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ACORD,. CERTIFICATE OF LIABILITY INSURANCE CSR LS I DATE (MMIDDIYYYY)
CIVAI-1 02/27/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Huntleigh McGehee HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
8235 Forsyth Boulevard, #1200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Clayton MO 63105
Phone: 314-746-4700 Fax:314-889-3700 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A. Old Republic Insurance Co.
INSURER B: St. Paul Travelers
-- --
Civil Air Patrol Inc. INSURER C
Bld~714,Maxwell Air Force Base INSURER 0
Mon gomery AL 36112-6332
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 WIHICH 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.
N PD'i'4~lJ~rJIf~E Pgk!fEY(~Wtb~~~N
~~~ ~~~d TYPE OF INSURANCE POLICY NUMBER LIMITS
I I GENERAL LIABILITY ! ! EACH OCClIRRENCE $1,000,000
A I X X COMMERCIAL GENERAL LIABILITY ! 03/01/07 I
AP690410 I 10/01/08 u~~~';~':. $ 100,000
PREMISES (Ea occurence)
:=0 CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $25,000
PERSONAL & ADV INJURY $1,000,000
c--- .-
GENERAL AGGREGATE $2,000,000
f--
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2,000,000
rxl n PRO- nLOC
X POLICY JECT
AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT
c--- $1,000,000
B X ANY AUTO PBI0750KB747TIL06 - 1\OS 10/01/06 10/01/07 (Ea accident)
f--
ALL OWNED AUTOS BA750K8760COF06 - 'IIX 10/01/06 10/01/07 BODILY INJURY
I---- 10/01/06 (Per person) $
I SCHEDULED AUTOS PBI0750KB759TIL06 - HI 10/01/07
f--
f-~ HIRED AUTOS BODILY INJURY
$
X NON-OWNED AUTOS (Per accident)
c---
I---- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
I R ANY AUTO I OTHER THAN EA ACC $
AUTO ONLY AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE --
AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
, WORKERS COMPENSATION AND ! X IT~WY"~IM:TS i IV'H-
09/01/061 ER
A I EMPLOYERS' LIABILITY OCAWOl779706 10/01/07 $1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $1,000,000
If yes, describe under EL DISEASE - POLICY LIMIT $1,000,000
SPECIAL PROVISIONS below
OTHER
I
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
The City of Ashland, it's officers, commissioners, elected officials,
employees, and agents are named as additioanl insured in relation to the
general liability policy with respect to the Ashland Municipal Airport
(Sumner Parker Field) as respects lease with the insured.
CERTlFICA TE HOLDER
CANCELLA TlON
CITOFAS
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
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
City of Ashland
Attn: FINANCE DEPT.
City Hall
Ashland, OR 97520
@ ACORD CORPORATION 1988
ACORD 25 (2001/08)