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I - I
ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY)
I 7/20/2007
[ PRODUCER (541) 757-1321 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Barker-Uerlings Insurance Inc ONL Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
340 N W 5th Street AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
POBox 1378 ~'C'__
Corvallis, OR 97339 i INSURERS AFFORDING COVERAGE
-i iNSURER A Hartford Casualty Insurance Company
1600 SW Western Blvd., Suite 160 i iNSURER 3 Twin City Fire Insurance Company
Corvallis, OR 97333- --
I ~'NSURER C US Specialty Insurance Company
INSURER D
!------ f-------
! iflSURER E
CVOELEC-01 LIST
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
'~i: ~~~1 --- --- ~ ~-r_n-;;L1C;~UMBE~~--r~?}+~~~~fg~~npg~if/~~~~~N -~ ---'--~~~,~;- ----- - --
GENERAL LIABILITY T I EACH OCCURRENCE I $
A ~MMERCIAL GENE~AL LIABILITY 52SBA TL7259 I 7/5/2007 7/5/2008 ~~~6~U?E~~~~~~~noe 1$
~-~ ' CLAiMS MADE 0 OCCUR MED EXP (Anyone person) '$$$
,--, PERSONAL & ADV I~JURY c---
GENERAL AGGREGATE
GEN'L AGGRE~E LIMIT AP~S PER PRODUCTS. COMF/OP AGG $
x1 POLICY I I ~~T I ! LOC
1,000,000
--
300,000
10,000
1,000,000
2,000,000
2,000,000
ANY AUTO
1----
__ ALL OWNED AUTOS
SCHEDULED AUTOS
~
X HiRED AUTOS
~-
X NON-OWNED AUTOS
~
52SBATL7259
...
, -
, COMBINED SiNGLE LIMIT 1,000,000
i $
7/5/2007 7/5/2008 (Ea acc,dent)
!----- -
BODIL Y INJURY $
(Per person)
BODiLY INJURY $
(Per accident)
I PROPERTY DAMAG~I $
i I (per aCCident)
-
AUTO ONLY. EA ACCIDENT $ --
OTHER THAN EA ACC $
AUTO ONLY AGG $
EACH OCCURRENCE $ 1,000,000
7/5/2007 7/5/2008 AGGREGATE $ 1,000,000
$
==1: --
Ai
I
AUTOMOBILE LIABILITY
1----
~
A
GARAGE LIABILITY I
R ANY AUTO i
~ESS/UMBRELLA LIABILITY I
r OCCUR D CLAIMS MADE i52SBA TL7259
~1 DEDUCTiBLE i
IX1 RETENTION $ 10,0001
i
B EMPLOYERS' LIABILITY
ANY PROPRIETORlPARTNERlEXECUTIVE
OFFICERlMEMBER EXCLUDED?
It' yes, describe under
SPECIAL PROVISiONS beiow
I OTHER
C !professional Liability US071147103 9/1/2007 9/1/2008
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
!52WECNZ9065
7/5/2007
7/5/2008
X:t6~~I~JNsi~i7~- __
E.L EACH ACCiDE~ T $ 500,000
E.L DISEASE. EA EMPLOYEEI $ 500,000
E L. DISEASE - POliCY liMIT $ 500,000
V':CRKE({3 CO:V,PEi.~SA nOi-J ArJD
1,000,000
(~ITY r4ECORDER
,~
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CERTIFICATE HOLDER
CANCELLATION
City of Ashland
Attn: Kari Olson
90 North Mountain Ave.
Ashland, OR 97520-
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DA TE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3~ 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.
AUTHORIZED REPRESENTATIVE
~::..:s. .-::>~
@ ACORD CORPORATION 1988
ACORD 25 (2001/08)