HomeMy WebLinkAboutInsurance Certificate: Community Works
PRODUCER
Beecher Carlson Insurance Agency, LLC
1-503-222-1831
I DATE (MMlDDNYYY)
06/24/08
THIS CERTIFICATE IS ISSUED AS A MA ITER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ACORDru CERTIFICATE OF LIABILITY INSURANCE
220 NW 2nd Ave Suite 800
Portland, OR 97209-3951
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
Community Works
900 East Main
INSURER A: Alliance for Nonprofits for Insurance
INSURERB: Diamond State Insurance Co
INSURER C:
INSURER D:
INSURER E:
Medford, OR 97504
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~~: ~'l:~~ TV"C POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
A ~NERAL LIABILITY 2008-19517 07/01/08 07/01/09 EACH OCCURRENCE $1,000,000
X COMMERCIAL GENERAL LIABILITY ~~~~~~~ YE~~~~nce\ $ 100,000
I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $10,000
X Professional Liabilit~ PERSONAL & ADV INJURY $1,000,000
I--
X Abuse & Molestation GENERAL AGGREGATE $2,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000
I POLICY n ~~R,: fXl. LOC
A ~TOMOBILE LIABILITY 2008-19517 07/01/08 07/01/09 COMBINED SINGLE LIMIT
$1,000,000
X ANY AUTO (Ea accident)
I--
ALL OWNED AUTOS BODILY INJURY
I-- $
SCHEDULED AUTOS (Per person)
I--
X HIRED AUTOS BODILY INJURY
- $
X NON-OWNED AUTOS (Per accident)
-
- 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 $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I T~~~T~J,~~ I IOl~-
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $
ANY PROPRIETORlPARTNERlEXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $
~~~~~~~~~~~NS ~ow E.L. DISEASE - POLICY LIMIT $
OTHER
B Foster Care General AGAOO03536 07/01/08 07/01/09 Each Occurrence 1,000,000
& Professional Liability Aggregate 3,000,000
Deductible: Nil
DESCRIPTION OF OPERATIONS/ LOCATIONS/VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CITY OF ASHLAND IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY ONLY.
ALL OPERATIONS OF THE NAMED INSURED AS PROVIDED UNDER THE POLICY TERMS, CONDITIONS & EXCLUSIONS.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF ASHLAND DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
ATTN: FINANCE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
20 EAST MAIN STREET
REPRESENTATIVES.
ASHLAND, OR 97520 AUTHORaEDREPRESENTATIVE ~.~c.~)
USA
ACORD 25 (2001/08) carla. helmer
9139777
(0 ACORD CORPORATION 1988