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ACCPR a . . _— .
CERTIFACATEOF LIABILITY: INSURANCE. DATE(MR/IDD/YYYY)
D9/0'6/2019 •
46.---'-'
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION.ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ,
CERTIFICATE DOES NOT AFFIRMATIVELY qiiN000lvgLy AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE• DOES NOT'CONSTITUTE A CONTRACT BETWEEN'ti* ISSUING INSURERS), aillio1312E0 •
REPRESENTATIVE OR PRODUCER,,AND.THE CERTIFICATEHOLDER.
IMPORTANT: If the certlficatebolder Is an ADDITIONAL INSURED,the poilcV(Iet)must have ADDITIONAL:INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,-Subject to theterms and:conditions of the Palley,.certalrf pciliCies May•eel: ike an endorsement. A statement on
•
this certificate does not confer rights to the certificate.holder In lieu of sech;endomemerit(s). . . . „ .. . .. . .
PRODUCER , grecT.Willis Towers Watson Certificate Center.
.
Willis of Pennsylvania, Inc. FAX •
fitni 0x0:.1-877-94S-737S 1-888-467-2378
,
c/o.26,Century Blvd
. • ,E-MAIL ' (A/C.No):
P.O. ism( 305191 ADDRESS: dertif&Cates@Willia.com
•
Nashville, TN 372305191 USA . ,INSURER(S)AFFORDING COVERAGE . NAIC#
INSURER A:
ACE American Insurance:Company 2;6,67 '
,INSURED .INSURER B': Indemnity Insurance Company of North.Ameri 43575 '
Aramark Uniform 6 Career Apparel, LLC .
'Including WearGuard and Crest Diiiisione : INSURER C:
115 N. First.Street ANSURERD:
Burbank, CA 91502 USA
INSURERS:
:INSURER F: •
•
COVERAGES , CI W .
ERTIFICAtE:NUMBER': 72514821 . , , REVISION NUMBER: •
THIS IS TO CERTIFY THAT THE POLICIES QF INSURANCE LISTED:BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED., NOTWITHSTANDING ANY.REOUIREMENT,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 NAVE13EEN,REDLICED BY'PAID CLAIMS.
INSR ADDL SUER . POLICY EFF POLICY EXP
:LTR TYPE OF INSURANCE 'INSD WVO .POLICYNUMBER • (MM/DD/YYYY}: (MMIDD/YYYY) LIMITS
X. COMMERCIAL GENERALLIABILITY . • EACH:OCCURRENCE 's l :1,000,000
• DAMAGE TC)RENTED..
CLAIMS-MADE A OCCUR . PREMISES(Es occurrence)' S. Included
A X' Liquor Liability , .
" . ." k4Eb EXP(Anyone person) $I' . 5,000
X Vendors Liability EDO G71971087 10/01/20i9 10/01/2020 PERSONAL&ADVINJURY $:_ 1,000,000
GEM_AGGREGATE UMIT APPLIESPER: ' GENERAL AGGREGATE. _ $ Unlimited
POLICY JECT LOP . PRODUCTS-: COMP/OP AGO. $ Unlinitted
OTHER: . $
AUTOMOBILE LIABILITY . . . . '(EmaccIdentl•' COMBINED SINGLE LIMIT' $ ,
1,000,000
. —
X ANY AUTO . , BODILY INJURY(Per,persos) $
, . .: _. —.
A OWNED SCHEDULED ISA,H25300671 . 10/01/2019 19/01/2020, .BODILY INJURY.(Per accident) $
AUTOS ONLY . AUTOSl
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY • AUTOS ONLY ' • • (Per.accident)-
$
UMBRELLA LIAB •
OCCUR EACH OCCURRENCE . , $
_ _
EXCESS UAB . .CLAIMS-MADE . AGGREGATE . S
DED 'RETENTIONS . . . . . $'
WORKERS COMPENSATION . v PER. OTH-
AND EMPLOYERS LIABILITY Y I N " STATUTE ER. .
B ANYPROPRIETOR/PARTNER/EXECUTIVE r----1 . . EL.EACH•ACCIDENT 's 1,000,000
RI
OFFICEMEMBEREXCLUDEO7 No NIA
.- WM C660.40549 10/01/2019 10/01/2020 •
(Mendatotyln NH) EL DISEASE.EA EMPLOYEE $ Lobo,000
• it yes.describe under
DESCRIPTION OF OPERATIONS below ,
EL.DISEASE•POLICY LIMIT $ 1,000,060
, .
DESCRIPTION OF OPERATIONS'!LOCATIONS/VEHICLES(ACORD 101,AdditlomaIRemmrks Schedule,.may be attached If more spate Is required)
General Liability and Auto Liability policies are nom-cancellable. Workers''' Compensation notices•of cancellation are
• in accordance with each state law. Products/Completed Operations 'and Contractual Liability are included under General
Liability. Self-Insured for Auto physi,Cal.,Digilwje w .
• .
. . . .
'CERTIFICATE HOLDER .. . 'CANCELLATION . . .
•
HOULDANY:OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, :NOTICE WILL BE DELIVERED IN
• . • ACCORDANCE-WITH THE POLICY PROVISIONS.
. .
AUTHORIZED REPRESENTATIVE '
City of Ashland
20 k. Main st .
Ashland, OR 97520 • ' . ' ' /*4<kfo‘Y N'• tI.A->N-V4.--%3 '
• ' @ 1988.2016 ACORD CORPORATION. .All tights-reServed.
ACORD 25(2016./08) The ACORD name and logo are registered marks of ACORD
TO: 18457100: DAT!eit: 1356810
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