HomeMy WebLinkAboutOn Track
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY)
1M 05/08/2006
PRODUCElt. (541)687-2211 FAX (541)344-5894 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Smith 81 Crakes, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 489 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Eugene, OR 97440
Debbie light INSURERS AFFORDING COVERAGE NArc #
INSURED INSURER A: Great American Insurance Co~
On Track, Inc. INSURER B: Saif Corporation
221 W Main INSURER c:
Medford, OR 97501 INSURER D:
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 MAYBE 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 NSR[ TYPE OF INSURANCE POLICY NUMBER LIMITS
LTR DATE IMMlDDNYl DATE IMMlDDNYI
GENERAL LIABILITY PAC653616004 05/01/2006 05/01/2007 EACH OCCURRENCE $ 1,000,000
-
COMMERCIAL GENERAL LIABILITY ~~~~~is rEa occurence\ $ 100,000
I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 5,000
A ~ Professional liabi PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 3,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000
!l 'nPRO- n
POLICY JECT LOC
AUTOMOBILE LIABILITY CAP5374267 05/01/2006 05/01/2007 COMBINED SINGLE LIMIT
f-- (Ea accident) $
ANY AUTO 1,000,000
f--
X ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
A -
X HIRED AUTOS BODILY INJURY
- (Per accident) $
~ NON-OWNED AUTOS
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
==J ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
:=J OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND 451050 07/01/2005 07/01/2006 IWl;:SI~!.~: I 10Jr-
TORY LIMITS ER
EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 500,000
B ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? EL DISEASE. EA EMPLOYEE $ 500,000
II yes, describe under E.L DISEASE - POLICY LIMIT $ 500,000
SPECIAL PROVISIONS below
OTHER EPP5403978 05/01/2006 05/01/2007
O-i rectors 81 Officers
A liability
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
~s respects all operations of the insured in accordance with policy terms and conditions.
he City of Ashland, its officers, and e~loyees as Additional Insureds
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ashland
FINANCE DEPARTMENT
20 East Main Street
Ashland, OR 97520
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES,
AUTHORIZED REPRESENTATlV
~. c,~
@ACORD CORPO
Ronald Crawford,
ACORD 25 (2001/08) FAX: (541)488-5311
-,-~---.