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ACORQ.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYVYI
04/25/2006
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
CBIZ Insurance Services* ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
44 Baltimore St HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Cumberland MD 21502
PH: 301 777-1500 FAX: 301 724-3953 INSURERS AFFORDING COVERAGE NAIC#
INSURED Kokopelli Kayak & Wh,tewater, LLC INSURER A: Tudor Insurance Company
DBA: Kokopelli River Guides INSURER B:
1655 Parker St INSURER c:
Ashland, OR 97520 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.
INSR IADD'l TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY PGL0750554 04/25/2006 04/25/2007 EACH OCCURRENCE $ 1,000,000
I---
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED -, $ 100,000
I--- :=J CLAIMS MADE 0 OCCUR --..-,
MED EXP (Anyone person) $ 1,000
I---
A PERSONAL & ADV INJURY $ 1,000,000
~
GENERAL AGGREGATE $ 2,000,000
~
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COM PlOP AGG $ Included
h 'nPRO- n
POLICY JECT 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)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
=.JESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I WCSTATU- IO,I~-
EMPLOYERS' LIABILITY EL. EACH ACCIDENT $
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $
If yes, describe under E.L. DISEASE - POLICY LIMiT $
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Ashland Parks and Recreations
City of Ashland
as additional insured
ATTN: Joy Bannon
340 South Pioneer St.
Ashland, OR 97520
CANC ION
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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
James Sattl er
CPCU
ACORD 25 (2001/08)
@ACORDCORPORATION 1988'
. . .... ~._--_.. .,.