HomeMy WebLinkAboutInsurance Certificate: Winterspring
A CORD_ CERTIFICATE OF LIABILITY INSURANCE OPID~ DATE (MMlDDIYYYY)
WINTE A 01/04/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORt.lIATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTlFICA TE
Western States - Ash1anc:l HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR.
400 West Hersey ALTER THE COVERAGE AFFORDED BY THE POLICIES aELOW.
Ash1and OR 97520
Phone:S4~-482-2725 Fax:541-4B8-00S6 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: At1antic Casual tv
INSURE<R B:
Wintersi~ing Inc INSURER c:
PO Box 169 INSURER. D:
Medford OR 97504
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAV," BEEN ISSUED TO THE INSURED NAMED ABOVE FOR lllE POliCY PERIOD INOICATED. NOlWlTHSTANDING
ANY ~UIREMENT. TERM OR CONDITION OF ANY CONlRACT OR. OTHER. DOCUMENT WITH RESPECT TO WHICH 1ll1S CERTIFICATE MAY 5E ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THe POLICIES DESCRIBED HEREIN IS SUBJECT TO All TJ.lE TeRMS. EXCLUSIONS AND CONDITIONS OF SlJCH
POLICIES. AGG~eGATe LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR 'Ns~i TYPE OF INSURANCE POLICY NU~BER DATE;MM/D~Dm( DATE IMMlDDI't'Y\ UMlTS
GENERAL LIABILITY EACH OCCURRIONCE S 1000000
I--- 01/U/08 01/11/09 PREMISes lEa OCc:urenc:c)
A X X COMMER.CIAL GENERAL LIABILITY M0710002791 S 100000
l CLAIMS MADE ~ OCCUR MEO E)(p (Anyone person) $ 5000
PERSONAL & NJV INJUR.Y $ 1000000
GENERAL AGGReGATE s 1000000
GEN'L AGGREGATE LIMIT APrt PER: PROOUcrs-OOM~OPAGG s incl
I POLICY n ~t8i ~OC
AUTOMOBILE U,AallJTY COMelNED SINGLE I-IMIT $
-
ANY AUTO (lOa eccldent)
-
ALL OWNED AUTOS BODILY INJURY
- (Per JleIi'on) S
- SCHEDUL,"O AUTOS
HIRED AUTOS 80011- Y INJURY $
- (Per eccJdent)
NON-oWNED AUTOS
-
I-- PROPERTY OAMAGE S
(Per eCCldent)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R AllY AUTO OTHER THAN ~ACC $
AUTO ONL V; AGG $
EXCfSSlUMBRELLA UABIUTY EACH OCCURRENCE $
tJ OCCUR. o CLAIMS MAOE AGGREGATE S
S
~ DEDUCTIBLE S
RETENTION S S
WO~I(E~S COf>'PENSA TION AND I TORY LIMITS I IOJr-
ER
EMPLOYERS' LIABILITY 10.1-. EACH ACCIDeNT $
ANY PR.OPRJETOR/PAR.TNERlEXECUTIVE E.L DISEASE - EA EMPLOYEI
OFFICER/MEMBER EXCLUOeO? S
~-. do$Q'ibe under E.L DISEASE. POLICY LIMIT S
eCIAL ~VISIONS below
onceR
DESCRlP110/ll OF OPERATIONS J LOCATIONS / YeHle",i$/ EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
clubs, civic, servicE;~ft1~C01ib~rofit .
CERTIFIC", TE HOLDE~
CITY006
CANCELLA liON
SIlOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLE!O BEFORE 'tHE EXPIRATION
DATI! THfftfOl', THI5ISSUING INSURER. WILL END&A.VOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CE~TIFICATE HOLD~ NAMED TO THE LEfT. 5UT FAILURE TO DO SO SHALL
IMPOSE NO DeL.IOATION OR LlA8IUTY OF AKr KIND UPON lllE INSU~ER, ITS A.GENTS OR
IW'RESENTATIves.
A~~T
@ ACORD CORPORATION
City of Ash1and
Its officers & employees
Public Works Dept
20 )!last: Main
Ash1and OR 97520
^CORD 26 (2001/08)