HomeMy WebLinkAboutSo. Oregon Womens Access to Credit
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State Farm Fire and Casualty Company
PO Box 5000
Dupont, WA 98327-5000
RENEWAL CERTIFICATE
POLICY NIJMBU:t
Business- Office Policy
JAN 24 2007 to JAN 24 2008
1-15- 2080-F472 F U 3
BILL ED TH ROUGH SFPP
CITY OF ASHLAND
ITS OFFICERS EMPLOYEES &
AGENTS
C/O CITY HALL
20 E MAIN ST
ASHLAND OR 97520-1850
11.11.1.1.1.1.1...1.111.1...1111..1..1.1111...1.1..1.1...1.1.1
Coverageu and Limits
Section I
A Buildings
B Busine.ss Personal Property
CLoss cf Income
See Schedule
See Schedule
Actual Loss
Insured: SOUTHERN OREGON WOMENS
ACCESS TO CREDIT INC
Locations: Refer to schedule page
Deductibles - Section I
Basic
Other deductibles may
apply. refer to policy
500
SFPP No: 1031140215
Add Ins-II: DALE, RUSS
Add Ins-II: CITY OF ASHLAND
Section "
L Business Liability
M Medical Payments
Gen A'tl9regate (Other than PCO)
Produots-Completed Operations
(PCO Aggregate)
$1,000,000
10,000
2,000,000
2,000,000
Loss Payee: PANASONIC COMMUNICATIONS &
Loan No: 0070183399000
Forms, Options, and Endorsements
Special Form 3
Amendatory Endorsement
Tree Debris Removal
Business Policy Endorsement
Personal Injury Exclusion
Additional Insured Endorsement
Additional Insured
Inland Marine Attaching Dec
Inland Marine Conditions
Computer Property Form
Glass Deductible Deletion
Loss Payable Endorsement
Continued on next page
FP-6103
FE-6237.1
FE-6451
FE-6464
FE-6346
FE-6494
FE-6324
FE-8750
FE-8751
FE-8766.2
FE-6538.1
FE-6309
Annual P,remium
Forms, Opts, & Endrsmnt
Bus Liabil ty - Cov L
Total Amount
$209.00
253.00
75.00
$537.00
Premium Reductions
Renewal Year Discount
Yrs in Business Discount
Claim Record Discount
COV. A - Inflation Index: N/A
Cov. B - Consumer Price: 203.9
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10216 401 AI Agent RUSSELL P BROWN
N Telephone (541) 776-8466 or (541) 776-8462
If you have moved, please contact your agent.
See reverse side for important information.
REP
Prepared NOV 21 2006
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State Farm Fire and Casualty Company
PO Box 5000
Dupont, WA 98327-5000
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RENEWAL CERTIFICATE
PO.LICYNUMBER
Business- OffiC',e Policy
JAN 24 2007 to JAN 24 2008
SCHEDULE PAGE
1-15- 2080-F472 FU 3
CONTINUED
CITV OF ASHLAND
ITS OFFICERS EMPLOVEES 8
AGENTS
C/O CITV HALL
20 E MAIN ST
ASHLAND OR 97520-1850
11.1..1...1.1.1...1.111......111..1..1.1.11...1.1..1.1...1.1.1
Forms, Options, and Endorsements
Emp Dishonesty $25,000
Amendatory Endorsement
Fungus (Including Mold) Excl
Subcontractor Pd Exclusion
Advertising Injury Excl
Inc Cost and Demolition Cov
Policy Endorsement- Business
Terrorism Insurance Cov Notice
Dist Mat Violat Statues Excl
Policy Endorsement
Location
Number
Location
1.
33 N CENTRAL AV STE 209
MEDFORD OR
97501-5939
109 NW C ST
GRANTS PASS OR
97526-2035
2.
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OPT ED
FE-6551
FE-6566
FE-6598
FE-6345
FE-6587
FE-6610
FE-6999
FE-6655
FE-6656
Coverages and Li mi t s Premiums
Building Excluded $138.00
Business Per Prop $25,700
Building Excluded $71. 00
Business Per Prop $10,900
10217
N
401 AI
Agent RUSSELL P BROWN
TeleDhone (541) 776-8466 or (541) 776-8462
REP
Prepared NOV 21 2006
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