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HomeMy WebLinkAboutInsurance Certificate: Civic Air Patrol ,4C0 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIVYYY) 09/26/2019 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 ORALTER 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(tes) 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 Laura Stowers CIC, CISR NAME: AssuredPartners of Missouri, LLC AIC NO Eat : (314) 523-8800 ac No): (314) 453-7555 11975 Westline Industrial Dr E-MAIL Islowem@APMissouri.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# St Louis MO 63146 INSURERA: Phoenix Insurance Company 25623 INSURED INSURER B : Civil Air Patrol INSURER C : 105 S. Hansell St. INSURER D: Bldg 714, Maxwell Air Force Base INSURER E: Montgomery AL 36112-6332 INSURER F: COVERAGES CERTIFICATE NUMBER: 19/2OAulo Only 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AUDLSUISK POLICY EFF POLICY UP LTR TYPE OF INSURANCE INSD MD POLICY NUMBER (MWDDNYYY) (MMIDDNYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGa 10 HEN I ED CLAIMSMADE LJOCCUR PREMISES Eaouvnence $ MED EXP (Any one Person) $ PERSONAL BADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ POLICY F] jEC LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 Ea accident X ANYAUTO BODILY INJURY (Per person) 5 A OV.MED SCHEDULED P8105E298221PHX19 1010112019 1010112020 BODILY INJURY (Peraccitlenq S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE s AUTOS ONLY AUTOS ONLY Per accitlent 8 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION $ s WORKERS COMPENSATION PER ERH AND EMPLOYERS'LIABILITY YIN . ANY PROPRIETORIPARTNER/EXECUTIVE ❑ NIA E.L. EACH ACCIDENT s OFFICER/MEMBER EXCLUDED? (Mandatory In NH) - E.L. DISEASE - EA EMPLOYEE S It yes, descnbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached It more space is required) 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. City Hall AUTHORIZED REPRESENTATIVE Ashland OR 97520 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) 1 The ACORD name and logo are registered marks of ACORD