HomeMy WebLinkAboutInsurance Certificate: Abdias LimaJACKSONVILLE INS INC
PO BOX 898
JACKSONVILLE, OR 97530
CITY OF ASHLAND
20 EAST MAIN STREET
ASHLAND, OR 97520
Additional insured endorsement
PROGRfll/UE"
COMMERC14L
Policy number: 995523889
Underwritten by:
Artisan and Truckers Casualty Co
Insured:
Abdias Lima
April 8, 2025
Policy Period: Apr 2, 2025 - Apr 2, 2026
Mailing Address
Artisan and Truckers Casualty Co
PO Box 94739
Cleveland, OH 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 EAST MAIN STREET
ASHLAND, OR 97520
This endorsement modifies insurance provided under the commercial auto policy and any endorsements
thereto affording liability coverage.
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 and showing liability coverage.
Limit of Liability
Bodily Injury Not applicable
Property Damage Not applicable
Combined Liability $2,000,000 each accident
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number: 995523889
Issued to (Name of Insured): Abdias Lima
AB Yard Maintenance
Effective date of endorsement: April 7, 2025 Policy expiration date: April 2, 2026
Form 1498 (07,16)
PPAC504M 054616 002 ` 002 002 < >.