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ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE
02-24-2006
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MARSH ADVANTAGE AMERICA/PHS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
543148 P: (877)616-7474 F: (877) 905-0457 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO BOX 33015 INSURERS AFFORDING COVERAGE
SAN ANTONIO TX 78265
INSURED INSURER A: Hart ford Casualty Ins Co
P S E ARCHITECTS PECK, SMILLEY, & INSURER B:
ETTLIN INSURER c:
4412 S.W. CORBETT AVE. INSURER D:
PORTLAND OR 97239 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.
INSR TYPE OF INSURANCE POLICY NUMBER I :;(lNnME~~6gJ.:.~~ PgkIfeYI~~'C~~~ ! LIMITS I
LTR
GENERAL LIABILITY I EACH OCCURRENCE $2 , 000 , 000
A n COMMERCIAL GENERAL LIABILITY 54 SBA TS0144 04/01/06 04/01/07 FIRE DAMAGE (Anyone fire) $300,000
I CLAIMS MADE lliJ OCCUR MED EXP (Anyone person) $10,000
~ Business Liab PERSONAL & ADV INJURY $2 , 000 , 000
GENERAL AGGREGATE $4 , 0 0 0 , 0 0 0
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $4 , 0 0 0 , 0 0 0
-I II PRO II
POLICY JECT X LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $2 , 000 , 000
-
A ANY AUTO 54 SBA TS0144 04/01/06 04/01/07 (Ea accident!
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY
X $
NON-OWNED AUTOS (Per accident)
r--
r-- PROPERTY DAMAGE $
(Per aCCident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
r---.
H ANY AUTO - OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
P OCCUR U CLAIMS MADE AGGREGATE $
$
r---.
H DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I WC STATU- I IOJ~-
TORY LIMITS
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
CERTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: _A CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
City of Ashland, It's Officers 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
Employees, and Agents. 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
20 East Main Street REPRESENT A TIVES.
Ashland, OR 97520 A~~_
..
ACORD 25-S (7/97)
j;) ACORD CORPORATION 1988