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HomeMy WebLinkAboutWilson-Heirgood Associates A CORD,M CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 6/26/2007 PRODUCER (800)852-6140 FAX: (541) 342-3786 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Wilson-Heirgood Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2930 Chad Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 1421 Eugene OR 97440-1421 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: SAIF Corporation WHA Insurance Agency Inc INSURER B: DBA Wilson-Heirgood Associates INSURER C: PO Box 1421 INSURER D: Eugene OR 97440 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~;: ~9:~~ TYPE OF INSURANCE POLICY NUMBER Pci>.N~~~~fgg;Wf Pg~l~l/~~~t~N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ - ~~~~H9E~~~~ir~ence\ COMMERCIAL GENERAL LIABILITY $ - :J CLAIMS MADE D OCCUR MED EXP (Anv one person) $ - PERSONAL & ADV INJURY $ I-- - GENERAL AGGREGATE $ I-- GEN'L AGGREGATE LIMIT nES PE,R: PRODUCTS - COMP/OP AGG $ n n PRO- POLICY :II'(:'T LOC: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT r-- (Ea accident) $ r-- ANY AUTO ALL OWNED AUTOS BODILY INJURY r-- (Per person) $ r-- SCHEDULED AUTOS r-- HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) - - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ==l ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILITY EACH $ =:J OCCUR D CLAIMS MADE AGGREGATE $ $ ~ DEDUCTIBLE ------- !._----- ------ RETENTION $ $ A WORKERS COMPENSATION AND X I T~~-1IfJNs I IOJ,tl- EMPLOYERS' LIABILITY 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 515291 7/1/2007 7/1/2008 EL DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 500,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHIGLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CITY RECORDER'S COpy CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Ashland EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Kari Olson , Purchasing Representative 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 90 N. Mountain Ave - FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Ashland, OR 97520 INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE ,- J Jennifer King/JEN ~~-----~~,.e~~-~ -<::~::::>---- ----.--.,. ACORD 25 (2001/08) IN!';n?o; 1n1M\ nAo @ ACORD CORPORATION 1988 PrlQP-1 of 2