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HomeMy WebLinkAboutInsurance Certificate: Jodi & David Geigle GEIGJ01 OP A~CO~RO CERTIFICATE OF LIABILITY INSURANCE 07/03/2 DATE/03/2 Y018 8 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(les) must have ADDITIONAL INSURED provisions or 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 endorsements . acr Debbie Wheeler PRODUCER 541-899-9535 CONr NAME: The Insurance Center, Inc. PHONE 541-899-9535 FAX 541-899-9532 240 West "C" Street (A/C, No, Ext : (,C, No P 0 BOX 6 ADD IL Jacksonville, OR 97530 George Wheeler INSURER(S) AFFORDING COVERAGE NAIL # INSURER A : Progressive Ins. Companies INSURED Jodi & David Geigle INSURER B : PO BOX 782 Jacksonville, OR 97530 INSURER C : INSURER D INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LWITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE ❑ OCCUR DAf MGE TO REONTED $ MED EXP An one person) $ PERSONAL & ADV INJURY $ I GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY D jper FILOC PRODUCTS - COMP/OP AGG $ _ OTHER: A AUTOMOBILE LIABILITY C(Ea accident OMBINED SINGLE LIMIT $ ANY AUTO 913970283 03/1812018 0911812018 BODILY INJURY Per Person) 50,000 OWNED SCHEDULED 100,000 AUTOS ONLY AUTOS BODILY INJURE Per accident HIRE NON-pWNEp PReOPERTY DAMAGE $ 50,000 AUT~S ONLY AUTOS ONLY UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ PERTUTF OTH- WORKERS COMPENSATION STA ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNER/EXECUTIVE E.L. FJACtACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L. DISEMPLOYEE If yes, describe under DESCRIPTION F OPERATIONS Wow E.L. DISEASE -P I IMIT DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more apace Is required) 2005 FORD F150 PK 1FTRF14505KC62095 CERTIFICATE HOLDER A ELLATION CITYASH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland Attn Kaylea AUTHORIZED REPRESENTATIVE 51 Winbum Way George Wheeler Ashland, OR 97520 ACORD 25 (2016103) C 1 -20 C RPORATION. All rights reserved. The ACORD name and logo are registered marks of CORD