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Home My WebLink AboutWHA Insurance ACORDTM CERTIFICATE OF LIABILITY INSURANCE 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 tv 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. AI'~' REGATE L1MIT~ SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I~~: ~~~~ TYPE OF INSURANCE POLICY NUMBER p~.k+~~~~~gg;w~ Pgk~~I~~~t~tgN LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 - COMMERCIAL GENERAL LIABILITY ~~~~~H9E~~~~~~pnce\ $ 300,000 A l CLAIMS MADE D OCCUR 52SBAPM9298 7/31/2007 7/31/2008 MED EXP (Anv one oersonl $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 @'L AGGREAE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 p'~'.pT n X POLICY LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 ~ ANY AUTO (Ea accident) B >-- ALL OWNED AUTOS 52UECUS5685 7/31/2007 7/31/2008 BODILY INJURY (Per person) $ >-- SCHEDULEO AUTOS e-- HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) >-- e-- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ~ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY FAr.H ()rrIIDD~.,r~ $ 1,000,000 ::=J OCCUR D CLAIMS MADI:: AGGREGATE $ 1,000,000 $ A =:l DEDUCTIBLE 52SBAPM9298 7/31/2007 7/31/2008 $ X RETENTION ~ 10.000 I~ WORKERS COMPENSATION AND I r"XS{T ;iJ~~ ! IOJ~- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? EL. DISEASE - EA EMPLOYEE $ If yes, describe under 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 Limit $6,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHIGLES/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 . 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 NOTtCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Attn: Kari Olson - FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR L1ABtLlTY OF ANY KIND UPON THE 90 N Mountain Avenue Ashland, OR 97520 INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE c;;e.~- ~- ~. Laura Severs/LLS ~ ACORD 25 (2001/08) IN~n'" (n1nA\ nAo @ ACORD CORPORATION 1988 P<Jop.1 nf2 I" IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) INS025 (0108).08a Page 2 of 2