The URL can be used to link to this page

Home My WebLink AboutAccess Inc. A CORDm CERTIFICATE OF LIABILITY INSURANCE I DATE(MMlDDIVYVV) 4/17/2007 PRODUCER (541)772-1111 FAX: (541) 772-3785 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION J.BL&K Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 707 Murphy Rei ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Medford OR 97504 INSURERS AFFORDING COVERAGE NAIC 11 INSURED INSURER A: Philadelphia Insurance Access Inc INSURER B: Philadelphia Indemnity 18058 3630 Avia~ion Way INSURi:R C. INSURER D: Medford OR 97504 INSURER E: 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. ""Te> I 1:11"1"\111"'1"1"\ "Y PAIl) CLAIMS INSR ~~~~ P6'.H~1~~~g8>>V'1 ~~lfJ{~:O~J!gN LIMITS I LTR TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 - ~~~g,~J?E~~J~~nce) 100,000 X OMMERCIAL GENERAL LIABILITY S - CLAIMS MADE ~ OCCUR 4/17/2007 4/17/2008 A PHPK228344 Ml=n~' S 5 000 - PERSONAL & ADV INJURY S 1,000,000 r- 2,000,000 GENERAL AGGREGATE S GEN'L AGGRME LIMIT AFlES PER PRODUCTS-COM~OPAGG S 2,000,000 rXl PRO- POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 - (Ea accident) S ~ ANY AUTO A ALL UWNI:;U AU I US PHPK228344 4/17/2007 4/17/2008 BODILY INJURY - (Per person) S - SCHEDULED AUTOS ~ HIRED AUTOS BODILY INJURY S X NON-OWNi:D AUTOS (Per aocident) - r-- PROPERTY DAMAG E S (Per aocident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ==j ANY AUTO OTHER THAN EA ACC S AUTO ONLY AGG S EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S 5,000,000 ~ OCCUR o CLAIMS MADE AGGREGATE S 5,000,000 s B ~ DEDUCTIBLE PHUB083443 4/17/2007 4/17/2008 s X R8i:NTION $ 10 000 $ WORKERS COMPENSATION AND I V'.C STATU-; I OTH- EMPLOYERS' LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE EL. EACH ACCIDENT S OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE S 11 yes, descrIbe under SPECIAL PROVISIONS below EL. DISEASE - POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONs/LOCATIONSlVEHICLEs/EXCLUSIONSADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate holder is an additional insured as respects General Liability as required by written contract. CERTlFICA TE HOLDER CANCELLA TION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Ashland EXPIRA TlON DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL its officers, employees & agents 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Attn: Kristen Bakke - FAILURE TO DO so SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 20 E Main Street Ashland, OR 97520 INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~o<.~ Sandy Orr/SANDOR ACORD 25 (2001/08) INS025 (0108)08 AMS @ 1M Wolters Kluvver Financial Services @)ACORD CORPORATION 1988 Page 1 of 2 --~- ---.~-- ----- --_. ~~ --