HomeMy WebLinkAboutInsurance Certificate: Mark Seder WILLIS-CLAY INS INC PROOREll/1/E®
202 SE 181ST AVE 206 COMMERCIAL
PORTLAND,OR 97233
503— (tig — gol5 Policy number: 06368027-8
Underwritten by:
Artisan and Truckers Casualty Co
Insured:
CITY OF ASHLAND MARK A SEDER
20 E MAIN ST April 14,2020
ASHLAND,OR 97520 Policy Period:Apr 12,2020-Apr 12,2021
Mailing Address
Artisan and Truckers Casualty Co
PO Box 94739
Additional insured endorsement Cleveland,0H 44101
1-800-444-4487
Name of Person or Organization For customer service,24 hours a day,
CITY OF ASHLAND 7 days a week
20 E MAIN ST
ASHLAND,OR 97520
The person or organization named above is an insured with respect to such liability coverage as is
afforded.by the policy,but this insurance applies to said insured only as a person liable for the conduct of
another insured and then only to the extent of that liability. We also agree with you that insurance
provided by this endorsement will be primary for any power unit specifically described on the
Declarations Page.
Limit of Liability
Bodily Injury - Not applicable
• Property Damage Not applicable
Combined Liability $1,500,000 each accident
All other terms,limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number:06368027-8
Issued to(Name of Insured):MARK A SEDER
PATRICIA SEDER
Effective date of endorsement:04/12/2020 Policy expiration date: 04/12/2021
Form 1198(01/04)