HomeMy WebLinkAboutInsurance Certificate:Ibarra, Moises R & Valerie T Government Employees Insurance Company
Certificate of Insurance
P.O. Box 509090 '
San Diego, CA 92150-9090
Named Insured and Address:
MOISES R IBARRA AND VALERIE T Date of Certificate:05-16-23
I!BARRA Policy Number:4522-68-62-21
20258 RIVER VALLEY DR Policy Period: 06-19-23. to 12-19-23
ANDERSON CA 96007-8405
• (12:01 A.M.Local Time) (12:01 A.M.Local Time)
Name and Address:
CITY OF ASHLAND
90 NORTH MOUNTAIN AVE
ASHLAND OR 97520
This Certificate of Insurance does not amend, extend, or alter the coverage afforded by this
policy. .
During the term of coverages provided, the Company and the insured shall be bound by the provisions of the policy(or policies)of
insurance in current use by the Company in the state.
This is to certify that the captioned policy includes the limits specified herein for each person and for each occurrence under the
Bodily Injury Liability Coverage; the limits specified herein for each occurrence under the Property Damage Liability Coverage.
i_` Description of Vehicle: 2012 GMC 1 GTI21 E89CFI 08380
I. :.
COVERAGE LIMITS OF COVERAGE
Bodily Injury Liability $ 300 M and $ 300 M
(Each Person)(Each Occurrence)
Property Damage Liability $ 100M
(Each Occurrence)
INTERESTED PARTY
We agree to provide you with written notice of termination in the event this policy becomes cancelled. Notice provided
may be more than ten (10) days, but not less than ten(10) days.
0
0
0 - -
0 -
0
N
(ND
co
CD
N
N
N
a U99(09-17)
o . .
0
N