HomeMy WebLinkAboutTara Labs
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.. . . .. .... ....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.
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COMPANDSAJr'ORJ)ING(lOVEMGE
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CUMPA.,'JY
LElTER
A NORTH PACIFIC INSURANCE COMPANY
COMPANY
LETTER
B OREGON AUTOMOBILE INSURANCE COMPANY
COMPANY
LElTER
C LIBERTY NORTHWEST INSURANCE CORPORATION
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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 $
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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
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<\UTHORIZr:~E~R/~NfATIVE() .L
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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 .
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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.
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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.
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Copyright, ISO Commercial Risk Services, Inc., 1994
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CP 12 18 06 95