/12/2019 Form 1198 (01/04) - L WILLIS-CLAY INS INC M98REW111F 202 SE 181ST AVE 206 COMMERCIAL PORTLAND, OR 97233 Policy number: 06368027-6 Underwritten by: Artisan and Truckers Casualty Co Insured: CITY OF ASHLAND MARKA SEDER 20 E MAIN ST March 8, 2018 ASHLAND, OR 97520 Policy Period: Apr 12, 2018 -Apr 12, 2019 Mailing Address Artisan and Truckers Casualty Co PO Box 94739 Additional insured endorsement Cleveland, OH 44101 1-800-444-4487 Name of Person or Organization For customer service, 24 hours a day, CITY OF ASHLAND 7 days a week 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: 06368027-6 Issued to (Name of Insured): MARK A SEDER PATRICIA SEDER Effective date of endorsement: 04/12/2018 Policy expiration date: 04/12/2019 Form 1198 (01/04) i QCrr c WILLIS-CLAY INS INC APQ94GRE ~~L 202 SE 181ST AVE 206 COMMERCIAL PORTLAND, OR 97233 Policy number: 06368027-6 Underwritten by: Artisan and Truckers Casualty Co Insured: CITY OF ASHLAND MARK A SEDER 20 E MAIN ST March 8, 2018 ASHLAND, OR 97520 Policy Penod: Apr 12, 2018 -Apr 12, 2019 Mailing Address Artisan and Truckers Casualty Co PO Box 94739 Additional insured endorsement Cleveland, OH 44101 1-800-444-4487 Name of Person or Organization For customer service, 24 hours a day, CITY OF ASHLAND 7 days a week 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: 06368027-6 Issued to ((Jame of Insured). MARKA SEDER PATRICIA SEDER Effective date of endorsement: 0411212018 Policy expiration date: 04/12/2019 Form 1 198 (01,04) WILLIE-CLAY INS INC 4goGREWIlf* 206 (JILL J (/L 202 SE 18 1ST AVE 2 PORTLAND, OR 97233 COMM£RC/AL MARK SEDER ARCHITECTURE+URBAN DESIGN MARK A SEDER Policy Number: 06368027-9 PATRICIA SEDER Underwritten by: ARCHITECTURE+URBAN DESIGN Artisan and Truckers Casualty Co 3219 NE THOMPSON ST PORTLAND, OR 97212 Date of Mailing: March 6, 2018 Policy Period: Apr 12, 2017 - Apr 12, 2018 Pagel of 1 WILLIS-CLAY INS INC 1-503-661-9095 Online Service progressi veagent.com Customer Service 1-800-444-4487 Your policy has been reinstated Thank you for your payment of $1,742.60. We recently sent you a cancellation notice stating that your policy was canceled on March 7, 2018. We have now reinstated your policy effective March 7, 2018. There was no lapse in your coverage. We appreciate having you as our customer. Form 6270 (10110)