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HomeMy WebLinkAboutTara Labs ....................................................,....."......................... ...........-........... ............_-.......... ......... .. ....... ...____ n' n. ............ . . ....... ..... ......... ..... ... .. __ ...............n.. .................(j....lt......R.....T......I...'...I...C..... .y......E.......O........,....t. [N.......S...tJ......HA..... . N.... ..C.. ;e.... .......... . .. ... ..... ..... . '. ... ..............................,...........A............................................................. ..... .... .. . . ". .. . n' .... ....... ..... . ... . ... ... ..... .... n. "...... .... ..................... ... ...... ... . . . . .. '.. ... . ........ . ......... ..: ........ .... . ." ...... ". ....." . '," ", . ..... ..... ...... . ," , .......... . ... . ...... .. .. . '. .. . .. . - . .......". n' 0... '. . . .. . .... _. .. .......... ..... ............. ..... ...". .. ... .... . . ..... . ... . . .. ". .. '. . '. ........ ............. ........ ...... .... ..... ... ... ....... .-. ... ...... ......... ....................................... .. . . .. .... ....1,. ISSUE DATE (MMlDDIYY) ...... ...J 11/29/07 PRODUCER ASHLAND U~SURANCE, I NC. PO BOX 880 585 A ST # 1 ASHLAND, OR 97520 CODE 1 090- 30 SUB-CODE INSURED TARA LABS INC TARA LABS INC 401K PLAN 550 CLOVER LANE ASHLAND, OR 97520 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Ac'\TD CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ..... ............._-............. ............_--......................... . ..... COMPANDSAJr'ORJ)ING(lOVEMGE .... .... ........ ...... .. ... --. ... ................ ..... ,. . ....... CUMPA.,'JY LElTER A NORTH PACIFIC INSURANCE COMPANY COMPANY LETTER B OREGON AUTOMOBILE INSURANCE COMPANY COMPANY LElTER C LIBERTY NORTHWEST INSURANCE CORPORATION .".<." ,."""'.>':':, ,.:::.,......, , , THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIOI'\ DATE (MMfDDIYY) DATE (MM/DDIYY) LIMITS GENERAL LIABILITY KJ CUMMERCIAL GENERAL LIABILITY B 0 CLAIMS MADE ~ OCCUR. o UWNER'S & CONTRACTOR'S PRUT C09 148672 GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP'OP AGG $ 1,000,000 12/01/07 12/01/08 PERSONAL & ADV INJURY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE I Any one fuel $ 100,000 MED EXPENSE I Any one personl$ S,OOO o AUTOMOBILE LIABILITY o ANY AUf 0 o ALL UWNED AUfOS o SCHEDULED AUf OS o HIRED AUTUS o NUN-UWNED AUTOS o GARAGE LIABILITY EXCESS LIABILITY COMBINED $ SINGLE LIMIT BU OIL Y $ IN JURY (Per person) BO OIL Y $ INJURY (Per accident) PROPERTY $ DAMAGE EACH OCCURRENCE $ AGGREGATE $ o OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS ITS OFFICERS, COMMISSIONS, ELECTED OFFICIALS, EMPLOYEES AND AGENTS THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED WITH RESPECT TO LIABILITY ARISING OUT OF OPERATIONS BY OR ON BEHALF OF THE NAMED INSURED ONLY, AS SPECIFIED BY THE ADDITIONAL INSURED ENDORSEMENT. tJi1lt'l'WeAmnOtiU$R.. ............ .CANCJt;l.,t..Nl'tQ:N".. ... ........ ....... ., THE CITY OF ASHLAND SEE DESCRIPTION BELOW 20 EAST MAIN ST ASHLAND, OR 97520 SHOULD A..1\JY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. I LNCI 0002 (08-02) C 577 00 ., .. <\UTHORIZr:~E~R/~NfATIVE() .L .TfT".' ... .. ORIGINAV POLICY NUMBER: C09 14-86-72 TARA LABS INC 12/01/07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY CG 20 11 01 96 ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE 1. Designation of Premises (Part Leased to You): 2. Name of Person or Organization (Additional Insured): THE CITY OF ASHLAND SEE DESCRIPTION BELOW 20 EAST MAIN ST ASHLAND,OR 97520-1849 3. Additional Premium: INCLUDED (If no entry appears above, the information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demol ition operations performed by or on behalf of the person or organization shown in the Schedule. CG 20 11 01 96 ORIGINAL Copyright, Insurance Services Office, Inc., 1994 D Page 1 of 1 THIS EVIDENCE IS ISSUED AS A MATTER OF INFORMA liON ONLY AND CONFERS NO RIGHTS UPON THE EVIDENCE HOLDER. TlilS EVIDENCE DOES NOT AMEND, EXTEND OR AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER ASHLAND INSURANCE, I NC. PO BOX 880 585 A ST # 1 ASHLAND, OR 97520 COMPANY OREGON AUTOMOBILE INSURANCE COMPANY P.O. BOX 5048 PORTLAND, OR 97208-5048 CODE 1090-30 INSURED TARA LABS INC TARA LABS INC 401K PLAN 550 CLOVER LANE ASHLAND, OR 97520 POLICY NUMBER C09 14-86-72 EFFECTIVE DATE 12/01/07 LOAN NUMBER 330001013 THIS REPLACES EVIDENCE DATED: EXPIRATION DATE 12/01/08 PREMISES I DESCRIPTION PREMISES 1, BUILDING 1: 550 CLOVER LANE ASHLAND, OR COVERAGES ICAUSES OF LOSS I FORMS LIMIT OF INSURANCE COINSURANCE DEDUCTIBLE BUS PERS PROP/SPECIAL FORM INCL THEFT CP1030 $500,000. 80% $ 1 ,000 . t.:.:.:.:.:.:::::.:.:::::::.:.:.:.:.:.:.:.):lJ!I:.::;.;.;:;.:.:.:.:111.:.:':.;:;.;.;:;.::Jt.:t::;:;:;:;.;;:;;::::::.:~~:.:::::rmmm::f:r:::f::::::f:rrrrrrrrrr:::::::ffffffffff:::::::::::::::::r:::::::::::::::::::fffffff::ffffffmrrrrrrrrrrrrrr::::r:fm=::m=m=:r:::::m=:r:m=m=:mm=m=m=mmmmmmmmmmmmm:: RE: I NVENTORY AND EQU I PMENT THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 10 DAYS WRITTEN NOTICE AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLlCYTHATWOULDAFFECTTHATINTEREST, INACCORDANCEWITH THE POLICY PROVISIONSORAS REQUIRED BY LAW. NAME AND ADDRESS BANK OF THE CASCADES ASHLAND BRANCH 739 N MAIN ASHLAND, OR 97520 NATURE OF INTEREST MORTGAGEE ADDITIONAL INSURED X LOSS PAYEE (OTHER) SIGNATURE OF AUTHORIZED AGENT OF COMPANY OS 516 (2-90) C 001 00 C09 14-86-72 POLICY l'lUMBER: TARA LABS INC COMMERCIAL PROPERlY 12/01/07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LOSS PAYABLE PROVISIONS This endorsement modifies insurance provided under the following: BUILDING AND PERSONAL PROPERTY COVERAGE FORM BUILDERS' RISK COVERAGE FORM CONDOMINIUM ASSOCIATION COVERAGE FORM CONDOMINIUM COMMERCIAL UNIT-OWNERS COVERAGE FORM STANDARD PROPERTY POLICY SCHEDULE Loss Payable B Provisions Applicable Lender's Loss Payable Contract of Sale Premises No. 1 Building No. 1 Description of Property BUS PERS PROP Loss Payee (Name & Address) BANK OF THE CASCADES ASHLAND BRANCH 739 N MAIN ASHLAND, OR 97520 A. When this endorsement is attached to the STANDARD PROPERTY POLICY CP 00 99 the term Coverage Part in this endorsement is replaced by the term Policy. The following is added to the LOSS PAYMENT Loss Condition, as indicated in the Declarations or by an "X" in the Schedule: B. LOSS PAYABLE For Covered Property in which both you and a Loss Payee shown in the Schedule or in the Declarations have an insurable interest we will: 1. Adjust losses with you; and 2. Pay any claim for loss or damage jointly to you and the Loss Payee, as interests may appear. C. LENDER'S LOSS PAYABLE 1. The Loss Payee shown in the Schedule or in the Declarations is a creditor, including a mortgageholder or trustee, whose interest in Covered Property is established by such written instruments as: a. Warehouse receipts; b. A contract for deed; c. Bills of lading; d. Financing statements; or e. Mortgages, deeds of trust, or security agreements. o M ... o U Copyright, ISO Commercial Risk Services, Inc., 1994 CP 12 180695 Page 1 of 2 2. For Covered Property in which both you and a Loss Payee have an insurahle interest: a. We will pay for covered loss or damage to each Loss Payee in their order of precedence, as interests may appear. b. The Loss Payee has the right to receive loss payment even if the Loss Payee has started foreclosure or similar action on the Covered Property. c. If we deny your claim hecause of your acts or because you have failed to comply with the terms of the Coverage Part, the Loss Payee will still have the right to receive loss payment if the Loss Payee: (1) Pays any premium due under this Coverage Part at our request if you have failed to do so; (2) Submits a signed, sworn proof of loss within 60 days after receiving notice from us of your failure to do so; and (3) Has notified us of any change in ownership, occupancy or substantial change in risk known to the Loss Payee. All of the terms of this Coverage Part will then apply directly to the Loss Payee. d. If we pay the Loss Payee for any loss or damage and deny payment to you because of your acts or because you have failed to comply with the terms of this Coverage Part: (1) The Loss Payee's rights will be transferred to us to the extent of the amount we pay; and (2) The Loss Payee's rights to recover the full amount of the Loss Payee's claim will not be impaired. At our option, we may pay to the Loss Payee the whole principal on the debt plus any accrued interest. In this event, you will pay your remaining debt to us. 3. If we cancel this policy, we will give written notice to the Loss Payee at least: a. 10 days before the effective date of cancellaLion if we cancel for your nonpayment of premium; or b. 30 days before the effective date of cancellation if w(~ cancel for any other reason. 4. If we elect not to renew this policy, we will give written notice to the Loss Payee at least 10 days before the expiration date of this policy. D. CONTRACT OF SALE 1. The Loss Payee shown in the Schedule or in the Declarations is a person or organization you have entered a contract with for the sale of Covered Property. 2. For Covered Property in which both you and the Loss Payee have an insurable interest, we will: a. Adjust losses with you; and b. Pay any claim for loss or damage jointly to you and the Loss Payee, as interest may appear. 3. The following is added to the OTHER INSURANCE Condition: For Covered Property that is the suoject of a contract of sale, the word "you" includes the Loss Payee. 5 ... ... o U Copyright, ISO Commercial Risk Services, Inc., 1994 Page 2 of 2 CP 12 18 06 95