Loading...
HomeMy WebLinkAboutInsurance Certificiate: Ashland Bed & Breakfast Network DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1703103134 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 rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Njdifmmf!!Fmz NAME: Ibsu!Jotvsbodf!Bhfodz FAX PHONE )652*!88:.5343)652*!883.4:74 (A/C, No): QP!Cpy!2351 (A/C, No, Ext): E-MAIL nfmzAibsujotvsbodf/dpn ADDRESS: Hsbout!Qbtt!PS!:8639 INSURER(S) AFFORDING COVERAGENAIC # Pijp!Tfdvsjuz!Jotvsbodf!Dpnqboz35193 INSURER A : INSURED INSURER B : Btimboe!Cfe!'!Csfblgbtu!Ofuxpsl INSURER C : QP!Cpy!2162 INSURER D : INSURER E : Btimboe!PS!:8631 )652*!593.5674 INSURER F : COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: Dfsu!JE!37432 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. ADDLSUBR POLICY EFFPOLICY EXP INSR TYPE OF INSURANCELIMITS POLICY NUMBER (MM/DD/YYYY)(MM/DD/YYYY) LTR INSDWVD COMMERCIAL GENERAL LIABILITY BY!!!2-111-111 EACH OCCURRENCE$ DAMAGE TO RENTED Y Z!!!2-111-111 CMT6993236519026031341902603135 CLAIMS-MADEOCCUR$ PREMISES (Ea occurrence) !!!!fydmvefe MED EXP (Any one person)$ !!!!fydmvefe PERSONAL & ADV INJURY$ !!!3-111-111 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- Y !!!3-111-111 POLICYLOCPRODUCTS - COMP/OP AGG$ JECT $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ (Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNEDSCHEDULED BODILY INJURY (Per accident)$ AUTOS ONLYAUTOS NON-OWNED HIREDPROPERTY DAMAGE $ (Per accident) AUTOS ONLYAUTOS ONLY $ UMBRELLA LIAB EACH OCCURRENCE$ OCCUR EXCESS LIAB CLAIMS-MADEAGGREGATE$ $ DEDRETENTION$ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT$ N / A ANYP ROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under E.L. DISEASE - POLICY LIMIT$ DESCRIPTION OF OPERATIONS below $ $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Djuz!pg!Btimboe!jt!bo!beejujpobm!jotvsfe!xifsf!sfrvjsfe!cz!xsjuufo!dpousbdu!qfs!buubdife!gpsn DH9921!15024 CERTIFICATE HOLDERCANCELLATION cszo/npssjtpoAbtimboe/ps/vt SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Djuz!pg!Btimboe AUTHORIZED REPRESENTATIVE 31!F!Nbjo!Tu Btimboe!PS!:8631 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD Qbhf!2!pg!2