HomeMy WebLinkAboutSouthern Oregon Child Study & Treatment Center
PRODUCER (541)482-0831
Ashland Insurance, Inc.
585 A Street Suite 1
P. O. Box 880
Ashland, OR 97520
INSURED Southern Oregon Child StUdY and Treatment Cent.
1836 Fremont Street
Ashland, OR 97520
RECE\'JEO JUl 1 G 2006
DATE (MMlDDIYYYY)
07/06/2006
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
I
ACOBQM CERTIFICATE OF LIABILITY INSURANCE
FAX (541)488-5851
INSURERS AFFORDING COVERAGE
INSURER A: First National Ins Co of America
INSURER B:
INSURER C:
INSURER 0:
INSURER E:
NAIC#
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 DO' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY 25CCOO063340 07/01/2006 07/01/2007 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $
I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 10,000
A X PERSONAL & ADV INJURY $ 1,000,00
GENERAL AGGREGATE $ 3,000,00
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,00
n 'nPRO- n
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
- (Ea accident)
ANY AUTO
-
ALL OWNED AUTOS BODILY INJURY
f-- (Per person) $
SCHEDULED AUTOS
f--
HIRED AUTOS BODILY INJURY
I-- (Per accident) $
NON-OWNED AUTOS
f--
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
tJ OCCUR o CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I T"X~~T{,;1,~~ I IOJ~-
EMPLOYERS' LIABILITY E.l. EACH ACCIDENT $
ANY PROPRIETOR/PARTNER/EXECUTIVE E.l. DISEASE - EA EMPLOYEE
OFFICER/MEMBER EXCLUDED? $
If yes, describe under E.L. DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
ertificate holder is additional insured as per policy language
City of Ashland, its officers, employees
and agents
20 E. Main St.
Ashland, OR 97520
TI N
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
--1Q..... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
GENTS OR REPRESENTATIVES.
ACORD 25 (2001/08) FAX: (541)488-5320
-
@ACORD CORPORATION 1988
"..---- - -----1'-
--_..~-_._--_.._.- --------y-----