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Home My WebLink AboutSouthern Oregon Womens Access to Credit ~ State Farm Fire and Casualty Company PO Box 5000 Dupont, WA 98327-5000 RENEWAL CERTIFICATE POLICY NUMBER 97-BG-6527-1 Business- Office Policy JAN 24 2006 to JAN 24 2007 1-15- 2080-F472 F U 3 CITY OF ASHLAND ITS OFFICERS EMPLOYEES & AGENTS C/O CITY HALL 20 E MAIN ST ASHLAND OR 97520-1850 11.1..1...1.1.1...1.111......111..1..1.1.11...1.1..1.1...1.1.1 PAID BY SPECIFIED PAF:TY Coverages and Limits Section I A Buildings B Business Personal Property C Loss of Income See Schedule See Schedule Actual Loss Insured: SOUTHERN OREGON WOMENS ACCESS TO CREDiT INC Locations: Refer to schedule page Deductibles - Section I Basic Other deductibles may apply - refer to policy 500 Add Ins-II: DALE, RUSS CITY OF ASHLAND Section II L Business Liability M Medical Payments Gen Aggregate (Other th~ln PCO) Products-Completed Opelrations (PCO Aggregate) $1,000,000 10,000 2,000,000 2,000,000 Add Ins-II: Loss Payee: PANASONIC COMMUNICATIONS & Loan No: 0070183399000 Forms, Options, and Endorsements Special Form 3 Amendatory Endorsement Tree Debris Removal Business Policy Endorsement Personal Injury Exclusion Additional Insured Endorsement Additional Insured Inland Marine Attaching Dec Inland Marine Conditions Computer Property Form Glass Deductible Deletion Loss Payable Endorsement Continued on next page FP-6103 FE-6237.1 FE-6451 FE-6464 FE-6346 FE-6494 FE-6324 FE-8750 FE-8751 FE-8766.2 FE-6538.1 FE-6309 Annual Premium Forms, Opts, & Endrsmnt Bus Liability - Cov L OlGA Fee Total Amount $320.00 253.00 85.00 .66 $658.66 Premium Reductions Your premium has already bElen reduced by the following: Renewal Year Discount Yrs in Business Discount Claim Hecord Discount r0- m IX) o ~ ~ <1' o:i =i co COV. A - Inflation Index: Cov. B - Consumer Price: I\I/A '198.8 T.l '" c it <0 o o N g :> '" a: ~ <0 r-- o M 00 M Tk,& p.M;,IrfaJ'~p... 8415 401 AI Agent RUSSELL P BROWN N Telephone (541) 776-8466 or (541) 776-8462 4-z 563605 "1550 See reverse side for important information. RES Prepared NOV 22 2005 ~ State Farm Fire and Casualty Company PO Box 5000 Dupont, WA 98327-5000 RENEWAL CERTIFICATE SCHEDULE PAGE 1-15- 2080-F472 F U 3 POLICY NUMBER 97.8G-6527-1 Business- Office Policy JAN 24 2006 to JAN 24 2007 , CONTINUED CITY OF ASHLAND ITS OFFICERS EMPLOYEES & AGENTS C/O CITY HAL L 20 E MAIN ST ASHLAND OR 97520-1850 11.1..1...1.1.1...1.111......111..1..1.1.11...1.1..1.1...1.1.1 Forms, Options, and Endorsements Emp Dishonesty $25,000 Amendatory Endorsement Fungus (Including Mold) Excl Subcontractor Pd Exclusion Advertising Injury Excl Inc Cost and Demolition COy Policy Endorsement- Business Terrorism Insurance Cov Notice OPT ED FE-6551 FE-6566 FE-6598 FE-6345 FE-6587 FE-6610 FE-6999 Location Number Location Coverages and Limits Premiums Building Excluded $250.00 Business Per Prop $50,400 Building Excluded $70.00 Business Per Prop $10,600 1. 33 N CENTRAL AV STE 209 MEDFORD OR 2. 109 NW C ST GRANTS PASS OR :3 '" co o ~ S. "' g N ,.:. o :> <I> a: <i ui ::) ,!;, "0 ~ a: N oi co '" <D 6 "' "' 8416 401 AI Agent RUSSELL P BROWN Telephone (541) 776-8466 or (541) 776-8462 REB Prepared NOV 22 2005 N MARCH 16, 2006 Fire Policy Status SOUTHERN OREGON WOMENS ACCESS TO CREDIT INC 33 N CENTRAL AVE STE 211 MEDFORD OR 97501-5939 B Ph. (541) 779-3992 FIRE Policy: 97-BG-6527-1 F Yr issd: 1994 Xref: Location: MULTIPLE LOCATIONS SEE SCHEDULE Term: CONT Type: BUSINESS-OFFICE Coverage information Premium: LOC BUILDING CONTS PARTIAL PAY Renew date: JAN-24-07 658.66 164.01 61000 SEE SCHEDULE Amount due: Date due: Bill to: SFPP SFPP SFPP Prev prem: 705 Prev risk: 58,500 SFPP acct:1031-1402-15 Liab: 1000000 Deductibles applied: 500 ALL PER OTHER DED MAY APPLY Messages: OlGA FEE .66 Year built: 1929 Zone: 64 Sub zone: 02 Constr: LOC #lM #2 MARCH 16, 2006 Fire Policy Status @ ADDL INSURED - SECTION II DALE, RUSS 235 S OAKDALE AVE APT 101 MEDFORD OR 97501-3160 ADDL INSURED - SECTION II CITY OF ASHLAND ITS OFFICERS EMPLOYEES & AGENTS Prem adj: YRBUS $ 24 /RENYR $ 45 C/O CITY HALL CHR C 20.0% 20 E MAIN ST ASHLAND OR 97520-1850 LOSS PAYEE PANASONIC COMMUNICATIONS & SYSTEMS INC 15325 SE 30TH PL STE 100 BELLEVUE WA 98007-6597 LOAN NO: 0070183399000 FMP seg: 99 PROPERTY LOCATIONS LOC CMPX ADDRESS LIABILITY STCLS BLD AMT CONTENTS PREMIUM EXPOSURE LIMIT PREMIUM 001 33 N CENTRAL AV STE 209 MEDFORD OR 97501 812 50400 250 1250 1000000 002 109 NW C ST GRANTS PASS OR 97526 812 10600 70 1300 1000000