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ACORD.. CERTIFICA TE OF LIABILITY INSURANCE OP 10 3~ DATE (MM/DDIYYYY)
ZUCKE-1 08/31/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Kettering-Rose Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3545 Camino Del Rio S. , Ste. A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
San Diego CA 92108
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Phone: 619-291-7777 Fax:619-291-7776 , INSURERS AFFORDING COVERAGE i NAIC#
---'-'- --- .~-- .' ~~--~-- .--.. --_._"-~-~..~ ---~-----------_._-,----+---._._--_.- --
INSURED i INSUHER A Hartford Casualty Ins. Co. I
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I
, INSURER B: p & C Insurance Co at" Hartford i
Zucker S2'stems ! INSURE!< C 11551
I Paul C. ucker I Endurance Workers Camp Ins Co. ._j-------
1545 Hotel Circle South, #300 ! IN~~~~R D ._.. Philadelphia Ins. Co. +---~---
I San Diego CA 92108
I INSURER E: i
COVERAGES
rHE POIICIFS OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY HICQUIRfMf-NT TEI~M OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY punA/N, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDiTIONS OF SUCH
POliCIES AGGHEGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
m,trAlJO Li
L TR INSR . TYPE or INSURANCE
1.~NERAL LIABILITY
! X i.C~~MERCIAL GENEHAl liABILITY 72SBATU3227
I , ' CLAIMS MADl' fil OCCUR
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POLICY NUMBER
LIMITS
A
04/23/07
EACH OCCURRENCE $ 1,000,000
, ,1Ul~ENTE '300 000
! PREMISES (Ea occursnco) ; $ .::.L .
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I MED EXP (Any ono person) I $ 10 , 000
IPEHSONAL&ADVINJURY ,$ 1,000,000__
I GENERAL AGGREGATE ! $ 2,000,000
'--~---~---j-._~---
I PRODUCTS.COMP/Of'AGG 1$ 2,000,000
I
r---- - -' .-..----..~~-.-.---~---~~---.-----..----- !
, GLN'I. AGGI~EGAI I' LIMn APPLIES PER!
1'-1 -1 POLICY [Xl jr8i :--j 10C i
I
I AUTOMOBILE LIABILITY ,
ANY AUTO
72UECVZ4638
04/23/07 :
i COMBINED SINGLE LIMIT I,' $ 1,000,000
04/23/08 I (Eaaccidont)
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! BODILY IN,JUHY ; $
; (Per person) :
~----_.---.T_n.---.-n---.
i BODILY IN,JURY i
; (Per accidont) I $
, -_._-------~-- ._---_.._-,._~-".._--_._-----
B
i AIL OWNFIl AUTOS
x ' SCIlEDUllJ) AUTOS
X
X
HII~ED AUTOS
NON OWNUJ AU I OS
'n..j~
, ,
~,_J
ANY AtJIO
-'''-- i
I
i
PROPERTY DAMAGE
(Per accident)
I AUTO ONLY. EA ACCIDENT $
1 GARAGE LIABILITY
i OTHER THAN
: AUTO ONLY:
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AGG I $
OCCUI<
CLAIMS MADE
, EACH OCCURRENCE
I
1 AGGI<EGATE
'-
i$
!$
DElJIJC IIBLE
----l- : I<U EN nON $
: WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
,. C ANY I'I<OPRIETOH/PAH rNElVEXECUTIVE
OFFICFR/MfMBEH EXCLUDED?
If yes, describe undm
SPLCCIAL PIWVISIONS below
OTHER
i
r--
i , $
~--------~----~._--+-~~------
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1$
I
i$
L~J I.QIf!'.!JMITS-L_L~lli~___~__
~I.E~CI'-A(.:(;.'.~:N l_nn__L~J '~L()2() ___
i Fl. DISEASE.. EA EMPLOYEE! $ 1,000,000
I.---.------+-._-~._~_.._..
i E.L. DISEASE. POLICY 1I~~~L()Q9
WEN000323102
09/01/07
09/01/08
--L
D Professional Liab. I PHSD235418 03/20/07 03/20/08
I
-: I
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPEC:IAL PROVISIONS
*10 days n()tice of cancellation for non-payment of premium.
1,000,000
1,000,000
I
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CERTIFICATE HOLDER
CANCEllATION
CITYOF3
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN
NOTICE TO THE CERTIFICATE 1l0LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SIlALL
IMPOSE NO OBLIGATION OR L1ABtLlTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
City of Ashaland
City Hall
20 E. Main Street
Ashland OR 97520
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ACORD 25 (2001108)
@ ACORD CORPORATION 1988