HomeMy WebLinkAboutInsurance Certificate: FD Thomas Inc
. A CORDTJI CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
12/11/2008
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Woodruff-Sawyer Oregon, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1001 SW 5th A venue, Suite 500 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Portland, OR 97204 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
(503) 416-7180 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Zurich American Insurance Company 16535
F.D. Thomas, Inc. INSURER B:
POBox 4663
Medford, OR 97501 INSURER c:
INSURER D:
I INSURER E:
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~:: ~~r:;~ '1'"1= Jt' POLICY NUMBER P~!-~~Y EFFECTIVE POLICY EXPIRATION LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
-, CLAIMS MADE 00 OCCUR
~ Stop Gap - $1,000,000
CP0373910203
GEN'L AGGREGATE LIMIT APPLIES PER:
n POLICY !Xl ~~T n LOC
AUTOMOBILE LIABILITY
X ANY AUTO
I---
CP0373910203
12/31/2008 12/31/2009 EACH OCCURRENCE $ 1,000,000
~~~~~~s (E~~c';;nce) $ 300,000
MED EXP (Anyone person) $ 10,000
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
PRODUCTS - COMP/OP AGG $ 2,000,000
Contractual Liab Included
12/31/2008 12/31/2009 COMBINED SINGLE LIMIT $ 1,000,000
(Ea accident)
BODIL Y INJURY $
(Per person)
BODIL Y INJURY $
(Per accident)
PROPERTY DAMAGE $
(Per accident)
AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
AUTO ONL Y: AGG $
EACH OCCURRENCE $
AGGREGATE $
$
$
$
I T~~~I~~s I IOJ~-
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
$
$
$
t---
A
t---
ALL OWNED AUTOS
SCHEDULED AUTOS
rx- HIRED AUTOS
X NON-OWNED AUTOS
r--
r--
GARAGE LIABILITY
R ANY AUTO
EXCESS/UMBRELLA LIABILITY
~ OCCUR D CLAIMS MADE
I DEDUCTIBLE
I RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' I..IABllITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERA nONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
All Operations
Operations of the Named Insured subject to policy terms and conditions
CITY RECORDER
CERTIFICATE HOLDER
City of Ashland
Service Center
90 N. Mountain Ave.
Ashland, OR 97520
CANCELLATION 10 Day Notice for Non-Payment of Premium
SHOULD ANY OF THE ABOVE DESCRIBED 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 LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AurHORlZEDREPRESENTATlVE\<~ ~~
@ ACORD CORPORATION 1988
I LOAN #:
ACORD 25 (2001/08) 10 #:
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