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HomeMy WebLinkAboutInsurance Certificate: Airport Taxi Service ACORDr. CERTIFICATE OF LIABILITY INSURANCE 00ATE MM DDfYYYY 3!16/2018 ) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Oswald Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2225 Pacific Blvd SE., Suite 110 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Albany, OR 97321 541-223-5222 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: GATEWAY 28339 Airport Taxi Service WSURERB: AMERICAN SERVICES 215 Tolman Ck Rd #21 INSURER. _ Ashland, OR 97520 INSURER D. INSURER E: COVERAGES 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 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE IMMIDD[YY) LTR INSRD TYPE OF INSURANCE V GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE To (EaEoccurence) $100000 B ✓ COMMERCIAL GENERAL LIABILITY PREMISES CLAIMS MADE ✓ OCCUR MED EXP (Any one person) $ 5,000 _ GL37905P2018 03/14/18 03/14/19 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE 2,000,000 GEN'LAGGREGAT_ELIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 2,000,000 POLICY F PRO- LOC - A ✓ -AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000.00 ANY AUTO (Ea accident) ALL OWNED AUTOS CA12876P2016 03/14/18 03/14/19 BODILY INJURY $ ~ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS ! (Per accident) $ PROPERTY DAMAGE ~i$ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHERTHAN EAACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMSMADE AGGREGATE $ j DEDUCTIBLE $ RETENTION $ Is _7' 1 WORKERS COMPENSATION AND TWC ORY STA%- OTH- LIMN R EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE - - OFFICERIMEMBER EXCLUDED? E.L. DISEASE- EA EMPLOYEE $ If yes describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT I $ OTHER A CA12876P2016 03/14/18 03/14/19 UM/UIM $100,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 2005 FORD CROWN VIC 2FAHP71 W55X162361 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Ashland NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 20 E Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Ashland, OR 97520 REPRESENTATIVES. `p AUTHORIZED REPRESENTATIVE i ACORD 25 (2001108) © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001108)