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ACORaM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY)
04/29/2008
PRODUCER (541)687-2211 FAX (541)344-5894 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Smith & Crakes, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P.O. Box 489 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Eugene, OR 97440
Debbie Light, CISR INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Great American Insurance Comp
OnTrack Inc INSURER B: SAIF Corporation
221 W Main INSURER c:
Medford, OR 97501 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,N~: ~I?'&I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY PAC6536160 05/01/2008 05/01/2009 EACH OCCURRENCE $ I,OOO,OO(J
-
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,OO(J
I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 5,000
A X X Professional Liab PERSONAL & ADV INJURY $ 1,000,000
-
GENERAL AGGREGATE $ 3,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $ 3,OOO,OO(J
I n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY CAP537426740 05/01/2008 05/01/2009 COMBINED SINGLE LIMIT
- (Ea accident) $ 1,000,OO(J
ANY AUTO
-
X ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
A X X
HIRED AUTOS BODILY INJURY
r-- (Per accident) $
X NON-OWNED AUTOS
-
- 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 $
=:J OCCUR D CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND 451050 07/01/2007 07/01/2008 X I T"X~~T~I~-;, I 10J~-
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 500,OO(J
B ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500,000
If yes, describe under E.L. DISEASE - POLICY LIMIT $ 500,00(J
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
~s respects all operations of the insured in accordance to policy terms and conditions.
ity of Ashland, its officers, and employees as additional insured.
City of Ashland
FINANCE DEPARTMENT
20 East Main Street
Ashland, OR 97520
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
...1L 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 INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE &':?",,",,1,J",,~ H s:;,""~fC'h'(
Ronald Crawford, CPCU/DL
ACORD 25 (2001/08) FAX: (541)488-5311
@ACORDCORPORATION 1988