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Home My WebLink AboutInsurance Certificate: Mt Ashland ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 1 on /2008 PR,9DUCER Commercial Lines... 206-701-5000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Wells Fargo Insurance Services; CA Lic. #0531007 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 91143 Seattle, WA 98111 INSURERS AFFORDING COVERAGE NAIC# INSURED Mt. Ashland Association INSURER A: Markel American Insurance Company P.O. Box 220 INSURER B: Markel Insurance Company 38970 INSURER C: INSURER D: Ashland, OR 97520 INSURER E: SKI31499 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. LTR NSR~ TYPE OF INSURANCE POLICY NUMBER PJ>4L{~~:~f68~~\E p~~fJ li.x,r,~~N LIMITS A GENERAL LIABILITY 02ARG30153 10/01/08 10/01/09 EACH OCCURRENCE $ 1,000,000 - X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1,000,000 I CLAIMS MADE 0 OCClJR MED EXP (Anyone person) $ Not Covered PERSONAL & ADV INJURY $ 1,000,000 - GENERAL AGGREGATE $ None - GEN'L AGGRM LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $ 2,000,000 I POLICY ~~8i n LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - - HIRED AUTOS BODILY INJURY (Per accident) $ - NON-OWNED AUTOS - PROPERTY DAMAGE $ (Per accident) ==rOE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ =5ESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ ==J DEDUCllBLE $ RETENTION $ $ WORKERS COMPENSATION AND I T~gJ!~~~ I IOJ~. EMPLOYERS' LIABILITY _EJ,., E,\CI::LACCI[)_F;NT_ _ 1,$ ANV-PROPRIETORlPARTNERiEXECUTIVE ....~ OFFICER/MEMBER EXCLUDED? E,L. DISEASE - EA EMPLOYEE $ If yes. describe under E,L. DISEASE. POLICY LIMIT $ SPECIAL PROVISIONS below OTHER B Excess Liability 02ARU60152 10/01/08 10/01/09 $6.000.000 Occur. I $12,000.000 Agg. Products. Comp/Op Agg: $12,000.000 Personal & Adv Injury: $6,000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City of Ashland, its Officers & Employees are Add'llns. when required by written contract, agreement or lease. solely as respects liability arising from operations of Named Ins. Re: Interest in Owned assets acquired 07/01/92. Ten Da Notice for Non-Pa ment CERTIFICATE HOLDER CANCELLATION y y City of Ashland. Its Officers & Employees 20 E. Main Street Ashland, OR 97520 SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 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 IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ~ ACORD 25 (2001/08) 1 of 2 242004 @ ACORD CORPORATION 1988 ACORDTM E\II1DEN1CE01F PiROP'ERTY INSURANCE DATE (MM/DDIYY) 1017/2008 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. PRODUCER I rl}gN,io Ext': 206-701-5000 Commercial Lines - 206-701-5000 Wells Fargo Insurance Services; CA Lic. #0531007 PO Box 91143 Seattle, WA 98111 COMPANY Commonwealth Insurance Company CODE: AGENCY CUSTOMER ID #: INSURED Mt. Ashland Association P.O. Box 220 I SUB CODE: EFFECTIVE DATE 10/01/08 !POLICY NUMBER USS2140 I EXPIRATION DATE I CONTINUED UNTIL 10/01/09 n TERMINATED IF CHECKED LOAN NUMBER THIS REPLACES PRIOR EVIDENCE DATED: Ashland, OR 97520 I PR~peRTVINFORM~nON LOCA TION/DESCRIPTION PROPERTY & INLAND MARINE COVERAGE INFORMATION COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE Property/Inland Marine Scheduled Equipment $8,000.000 $702,374 $5,000 REMARKS (Including Special Conditions) Re: Interest in owned assets acquired 07/01/92. -------- --------------------- ---------------- .- - CANCeL..l.A"J'ION * 10 Day Notice for Non-Payment of Premium THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED. THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 30 DAYS WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST. IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW. ADDITlONAL.. INTEREST NAME AND ADDRESS City of Ashland. Its Officers & Employees 20 E. Main Street I I MORTGAGEE rxl LOSS PAYEE LOAN # H ADDITIONAL INSURED Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ~~~ I ACORD 27 (3/93) 1 of 1 @ ACORD CORPORATION 199~