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ACOBQM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY)
04/20/2007
PRODUCER (541 )687-2211 FAX (541)344-5894 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Smith & Crakes, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 489 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Eugene, OR 97440
Debbie Light, CISR INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Great American Insurance Camp
OnTrack, Inc. INSURER B: SAIF Corporation
221 W Main INSURER c:
Medford, OR 97501 INSURER D:
INSURER E:
COVERAr.:~~
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.
INSR DO' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY PAC6536160 05/01/2007 05/01/2008 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY ~~t;'~~~IO RENTED $ 100,000
- ~ CLAIMS MADE [8] OCCUR
MED EXP (Anyone person) $ 5,000
A X 7 Professional Liab PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $ 3,000,000
I nPRO- n
POLICY JECT LOC
AUTOMOBILE LIABILITY CAP5374267 05/01/2007 05/01/2008 COMBINED SINGLE LIMIT
f-- (Ea accident) $
ANY AUTO 1,000,000
7 ALL OIlllNED AUTOS BODILY INJURY
f-- (Per person) $
SCHEDULED AUTOS
A X 7
HIRED AUTOS BODILY INJURY
X (Per accident) $
NON-oIIIINED AUTOS
I--
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND 451050 07/01/2006 07/01/2007 X I V;C STATU-.I IOJ,tl.
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 500,000
B ANY PROPRIETORlPARTNERIEXECUTlVE
OFFICER/MEMBER EXCLUDED? EL. DISEASE - EA EMPLOYEE $ 500,000
If yes. describe under E.L. DISEASE - POLICY LIMIT $ 500,000
SPECIAL PROVISIONS below
OTHER & Officers EPP5403978 05/01/2007 05/01/2008 Aggregate Limit $1,000,000
A Directors Retention $10,000
L i ab i I i ty
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS and conditions.
~s respects al I operations of the insured in accordance with pol icy terms
he City of Ashland, its officers, and employees as Additional Insureds
CERTIFICATE HOLDER CANCI=LLA TlnN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
City of AShland ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
FINANCE DEPARTMENT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
20 East Main Street OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.
Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ~~ H.~~+..J..
Ronald Crawford. CPCU/DL
ACORD25(2001/08) FAX: (541)488-5311
@ACORDCORPORATION 1988