HomeMy WebLinkAboutInsurance Certificate: Falco,Mike PROTECTORS INS LLC PROGi9EJJ/YE°
PO BOX 4669 COMMERCIAL
MEDFORD,OR 97501
Policy number: 03783062-7
Underwritten by:
Artisan and Truckers Casualty Co
Insured:
CITY OF ASHLAND MIKE FALCO
20 EAST MAIN ST
ASHLAND,OR 97520 October 19,2019
Policy Period: Nov 16,2019-May 16,2020
Mailing Address
Artisan and Truckers Casualty Co
PO Box 94739
Additional insured endorsement Cleveland,OH44101
1-800-444-4487
Name of Person or Organization For customer service,24 hours a day,
CITY OF ASHLAND 7 days a week
20 EAST 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 $500,000 each accident
All other terms,limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number:03783062-7
Issued to(Name of Insured):MIKE FALCO
Effective date of endorsement: 11/16/2019 Policy expiration date:05/16/2020
Form 1198(01/04)