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Home My WebLink AboutInsurance Certificate: Lewis, Luke ACC>REP F CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/19/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME:Progressive Commercial Lines Customer and A ent Servicing Progressive Insurance PHONE FAX PO Box 94739,Cleveland,OH 44101 A/C No Ext:1-800-444-4487 A/C No): E-MAIL ro ressivecommercial email. ro ressive.com ADDRESS:p 9 @ P 9 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Artisan and Truckers Casualty Company 10194 INSURED INSURER B: Luke Lewis 311 w nevada st INSURER C: Ashland,OR 97520 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 786449578634463503DO91925T221538 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, 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 HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE1-1 OCCUR PREMISES(ERENTED rrrence) $ MED EXP(Any one person) PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- PRODUCTS-COMP/OP AGG $ POLICY JECT LOC OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $2 000 000 ANY AUTO BODILY INJURY Perperson) $ A OWNED SCHEDULED AUTOS ONLY X AUTOS Y N 863317288 09/19/2025 03/19/2026 BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION YIN AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ yes,describe under D E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below See ACORD 101 for additional coverage details. $ A Y N 863317288 09/19/2025 03/19/2026 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main st Ashland,OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: ACC>R EP ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Progressive Insurance Luke Lewis POLICY NUMBER 311 w nevada st Ashland,OR 97520 863317288 CARRIER NAIC CODE Artisan and Truckers Casualty Company 10194 EFFECTIVE DATE:09/19/2025 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Description of Location/Vehicles/Special Items Scheduled autos only ............................................................................................................................................................................................................ 2014 MERCEDES-BENZ SPRINTER WD4PE7DC1 E5858008 Comprehensive $1,000 Ded Collision $1,000 Ded Additional Information Certificate holder is listed as an Additional Insured. ACORD 101 (2008/01) ©2008ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Progressive 04,RUM f®I/ x P.O. Box 94739 COUNERC/RL Cleveland,OH 44101 Policy number: 863317288 Underwiitten by: Artisan and Truckers Casualty Co Insured: City of Ashland Luke Lewis 20 E MAIN ST September 22,2025 ASHLAND,OR 97520 Policy Period: Sep 19, 2025-Mar 19,2026 Mailing Address Artisan and Truckers Casualty Co „ PO lox 94739 Additional anal insured endorsement Oevel and,OH 44101 1-800-895-2886 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 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: 863317288 Issued to(flame of Insured):Luke Lewis Effective date of endorsement:September 19, 2025 Policy expiration date: March 19, 2026 Fwm 1198(07/16)