HomeMy WebLinkAboutInsurance Certificate: Valley Care Trans Services
ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP 10 i'M I DATE (MMlDD1VYYY)
9VALCAR 01/09/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Hart :Insurance HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3389 Crater Lake Hwy ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford OR 97504
Phone: 541-779-4232 Fax:541-772-3963 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A BHPIR!!: FIR!!: & IO.RIRB IRS CO
INSURER B
Val.l.ey Care Trans Services :Inc INSURER C:
PO Box 1012 INSURER D:
Rogue River OR 97537
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 NSRD TYPE OF INSURANCE POLICY NUMBER DATE CMMlDDIYY DATE"MMlDO/YYi' LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
I--
A X COMMERCIAL GENERAL LIABILITY CL314074 01/12/08 01/12/09 PREMISES (Ea accurence) $100,000,
r-- o CLAIMS MADE ~ OCCUR
MED EXP (Anyone person) $5,000
r--
PERSONAL & ADV INJURY $1,000,000
I-- $2,000,000
GENERAL AGGREGATE
f--
GENt AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ :INCLUDI!:D
h POLICY n :;~& n LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
I-- 01/12/08 01/12/09 (Ea acci dent)
A ANY AUTO CL314073
f--
ALL OWNED AUTOS BODILY INJURY
I-- (Per person) $
X SCHEDULED AUTOS
f--
HIRED AUTOS BODILY INJURY $
I-- (Per accident)
NON-OWNED AUTOS
f--
I-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
EXCESSlUMBRELLA LIABILITY EACH OCCURRENCE $
o OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I TORY LIMITS I IUER
EMPLOYERS' LIABILITY EL EACH ACCIDENT $
ANY PROPRIETORIPARTNERlEXECUTIVE
OFFICER/MEMBER EXCLUDED? El DISEASE - EA EMPLOYEE $
If yes, describe under EL DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
C:ITYASH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
City of Ashl.and IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Publ.ic Works Dept.
20 E. Main street REPRESENTATIVES.
Ashl.and OR 97520 AUTHORIZED REPRESENTATIVE
HART :INSURANCE/MEDFORD
ACORD 25 (2001/08)
@ACORD CORPORATION 1988