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Home My WebLink AboutPathway Enterprises ACORDN CERTIFICATE OF LIABILITY INSURANCE OP ID 4~ DATE (MM/DDIYYYY) PATHW-1 OS/10/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Western States Ins. - Medford HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 739 Medford Center ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Medford OR 97S04 Phone:S41-779-1321 Fax:S41-779-9187 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Granite State Insurance pathwar Ente;!:'Prises, Inc. INSURER B: National Union Fire Ins cilia Ho lShock Nurse~ INSURER c: cilia All easons Main enance 722 Jefferson Ave INSURER 0: Ashland OR 97S20 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. LTR NSR[ TYPE OF INSURANCE POLICY NUMBER ~l}.,;!~1':=r68~E PQ!,.ICr,fXPIRA~~N LIMITS DATE MMIDDIYY GENERAL LIABILITY EACH OCCURRENCE $1,000,000 f-- A X X COMMERCIAL GENERAL LIABILITY 02LXSOS99372000 OS/11/06 OS/11/07 PREMISES (Ea occurence) $ 200,000 f-- ~ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000 f-- PERSONAL & ADV INJURY $ 1,000,000 f-- A X Professional Liab GENERAL AGGREGATE $ 3,000,000 f-- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000 Ii .nPRO- n Prof.Liab 1mil/1 mil POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 - A X X ANY AUTO 02CA6267S282000 OS/11/06 OS/11/07 (Ea accident) f-- ALL OWNED AUTOS BODILY INJURY r-- $ SCHEDULED AUTOS (Per person) f-- X HIRED AUTOS BODILY INJURY f-- $ X NON-OWNED AUTOS (Per accident) f-- f-- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 3,000,000 B X ~ OCCUR D CLAIMS MADE 29OO46S99732000 OS/11/06 OS/11/07 AGGREGATE $ 3,000,000 $ Fx=l DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND I TORY LIMITS I IOJ~- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ I>JolV PROPR:ETORlPARTNERlEXECUTIVE -..-- OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER A Commercial Applica 02LXSOS99372000 OS/11/06 OS/11/07 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate holder is additional insured. CITY RECORDER'S COpy CERTIFICATE HOLDER CANCELLATION City of Ashland Kari Olson 90 N Mountain Ashland OR 97S20 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 REPRESENTATIVES. A R1ZED RE RESE C!../G ACORD 25 (2001/08) Certificate of Insurance Page 1 of 1 CITY RECORDER'S COpy ~TDN 4.00 High St SE Salem, OR 97312-1000 T~II Free 1-800-285-8525 OREGON WORKERS' COMPENSATION CERTIFICATE OF INSURANCE MAIL TO: CERTIFICATE HOLDER: CITY OF ASHLAND ATI KARl OLSON 90 N MOUNTAIN ASHLAND, OR 97520 CITY OF ASHLAND ATI KARl OLSON 90 N MOUNTAIN ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of such policy. POUCY NO. 524679 POUCY PERIOD 04 01/2006 TO 04 01 2007 ISSUE DATE 05 05 2006 INSURED: PATHWAY ENTERPRISES 722 JEFFERSON AVE ASHLAND, OR 97520 BROKER OF RECORD: ASHLAND INS (ASHLAND) PO BOX 880 ASHLAND, OR 97520 UMITS OF UABILITY: Bodily Injury by Accident $500,000 each accident Bodily Injury by Disease $500,000 each employee Bodily Injury by Disease $500,000 policy limit DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS: IMPORTANT: The coverage described above is in effect as of the issue date of this certificate. It is subject to change at any time in the future. This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. AUTHORIZED REPRESENTATIVE ~""""....f.'".~ . ,'. . . . . . . ~ ,- ; :', -. httns:/ /saifon line.saif.comlCertificates/certF onn.aspx 1 H____-,-~ 5/5/06