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ACORD_ CERTIFICATE OF LIABILITY INSURANCE CSR KS I DATE (MMIOONYYYj
METAL 1 10/02/07
PRODUCER THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMATION
Protectors Insurance, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Pilot Rock Ins Agency LLC (CA) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Box 4669 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford OR 97501
Phone:541-773-5358 Fax:541-772-1906 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A SAIF Corporation
INSURER B Liberty Northwest Insurduce 41939
Metal Masters rnc INSURER c:
3825 Crater Lake Hwy INSURER 0
Medford OR 97504
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
LTR NSR TYPE OF INSURANCE POL.ICY NUMBER ~~';!~~J~rDE~tW'\1: rDAT~E' fM':'bKDA":'~~N LIMITS
~NERAL L1ABIL.ITY EACH OCCURRENCE $1,000,000
B X COMMERCIAL GENERAL LIABILITY C14150259 10/01/07 10/01/08 ~~EM~~S (E~~~CUrence) $100,000
~ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5,000
-
- PERSONAL & ADV INJURY $1,000,000
GENERAL AGGREGATE $ 2,000,000
---
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000
Xl ,nPRO- n -
X POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
B ~ ANY AUTO C14150259 10/01/07 10/01/08 (Eaaccidenl)
- ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS BODILY INJURY $
- (Per accident)
- NON-OWNED AUTOS --
- PROPERTY DAMAGE $
(Per accident)
==iAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
~ OCCUR D CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X ITOW/~I~:~S I IU~~
A EMPLOYERS' LIABILITY 812256 10/01/07 10/01/08 E.l. EACH ACCIDENT $ 500,000
ANY PROPRIETOR/PARTNERfEXECUTIVE
OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $ 500,000
If yes, describe under ~_.-
SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT $ 500,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCL.USIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER
City of Ashland
City Hall
Ashland OR 97520
CANCELLATION
CITYASH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELL.ED 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 SHAL.L.
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
ACORD 25 (2001/08)
@ACORDCORPORATION1988