HomeMy WebLinkAboutInsurance Certificate: SOASTC
ACORDTM CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
7/28/2008
PRODUCER (541)479-2529 FAX: (541)479-7553 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Insurance Resourees ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICA TE DOES NOT AMEND, EXTEND OR
1051 NE 6th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 1-A
Grants Pass OR 97526 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A Markel Insuranee Company
SOASTC INSURER B:
715 SW Ramsey Ave INSURER C'
INSURER D:
Grants Pass OR 97527 INSURER E
''"-~
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.
AG REGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~~: ~~~~ TYPE OF INSURANCE POLICY NUMBER P~l-+~~:~~88;WF Pgklfl/~~~~N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
r-- ~~~~~~J?E~~~J~~ence)
OMERCIAL GENERAL LIABILITY $
r-- CLAIMS MADE D OCCUR
A X 8502SS299425-2 7/1/2006 7/1/2009 MED EXP (Anyone person) $ 10,000
I---
PERSONAL & ADV INJURY $ 1,000,000
I---
GENERAL AGGREGATE $ 3,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000
Xl POLICY n ~~8T n LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- (Ea accident) $
- ANY AUTO
- ALL OINNED AUTOS BODILY INJURY
(Per person) $
- SCHEDULED AUTOS
- HIRED AUTOS BODILY INJURY $
NON-OINNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACC $
AUTO ONLY AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
o OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
'0- RETENTION $
$
WORKERS COMPENSATION AND I T~~~mm~ I IOJ~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCiDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEM ENT/SPECIAL PROVISIONS
CERTIFICA TE HOLDER
CANCELLA TION
City of Ashland, its offieers, and emplo
ineluded as Additional Insured
20 E Main St
Ashland, OR 97520
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
ACORD 25 (2001/08)
INS025 (0108).08a
@ ACORD CORPORATION 1988
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