HomeMy WebLinkAboutInsurance Certificate: City of Ashland-Elected Officials, Officers and employees
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CUSTOMER NUMBER: 708111 RUN DATE: 08-24-18
THE TERELAK TEAM
2955 VISTA BLVD STE 103
SPARKS, NV 29434
THE CITY OF ASHLAND, OREGON ITS ELECTED
OFFICIALS, OFFICERS AND EMPLOYEES
20 E MAIN ST
ASHLAND, OR 97520-1814
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BU114R-3
100001808246488172150409000010001002 Certificate Copy
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CERTIFICATE OF INSURANCE CI CW A02 10 11
This certificate is issued for informational purposes only. It certifies that the policies listed in this document have
been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify
coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions
of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regard-
less of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits
shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits.
Certificate Holder. Named Insured:
THE CITY OF ASHLAND, OREGON RL CONSULTANTS & SUPERIOR LOCK &
ITS ELECTED OFFICIALS, OFFICERS AND SAFE
EMPLOYEES 1005 ALLISON AVE
20 E MAIN ST SAINT HELENA CA 94574-1305
ASHLAND, OR 97520-1814
Automobile Liability
Insurer Name: Allstate Insurance Company
Poli Number. 648817215
1 -Any Auto 2 - Owned Autos Only 3 - Owned Priv. Pass. Autos Only
4 - Owned Autos Other Than Priv. 5 - Owned Autos Subject to No 6 - Owned Autos Subject to a Compulsory UM Law
Pass. Autos Only Fault
X 7 - Sped icall Described Autos 8 - Hired Autos Only X 9 - Non-owned Autos Only
Policy Effective Date: 05-16-2018 Policy Expiration Date: 05-16-2019
Limits Of $ 2,000, 000 Combined Single Limit (each accident)
Insurance. BI Per Person BI Per Accident PD Per Accident
Description of O rations/Locations/Vehicles/Endorsements/S dal Provisions
Interested Parly T : ADDITIONAL INSURED - OTHER
THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER.
IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES)
MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH
ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT
INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT.
Producer.
THE TERELAK TEAM
Authorized Representative:
Date: 08-24-18
Includes copyrighted material of Insurance Services Office, Inc., with its permission
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