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ACORD CERTIFICATE OF LIABILITY INSURANCE 1 DATE (MMlDDNYYY)
TM 07/05/2006
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
United Insurance Agencies, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Box 2589 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Euaene OR 97402 INSURERS AFFORDING COVERAGE NAIC#
INSURED Galbraith And Associates INSURER A: SAIF Como ration
145 South ~olly. St., Suite A INSURER B:
INSURER C:
Medfo(dOR 97.501 INSURER 0:
--, "
INSURER E:
RECBWED JUL 1
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 [ADD'l POLICY NUMBER POLICY EFFECTIVE PQ~!fY EXPIRATION LIMITS
~NERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY $
- ~ CLAIMS MADE 0 OCCUR MED EXP IAnv one nerson\ $
f-- PERSONAL & ADV INJURY $
f-- GENERAL AGGREGATE $
n'L AGGREnE LIMIT APnS PER: PRODUCTS-COM~OPAGG $
POLICY ~~R,: LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
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)
RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
OESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR 0 CLAIMS MADE AGGREGATE $
$
R ~EDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X I we STATU- T TOl.t'-
A EMPLOYERS' LIABILITY 974588 07/01/2006 07/01/2007 E.L. EACH ACCIDENT $ 500,000
ANY PROPRIETOR/PARTNER/EXECUTIVE $ 500,000
OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE
If tes, describe under EL DISEASE - POLICY LIMIT $ 500,000
S ECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
fax: 541.488.5311 ATTN: Paula Brown
CERTIFICATE HOLDER
CANCELLATION
City of Ashland
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .JL DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
ATION OR LIABILITY OF ANY~D UPON THE INSURER, ITS AGENTS OR
20 E Main Street
Ashland, OR 97520
CORD CORPORATION 1988
ACORD 25 (2001/08)
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