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HomeMy WebLinkAboutInsurance Certificate: Pathway Enterprises ,4c CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/28/20, 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(ies) 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 endorsement(s). PRODUCER CONTACT Kimberly Edwards NAME: Ashland Insurance Inc PHONE (541) 857-0679 (541) 857 A/C N. 6d : A/C, No : FAX 801 O'Hare Parkway, Ste 101 E-MAIL SS: kedwards@ashlandinsurance.com ADDIR INSURER(S) AFFORDING COVERAGE NAIC 0 Medford OR 97504 INSURER A : Berkshire Hathaway Specialty Ins. Co INSURED INSURER B : SAIF Corporation Pathway Enterprises Inc INSURERC: Philadelphia Indemnity Ins Co 1600 Skypark Drive, Suite #101 INSURER D: INSURER E : Medford OR 97504 INSURER F : COVERAGES CERTIFICATE NUMBER: 18 19 Master 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 AIJULIbUbIR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 A X Professional Liability 47SPK25497302 07/01/2018 07/01/2019 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 3,000,000 - X POLICY ❑ PRO ❑ JECT LOC PRODUCTS - COMPIOP AGG $ 3,000,000 OTHER: Professional Liability $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY (Per person) $ A OWNED SCHEDULED 47RWS25497402 07/01/2018 07/01/2019 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ 1,000,000 AUTOS ONLY H I I AUTOS ONLY Per accident Uninsured Motorist s 1,000,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 3,000,000 A X EXCESS LIAB X CLAIMS-MADE 47SUM25497502 07/01/2018 07/01/2019 gcGREGATE $ 3,000,000 DED X RETENTION $ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE 500,000 B OFFICER/MEMBER EXCLUDED? ❑ NIA 524679 04/01/2018 04/01/2019 E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under 500,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Directors & Officers Liability Each Occurrenc-_ $ 1,000,000 C Employment Practices Liability PHSD1261399 06/30/2018 06/30/2019 Each Occurrence $ 1,000,000 Retention $ 2,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) This form is subject to policy terms, conditions and exclusions. I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main St AUTHORIZED REPRESENTATIVE Ashland OR 97520 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD