HomeMy WebLinkAboutMulticultural Association of Southern Oregon
r-rom: Sheryl Wirts At: Protectors Insurance FaxID: To: Bryn Morrison
Date: 9/14106 01:47 PM Page: 1 of 1
ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 S~ DATE (MMlDDNYVY)
MULTI:-1 09/14/06
PRODUCER THIS CiERTIFICATE IS ISSUED AS A-.ATTER OF INFORMATICfIl
Protectors I:nsurance, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Pi10t Rock I:ns Aqency LLC (CA) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Box 4669 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELO\l
Medford OR 97501
Phone: 541-773-5358 l'ax:541-772-1906 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A Travelers Property Casualty
INSURER B'
MUlticultural Association of INSURER C:
Southern Oregon
PO Box 67 INSURER D
Medford OR 97501
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING
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 N's"Rt TYPE OF INSURANCE POLICY NUMBER D~W(MMlDDIYY) DATE (MMlDDIYY) LIMITS
~NERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A X X COMMERCIAL GENERAL LIABILITY X660746X6496 06/01/06 06/01/07 ~~~ 'M;,c~~'c~'r'ence) $100,000
1 CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5,000
- PERSONAL & ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $2,000,000
Ii POLICY n j~& n LOC
~OMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Ea accident)
I--
ALL OWNED AUTOS BODIL Y INJURY
I--- $
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS BODIL Y INJURY
- $
NON-OWNED AUTOS (Per aCCident)
I--
PROPERTY DAMAGE $
(Per aCCident)
GARAGE LIABILITY AUTO ONL Y - EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACC $
AUTO ONLY, AGG $
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $
=:J OCCUR 0 CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I TORY LIMITS I IUJR
EMPLOYERS' LIABILITY $
ANY PROPRIETORIPARTNERlEXECUTIVE E L. EACH ACCIDENT
OFFICERIMEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $
If yes. describe under EL DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
City of Ashland, its officers, employees and agents are additional insureds.
CERTIFICATE HOLDER
CI:TYAS2
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 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
City of Ashland
20 E. Main street
Ashland OR 97520
@ACORD CORPORATION 1!
ACORD 25 (2001/08)