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ACORDTM CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 I DATE
12/01/2005
PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
willis North America, Inc. - Regional Cert Center HOL~ER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
26 Century Blvd. AL T R THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. O. Box 305191
Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC#
INSURED Soda Mountain Broadcasting, Inc., DBA: KDRV and ! ~RERA: Fireman's Fund Insurance Company 21873-015
PO Box 7009 INSURER B:
Eugene, OR 97401
INSURER C:
INSURER D:
I INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~~ ~~~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
A ~NERAL LIABILITY MZX80850334 12/1/2'005 12/1/2006 EACH OCCURRENCE $ 1.000 000
~ :3MMERCIAL GENERAL LIABILITY ~=f~H?E~~~~nce\ $ 100 000
f--- CLAIMS MADE [i] OCCUR MED EXP (Anyone person) $ 10 000
>-- PERSONAL & ADV INJURY $ 1. 000 - 000
>-- GENERAL AGGREGATE $ 2.000.000
n'L AGGREnE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 000 000
POLICY ~fl,9,: W LOC
A ~TOMOBILE LIABILITY MZX80850334 12/1/2005 12/1/2006 COMBINED SINGLE LIMIT
$ 1,000,000
1L ANY AUTO (Ea accident)
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
-
- HIRED AUTOS BODILY INJURY
$
NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(Per accident)
==rAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
=:J OCCUR D CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I. WCSTATU-, I IOTH-
EMPLOYERS' LIABILITY TORY LIMIT!'> ER
ANY PROPRtETORIPARTNERlEXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
" yes, describe under E.L. DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONSlLOCATlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Certificate holder is added as additional insured.
CERTIFICATE HOLDER
CANCELLATION
Ashland Fiber Network
City of Ashland
Attn Paul Nolte
20 East Main
Ashland, OR 97520
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICe TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25 (2001/08)
Coll:1475844 Tpl:438584
@ ACORD CORPORATION 1988