HomeMy WebLinkAboutInsurance Certificate: Daryl Kreutzer ®Allstate.
You're In good hands.
CI CW A02 10 11
CERTIFICATE OF INSURANCE
This certificate is issued for informational purposes only. It certifies that the policies listed in this document have
been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify
coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions
of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regard-
less of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits
shown below are the limits provided at the policy inception.Subsequent paid claims may reduce these limits.
Certificate Holder: Named Insured:
CITY OF ASHLAND DARYL KREUTZER
20 E MAIN ST 2990 FAR WEST AVE
ASHLAND, OR 97520-1814 MEDFORD OR 97501-1586
Automobile.Liability
Insurer Name: , Allstate Insurance Company
Policy Number: 0414817641
X 1 —Any Auto 2—Owned Autos`•Only 3—Owned Priv:'Pass.Autos Only
4—Owned Autos Other`Than Priv. 5—Owned Autos Subject to No
Pass.Autos Only X Fault 6—Owned Autos Subject to a Compulsory UM Law
X ,7—Specifically Described Autos 18—Hired Autos Only 9—Non-owned Autos Only
Policy Effective Date: 04-21-2023; .. Policy Expiration Date: 04-21-2024 •
Limits Of $ 2,000,000 Combined Single Limit(each accident),
Insurance: <;
BI Per Person BI Per Accident PD Per Accident
Description of Operations/Locations/Vehicles/Endorsements/Special Provisions '
Interested Party Type: ADDITIONAL INSURED -- OTHER
THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS-TO THE CERTIFICATE HOLDER.
IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES)
MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH
ADDITIONAL INSURED STATUS.THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT
INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT.
Producer
DAVID W MARTIN
Authorized Representative:
Date: 09-21-23
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Includes copyrighted material of Insurance Services Office, Inc., with its permission
BU114-3 CI CW A02 10 11 Allstate Insurance Company Page 1 of 1
Certificate Copy
®Allstate.
You're In good hands.
CUSTOMER NUMBER: 195876 RUN DATE: 09-21-23
DAVID W MARTIN
21 S 7TH ST
CENTRAL POINT, OR 97502
CITY OF ASHLAND -
2 0 E' MAIN ST =.
ASHLAND', OR `97520-1814 .
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liif.F
BU114-3
100002309210488176410409000010001002 Certificate Corm/
155-264-5 93 ..
#BWNDHBS BL000-01-0112
#XWXW002I XXXXXXX5#
CITY OF ASHLAND
DEPT OF PUBLIC WORKS
20 E Main St
Ashland, OR 97520-1814