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HomeMy WebLinkAboutInsurance Certificate: Cascade Charter Company LLC 1 • ® DATE(MM/DD/YYYY) A�o CERTIFICATE OF LIABILITY INSURANCE 5/22/2020 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:INS,URED provisions or-be-endorsed:-•- IfSUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement.-A statement-on-- ._...thii'certifidate tatement on-- this'certificatedoes'not.confer.rights.to the certificateholder in lieu.of such,endorsement(s). .._._.._.-., PRODUCER _ _� .---.. I 1 1 NAMEACT Theresa Watson Protectors llrisurance;'-LLC i nc I ! i PHONE P.O:.Box 4669 I (A/C.No.Ext1:541-773-5358 A/c.No) 541-7.7271-906 . Medford-OR 97504 --- - i ADDRESS: TheresaW@Protectorslns.com • _ -, INSURER(S)AFFORDING COVERAGE ..._.. NAIC# INSURER A:CNA Continental Casualty Co INSURED CASCAIO INSURER B:SAIF Corporation 524113 , Cascade Charter Company, LLC 2800 Biddle Rd INSURER C: Medford OR 97504 INSURER D: INSURER E: INSURER F: COVERAGES -. CERTIFICATE NUMBER:433449812 ' 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE JNSD_Wp/D POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) A COMMERCIAL GENERAL LIABILITY FtFB28765850220 6/13/2020 6/13/2021 EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence) $ MED EXP(Any one person) $ PERSONAL BADV_INJURY $_ __ _ ,, GEN'_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ t- POLICY i PRO-i ' LOC l—„,,t....;:. _PRODUCTS-COMP/OP AGG .$ ..-. JECT _1t U I r .., . i LOTHER _ ,. . .,, -- AUTOMOBILE LIABILITY , r COMBINED SINGLE LIMIT $ rsgr { r +r ( . „ 5 - (Ea accident) . •-'-'-'=-, ANY AUTO. , ,o,ar. ,,i,....,, - I ,- ,c „. ),R,,,,, BODILY INJURY(Perperson) $. .s. , :OWNED :SCHEDULED :BODILY INJURY(Per accident) $ -—- --.-.--”' AOTOS ONLY f 'NON-O ' i r, HIRED. NON-OWNED , - _ PROPERTY DAMAGE $ •'AUTOS ONLY AUTOS'ONLY I' 1i',, r ,,T.. ' - (Per accident)' UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION 743211 6/1/2020 6/1/2021 PEATUTE ETH AND EMPLOYERS'LIABILITY ' ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N NIA EL.EACH ACCIDENT $500,000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under , DESCRIPTION OF_OP_ERATIONS below I . . El-DISEASE-POLICY LIMIT $500,000_ A Professional Liability RFB28765850219 6/13/2019 6/13/2020 Each Claim $1,000,000 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Project:Nutley/Tuttle Property. II CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES'BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE 'DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland , 20 East Main Street AUT ORIZEDREPRESENTATIVE Ashland OR 97520 f� ,w, -� � I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1