HomeMy WebLinkAboutThrive
A CORDTM CERTIFICATE OF LIABILITY INSURANCE -1 DATE (MM/DDIYYYY)
6/20/2006
PRODUCER (541) 772-1111 FAX (541) 772-3785 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Security Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
707 Murphy Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford OR 97504 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Ameri can Hallmark Ins.Co
The Rogue Initiative for a Vital Economy INSURER B:
dba; THRIVE INSURER C:
340 A Street, Sui te 205 INSURER D:
Ashland OR 97520 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.
INSR ADD'L POLICY NUMBER PJ>;+~~,i~~gg~~ Pg~~~/~~~~N
LTR INSRD TYPE OF INSURANCE LIMITS
~NERAL LIABILITY EACH OCCURRENCE $ 500,000
X COMMERCIAL GENERAL LIABILITY ~~~~~~J?E~~J;~nce\ $ 100,000
A I CLAIMS MADE ~ OCCUR 44-MG-4332l8-02 7/15/2006 7/15/2007 MED EXP (Anv one person) $ 5,000
- PERSONAL & ADV INJURY $ 500,000
- GENERAL AGGREGATE $ 1,000,000
~'L AGG~l~~E LIMIT AAES PER: PRODUCTS - COMP/OP AGG $ 1,000,000
X POLICY ~~fT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
-
I-- ALL OWNED AUTOS 80DIL Y INJURY
(Per person) $
I-- SCHEDULED AUTOS
I-- HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
I--
I-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
=:J - OCCUR 0 CLAIMS MADE AGGREGATE $
$
==l DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATtON AND I WC STATU- I IOTH-
TORY LIMITS ER
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATlONS/LOCATIONSNEHlCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Certificate holder is additional insured when required by written contract or agreement as respects to Liability
arising from operations of insured on their behalf. Coverage is subject to the policy terms, conditions and
exclusions.
CERTIFICATE HOLDER
CANCELLATION
552-2059 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ashland EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Its officers and employees 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
Attn: Bryn Morrison, Finance Dept. -
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
20 East Main Street
Ashland, OR 97520 INSURER,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~~~
Phyllis Hite/PHYLHI
ACORD 25 (2001/08)
INS025 101081.06 AMS
@ACORD CORPORATION 1988
VMP Mortgage Solutions, Inc. (800)327-0545
Page 1 of2