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ACORQy CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYY)
09/29/2006
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
. Woodruff-Sawyer Oregon, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1001 SW 5th A venue, Suite 500 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Portland, OR 97204 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(503) 416-7180 INSURERS AFFORDING COVERAGE
----
INSURED INSURER A: SAIF Corporation
'F.D. Thomas, Inc. ----
:P 0 Box 4663 INSURER B:
; Medford, OR 97501 INSURER C: --
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 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.
- -
I~~: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
~NERAL LIABILITY
~ '~~MERCiI\L Gci'F.:f\-AL ~IADlur,;'
I CLAIMS MADE 0 OCCUR
f--
f--
~'L AGGR~~E LIMIT AP~S PER:
I I POLICY r I p,~(~~ I 1 LOC -
812175
i
I
I
I
~Jl2006 fwiOii2oo;-1 X i ,~~rfJi,T~-lij)~f:---- =
I E.L EACH ACCIDENT $ 500,000
E.L DISEASE. EA EMPLOYEE $ 500,000
EL DISEASE. POLICY LIMIT $ 500,000
-l COMBINED SINGLE LIMIT I $
(Ea uccident)
,----
I ,
! BODILY iNJURY ~' $
I (Per person)
f---------
I BODILY INJURY I
I (Per accident) I S
i-----------t--------
I PROPERlY DAMAGE I $
(Per accident)
I-~TOMOBILE LIAEIUTY
__ ANY "UTa
ALL OWNED AUlOS
_ SCHEDULED AUTOS
__ HIRED AUTOS
_--I NON-OWNED AUTOS
I
H ----------- ---------[
. I ;
~RAGE LIABILITY
r1 ANY AUTO
I
i
I
AUTO ONLY - EA ACCIDENT
EXCESS LIABILITY I
f- OCCUR [- J CLAIMS MADE ,
~l DEDUCTIBLE I
I -1 RETENTION $ -.-l
A WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
EACH OCCURRENCE
$
EA ACC $
$
$
$
AGG
OTHER THAN
AUTO ONLY:
AGGREGATE
OTHER
I
$
$
$
I
I I
DESCRIPTION OF OPERATIONS/LOCATIONSNEfIlCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
All Operations
Operations ofthe Named Insured subject to policy terms and conditions.
alrv ~EOORDER'S COpy
CERTIFICATE HOLDER ! I ADDITIONAL INSURED; INSURER LETTER;
.
I LOAN #:
CANCELLATION 10 Day Notice for Non-Payment of Premium
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED DEFORE THE EXPIRATION
DATE TIIEREOF, TIlE ISSUING INSURER WILL EtlCEAVOR TO MAIL ~ 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
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~ d~
@ACORD CORPORATION 1988
City of Ashland
Service Center
90 N. MOlmtain Ave.
Ashland, OR 97520
ACORD 25-S (7/97) 10 #:
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YV)
, 12/15/2006
i PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Woodruff-Sawyer Oregon, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1001 SW 5th A venue, Suite 500 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Portland, OR 97204 I
(503) 416-7180 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Zurich American Insurance Company
'F.D. Thomas, Inc. INSURER B:
. POBox 4663
Medford, OR 97501 INSURER C:
i INSURER D:
I 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.
'I~~: TYPE OF INSURANCE POLICY NUMBER PR^L~~Y EFFECTIVE POLICY EXPIRATION LIMITS
A ~NERAL LIABILITY CP0373910201 12/31/2006 12/31/2007 EACH OCCURRENCE $ 1 000,000
--K. C'lMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 300,000
- CLAIMS MADE [KJ OCCUR MED EXP (Anyone person) $ 10 000
X Stop Gap - $1,000,000 PERSONAL & ADV INJURY $ 1,000,000
- GENERAL AGGREGATE $ 2,000,000
I PRODUCTS - COMP/OP AGG $ 2,000,000
~'L AGGREiYlE LIMIT APnS PER:
POLICY X ~~,9,:: LOC
I A ~TOMOBILE LIABILITY CP0373910201 12/31/2006 12/31/2007 COMBINED SINGLE LIMIT $ 1,000,000
I X ANY AUTO (Ea accident)
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
"x HIRED AUTOS BODILY INJURY
e- $
eX NON.OWNED AUTOS (Per accident)
I
rl I PROPERTY DAMAGE $
(Per accident)
RRAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
I AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
0' OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I 'yXg~TftIN;, I IOJbi-
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $
I E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
OTHER I $
i $
$
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
All Operations
i Operations of the Named Insured subject to policy terms and conditions
I
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION IO Day Notice for Non-Payment of Premium
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Ashland DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
Service Center NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
90 N. Mountain Ave. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Ashland, OR 97520 REPRESENTATIVES.
LOAN #: AUTHORIZED REPRESENTATIVE ~ 4tJ{ ~
I I -~ 1'1
ACORD 25-S (7/97) ID #:
@ACORD CORPORATION 1988