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HomeMy WebLinkAboutInsurance Certificate: Cascade Airport Shuttle tort!:PROPEL INSURANCE C Fax:19848492271 To: Fax:(541)552-2059 Page:2 of 3 , 02!0312022 4:50 PM Client#: 172928 CASCAIRP MM/DDlYWY) ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(u03WDI Y 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER COACT Thayona Primas Propel Insurance PHONE (A1C,No,Ext):800 499-0933 FAX (AIC,No): 866 877-1326 1201 Pacific Avenue; Suite 1000 ADDRESS: thayona.primas@propelinsurance.com COM Small Business INSURER(S)AFFORDING COVERAGE NAIC 9 Tacoma,WA 98402-4321 INSURER A:Philadelphia Indemnity Ins Company 18058 INSURED INSURER B Cascade Airport Shuttle INSURER C: 3295 Hwy.66 Ashland,OR 97520-9500 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 SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACHAOCCURRENCE S CLAIMS-MADE OCCUR PREMISES(pEa occu r nce) S MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE UMITAPPLIES PER: GENERAL AGGREGATE 5 PRO- POLICY JECT , LOC PRODUCTS-COMP/OP AGG S OTHER: A AUTOMOBILE LIABILITY PHPK2377019 02/08/202202/08/2023 {EaMaEI lgEn INGLELIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) 5 OWNED ONLY 1 SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS X HIRED ONLY X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY (Per accident) S UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS LIABI CLAIMS-MADE AGGREGATE S DED RETENTION S 5 WORKERS COMPENSATION PER I 10TH- , TTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below i E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Cityof Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E Main St ACCORDANCE WITH THE POLICY PROVISIONS, Ashland,OR 97520 AUTHORIZED REPRESENTATIVE 1 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016!03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S5003948/M5003947 TDPOO rom:PROPEL INSURANCE C Fax:19848492271. To: Fax:(541)552-2059 Page:3 of 3 0210312022 4:50 PM This page has been left blank intentionally. PROPEL INSURANCE C Fax:19848492271 To: Fax:(541)552-2059 Page:1 of 3 02!0312022 4:50 PM FAX Date: 02/03/2022 Pages including cover sheet: 3 To: From: PROPEL INSURANCE CERTIFII Phone Phone (984) 849-2271* 8888 Fax Phone (541) 552-2059 Fax Phone 19848492271 I NOTE: , Certificate of Insurance