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ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP ID G9 DATE (MM/DDIYYYY)
DIAM001 07/13/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Lovsted-Worthington LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 625 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Bothell WA 98041
Phone: 425-486-1291 Fax:425-486-6140 INSURERS AFFORDING COVERAGE NAlC#
INSURED INSURER A: Chubb Custom
INSURER B: Federal Insurance Companv
Diamond Parking Inc INSURER C: American Home Assurance Co
605 First Ave1 Suite 600 INSURER 0:
Seattle w.A 98 04-2224
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 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.
NSRi: POLICY NUMBER ~~li"~11 ~f.FEf~E POLIC!Ir:':b~~N LIMITS
LTR TYPE OF INSURANCE DATE MM/DD DATE MM/DD
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
- ~~~~~~ (E~~~~nce)
A X COMMERCIAL GENERAL LIABILITY 79572244 07/15/07 07/15/08 $
I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $
PERSONAL & ADV INJURY $1,000,000
-
GENERAL AGGREGATE $ 2,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1,000,000
I .nPRO- n
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
-
B ANY AUTO 73547935 07/15/07 07/15/08 (Ea accident)
-
~ ALL OWNED AUTOS BODILY INJURY
(Per person) $
SCHEDULED AUTOS
-
~ HIRED AUTOS BODILY INJURY
(Per accident) $
~ NON-OWNED AUTOS
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ 150,000
A R ANY AUTO 79572244 07/15/07 07/15/08 OTHER THAN EA ACC $ 1,000,000
AUTO ONLY: AGG $1,000,000
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I TORY LIMITS I IUIM-
ER
C EMPLOYERS' LIABILITY WC3425554 07/15/07 07/15/08 E.L. EACH ACCIDENT $1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000
~~~dl~tS~~'O~~?~~s below E.L. DISEASE - POLICY LIMIT $ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
RE: Station #175-1754 - 20 E Main Street
Certificate holder is an additional insured
CERTIFICATE HOLDER
City of Ashland
Lee Tuneberg
20 E Main Street
Ashland OR 97520
CANCELLATION
ASHLAO 1 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
REPRESENTATIVES.
AUTHO SENTAT
@)ACORDCORPORATION 1988
ACORD 25 (2001/08)