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ACORD~ CERTIFICATE OF LIABILITY INSURANCE IQfSR KD I DATE (MM/DDIYYYY)
9 UALFE 11/17/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Hart Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3389 Crater Lake Hwy ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford OR 97504
Phone: 541-779-4232 Fax:541-772-3963 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: LIBERTY NORTHWEST 41939
INSURER B:
~uality Fence Co. , Inc. INSURER c:
.0. Box 3985 INSURER D:
Central Point OR 97502-3985
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.
NSRC POLICY NUMBER PD<i~~iri~rJIf~E P9~~_Y ~~r.!RAT~~N LIMITS
LTR TYPE OF INSURANCE DATE'(MM/DDIYY
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
- P~~~;SES (E~~~~~nce)
A X COMMERCIAL GENERAL LIABILITY C01167678 11/19/06 11/19/07 $ 100,000
I 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
I n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
-
A ~ ANY AUTO C01167678 11/19/06 11/19/07 (Ea accident)
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
-
HIRED AUTOS BODILY INJURY
- (Per accident) $
NON-OWNED AUTOS
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=1 ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $2,000,000
A !J OCCUR D CLAIMS MADE COl167678 11/19/06 11/19/07 AGGREGATE $
$
=] DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND ITORy"LIMITS I IUE~-
ER
EMPLOYERS' LIABILITY .-
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under E.L. DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
CIDYASH 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 DO SO SHALL
CITY OF ASHLAND IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
20 EAST MAIN REPRESENTATIVES.
ASHLAND OR 97520 AUTHORIZED REPRESENTATIVE
HART INSURANCE/MEDFORD
ACORD 25 (2001/08)
@ACORD CORPORATION 1988