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HomeMy WebLinkAboutInsurance Certificate: City of Ashland-Elected Officials, Officers and Employees (2) Allstate. You're in good hands. CUSTOMER NUMBER: 708111 RUN DATE: 08-24-18 THE TERELAK TEAM 2955 VISTA BLVD STE 103 SPARKS, NV 89434 THE CITY OF ASHLAND, OREGON ITS ELECTED FFICIALS, OFFICERS AND EMPLOYEES 20 E MAIN ST ASHLAND, OR 97520-1814 BU114R-3 100001808246488072010509000010001002 certificate copy QAllstate. ' o CERTIFICATE OF INSURANCE - COMMERCIAL ALLSTATE INSURANCE COMPANY - NORTHBROOK, IL THIS CERTIHGATE IS ISSUEDAS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Description of Operation: CERTIFICATE HOLDER NAMED INSURED Name and Address of Part to Whom this Certificate is Issued Name and Address of Insured THE CITY OF ASHLAND, OREGON ITS ELECTED OFFICIALS, ROBERT GREATHOUSE OFFICERS AND EMPLOYEES 1005 ALLISON AVE 20 E MAIN ST SAINT HELENA, CA 94574-1305 ASHLAND, OR 97520-1814 Location Address (if different than above) This is to certify that policies of insurance listed below havebeen issued to the insured named above subjectto the expiration date indicated below, notwithstanding any requirement, term or cond ition 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. TYPE OF INSURANCE AND LIMITS Policy Number: 648807201 Effective Date: 01-24-2018 Expiration Date: 01-24-2019 COVERAGE SUMMARY BUSINESS LIABILITY AMOUNT COMPREHENSIVE LIABILITY $ 2, 000, 000 Per Occurrence DAMAGE TO PREMISES RENTED TO YOU $ 50, 000.00 Any One Premises MEDICAL PAYMENTS $ 5, 000 Per Person OTHER THAN PRODUCTS / COMPLETED OPERATIONS AGGREGATE $ 4,000,000.00 PRODUCTS / COMPLETED OPERATION AGGREGATE $ 4,000,000.00 PROPERTY INSURANCE POLICY TYPE SPECIAL FORM F-] BROAD FORM F-~ BASIC FORM F-] BUILDERS RISK SPECIAL FORM 7 BUILDING F~ Replacement Cost F7 Actual Cash Value Blanket Limit 0 CONTENTS $ 75, 000 © Replacement Cost Actual Cash Value Blanket Limit Deductible $ 500 Wind Deductible % 0 Exclude Wind YES a NO ADDITIONAL COVERAGE'S: EQUIPMENT BREAKDOWN,BLANKET ADDITIONAL INSURED MORTGAGE CLAUSE - The policy contains a Mortgage Clause in favor of: Mortgagee Address CERTIFICATE PERIOD THIS CERTIFICATE WILL REMAIN IN FORCE FROM THE INCEPTION OF THE POLICY UNTIL THE POLICY IS CANCELLED OR EXPIRES. POLICY INCEPTION DATE: 01-24 -2018 ® 12:01 AM F] 12:00 NOON Standard Time at the location of the insured Premises. PROVISIONS This form is not the contract of insurance, but attests that a policy as identified above has been issued. The provisions of the policy shall prevail in all respects. SHOULD THE ABOVE DESCRIBED POLICY BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THE TERELAK TEAM 08-24-18 Authorized Representative Date BU114R-3 CICW010114 Certificate Copy