HomeMy WebLinkAboutInsurance Certificate: Ashland Housing Opportunities
ACORD CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DDIYYVY)
TM. 03/28/2008
PRODUCER Phone: 503-365-7001 Fax: 503-365-7354 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MID VALLEY GENERAL AGENCY LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
3400 STATE ST G 740 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
SALEM OR 97301 JU TI':~ RV THE l>nl I~'I:~ RI:. 'w
I
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: SCOTTSDALE INSURANCE COMPANY
ASHLAND HOUSING OPPORTUNITIES, INC. INSURER B:
1215 SW "G" ST. INSURER c:
GRANTS PASS OR 97526
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 V\HH 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 SHOV\N MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR I~~~ TYPE OF INSURANCE POLICY NUMBER Pgi~i~~~~~~~ POliCY EXPIRATION LIMITS
lTR DATE IMMIDDNY
~ERAL LIABILITY CLS1330539 03/31/08 03131/09 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000
PREMISES (Ea occurence)
I CLAIMS MADE0 OCCUR MED EXP (Anyone person) $ 5,000
A i PERSONAL & ADV INJURY $ 1,000,000
-
GENERAL AGGREGATE $ 1,000,000
-
GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMPfOP AGG $ 1,000,000
I n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
-
ANY AUTO (Ea accident) $
-
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
f--
HIRED AUTOS BODILY INJURY
f-- (Per accident) $
NON-OWNED AUTOS
I--
f-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
[JESS I UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
I ~ STATU- I I OTHER
WORKERS COMPENSATION AND TORY LIMITS
EMPLOYERS' LIABILITY EL 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
OTHER:
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
1971 SISKIYOU BLVD, ASHLAND, OR 97520
CERTIFICATE HOLDER
CANCELLATION
CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER V\1ll ENDEAVOR TO MAIL 10 DAYS
20 EAST MAIN STREET WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO
ASHLAND, OREGON 97520 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT'S
AGENTS OR REPRESENTATIVES
AUTHORIZED REPRESENTATIVE
MID VALLEY GENERAL AGENCY \-l~ ~ ~n...'.....
LLC
Attention: ROBERT D NELSON Herman R Deiss
ACORD 25 (2001/08)
Certificate #
37065
@.~CCRD CORPORATION 1988