HomeMy WebLinkAboutInsurance Certificate: Ashland Housing Opportunities
ACORD CERTIFICA TE OF LIABILITY INSURANCE I DATE (MMIDDNVYY)
TM, 0212412009
PRODUCER Phone: 503-365-7001 Fax: 503-365-7354 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MID VALLEY GENERAL AGENCY LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4305 RIVER ROAD N HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
KEIZER OR 97303 ALTER .......... --. -- & -- BY THF DOl I~II::~ BEL( lW_
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: SCOTTSDALE INSURANCE COMPANY
ASHLAND HOUSING OPPORTUNITIES, INC. INSURER B:
1215 SW "G" ST. INSURER c:
GRANTS PASS OR 97526
INSURER D:
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 VVlTH 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 SHOW\! MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR INSRC DATE IMMIDDIYYl DATE IMMlDDIYYl
GENERAL LIABILITY CLS1330S39 03/31/09 03/31/10 EACH OCCURRENCE $ 1,000,000
I-- DAMAGE TO RENTED
X COMMERCIAL GENERAL LIABILITY $ 100,000
- o CLAIMS MADE 0 OCCUR PREMISES (Ea occurence)
MED, EXP (Anyone person) $ 5,000
-
A PERSONAL & ADV INJURY $ 1,000,000
-
GENERAL AGGREGATE $ 1,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM PlOP AGG, $ 1,000,000
I n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- (Ea accident) $
ANY AUTO
-
ALL OWNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
-
HIRED AUTOS BODILY INJURY
- (Per accident) $
NON-OWNED AUTOS
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $
~ OCCUR D CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
--
RETENTION $ $
I we STATU- I laTHER
WORKERS COMPENSAOON AND TORY LIMITS
EMPLOYERS' LIABIUTY E.L. EACH ACCIDENT $
ANY PROPRlETORlPARTNERlEXECUTIVE
OFFICERlMEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYEE $
If yell, describe under E.L DISEASE-POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER:
DESCRIPTION OF OPERA TlONS/LOCA TlONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
1971 SISKIYOU BLVD, ASHLAND, OR 97520
CERTIFICATE HOLDER
CANCELLATION
CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER VVlLL ENDEAVOR TO MAIL 10 DAYS
20 EAST MAIN STREET WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO
ASHLAND, OREGON 97520 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT'S
AGENTS OR REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE
MID VALLEY GENERAL AGENCY \-l __ ~Z")~rtl'~
LLC ~~
Attention: ROBERT D NELSON Herman R Deiss
ACORD 25 (2001/08)
Certificate #
40505
@ ACORD CORPORATION 1988