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ACORQM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYYYYI
02/29/2008
PRODUCER (503)227-0491 FAX (503) 227 -0927 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Gales Creek Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
800 NW 6th, Suite 335 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Portland, OR 97209
Kim Hutchinson INSURERS AFFORDING COVERAGE NAIC#
INSURED Rogue Valley Community Development Corp. INSURER A Probuilders Specialty Ins Compan , RRG
PO Box 1733 INSURER B Great American Ins. Co.
Medford, OR 97501 INSURER C St Paul Travelers Insurance CO.
INSURER D
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.
I~~~ f[,~~1 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE Pgk!f~Y EXPIRATION LIMITS
GENERAL LIABILITY WES 5018884 02/24/2008 02/24/2009 EACH OCCURRENCE $ 1,000,000
I--
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1,000,000
I-- I CLAIMS MADE [K] OCCUR
MED EXP (Anyone person) $ 5,000
A PERSONAL & ADV INJURY $ 1,000,000
I-- 2,000,000
GENERAL AGGREGATE $
I--
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 1,000,000
!xl POLICY n j~8T n LOC
AUTOMOBILE LIABILITY PAC 537-36-32 02/24/2008 02/24/2009 COMBINED SINGLE LIMIT
I-- (Ea aCCIdent) $
ANY AUTO 300,000
I--
ALL OWNED AUTOS BODILY INJURY
I-- (Per person) $
SCHEDULED AUTOS
B I--
X HIRED AUTOS BODILY INJURY
I-- $
X NON-OWNED AUTOS (per accident)
I--
I-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
o OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I WC STATU- I TOJ~I-
EMPLOYERS' LIABILITY E.L EACH ACCIDENT $
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $
If yes, describe under E. L. DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
l,-.OTI;IER Policy 104448367 09/07/2007 09/07/2008 $100,000 Limit
C ILrlme $ 1,000 Deductible
~ESCRIPTlON OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Insured.
he City of Ashland, their officers, employees and agents are Additional
~E: Jun2 2007 Grant Award of $2,500.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ashl and, EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
Oregon ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Community Development
Attn: Lee Tuneberg BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
20 East Main Street OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENT A TIVES.
Ashland, OR 97520 AUTHORIZED REPRESENTATIVE KIm ffl<j-~
Kim Hutchinson/KIM
ACORD 25 (2001/08) FAX: (541)488-5311
@ACORDCORPORATION 1938