HomeMy WebLinkAboutInsurance Certificate: Project A Inc
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY)
12/11/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MAnER OF INFORMATION
Maloy Risk Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
100 Village Blvd Suite 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Princeton, NJ 08540-7104
609 987-0221 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: St. Paul Fire & Marine
Project A, Inc. INSURER B:
5350 Highway 66 INSURER c:
Ashland, OR 97520 INSURER D:
INSURER E:
Client#. 10118
PROJEC1
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 N-SR[ TYPE OF INSURANCE POLICY NUMBER PJ>1-~Y EFFECTIVE p~ilfJ EXPIRATION LIMITS
A ~NERAL LIABILITY VP06301136 12/16/08 12/16/09 EACH OCCURRENCE $1.000.000
X. COMMERCIAL GENERAL LIABILITY ~~~sr9...RENTEC $250.000
- o CLAIMS MADE [!] OCCUR MED EXP (Anyone person) 510.000
PERSONAl & ADV INJURY $1 000.000
-
GENERAL AGGREGATE $2.000.000
-
GEN'L AGGREnE LIMIT AP~t PER: PRODUCTS-COM~OPAGG $2.000.000
I POLICY r~RT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $
ANY AUTO (Ea accident)
-
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
- SCHEDULED AUTOS
- HIRED AUTOS BODILY INJURY
(Per accident) 5
- NON-OWNED AUTOS
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
==i ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESSJUMBRELLA LIABILITY EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE AGGREGATE 5
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I T~~J~~~~ I TOJ~-
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
~PEdl~tSP~oVls1oNS below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
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 -30.... DAYS WRITTEN
20 East Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Ashland, OR 97520 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRES~~TIVE
~a... IYt. T-r . /A .
ACORD 25 (2001/08) 1 of 2
#S37891/M37890
SEC
@ ACORD CORPORATION 1988
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