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ACORDm CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
7/30/2007
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: Hartford Casual ty Ins. 29424
WHA INSURANCE AGENCY, INC. WHA INSURANCE INSURER B: Hartford Underwriters 30104
PO BOX 1421 INSURER C: Utica Mutual Insurance
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.
E LIMIT!'; !';HOWN MAY HAVE BEE" REDUCED BY PAID CLAIMS.
INSR ADD'L TYPE OF INSURANCE POLICY NUMBER Pci'.k+~~~~~6g,w~ Pg~!W/~~b~~N LIMITS
~NERAL LIABILITY EAl"~H O/Y~IIRRENCE $ 1,000,000
- SMMERCIAL GENERAL LIABILITY ~~~~~;r9~~ENT~~n~A\ $ 300,000
A CLAIMS MADE D OCCUR 52SBAPM9298 7/31/2007 7/31/2008 MED EXP (Anv one Derson 1 $ 10,000
t--
f-- PFR!':()NAL P. ADV IN.IIIRY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
t-- 2,000,000
@'LAGGREGATE LIMIT APlES PER: PRonl !r.T!': - r.OMP/OP AI::I:: $
,nPRO-
X POLICY :n=r.T LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
X ANY AUTO (Ea accident)
r- 7/31/2007 7/31/2008
B ALL OWNED AUTOS 52UECUS5685 BODILY INJURY
r- (Per person) $
r- SCHEDULED AUTOS
- HIRED AUTOS BODILY INJURY $
(Per accident)
c-- NON-OWNED AUTOS
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EAAr.C $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EAr.H $ 1,000,000
=:J OCCUR D CLAIMS MADE AGGREGATE $ 1,000,000
$
A M DEDUCTIBLE 52SBAPM9298 7/31/2007 7/31/2008 $
X RETENTION $10,000 $
WORKERS COMPENSATION AND I T'1,~~m:m~ I IOJ~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under $
I SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT
C OTHER Errors & Omissions 3196849EO 3/21/2007 3/21/2008 Each Loss $3,000,000
Aggregate Limi t $6,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
City of Ashland and its elected officials, officers and employees are listed as additional insureds in regards to
liabili ty .
~ c:>, 07?6 B
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
Purschaing Representative 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
Attn: Kari Olson -
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
90 N Mountain Avenue
Ashland, OR 97520 INSURER ITS AGENTS OR REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE ~.
Laura Severs/LLS ~............".... -
ACORD 25 (2001/08)
I Nl=:n?!\ lI\1nA' nAo
CITY pr--- -. ...-,,-.r-R'S CO y
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@ACORDCORPORATION 1988
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