HomeMy WebLinkAboutInsurance Certificate: Valley Cab & Limousine
ACORQM
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYY)
03/26/09
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER
VENTURE SPECIALTY INSURANCE, LLC
P.O. BOX 18026
RICHMOND VA 23226
P.O. BOX 1012
ROGUE RIVER OR 97537
INSURERS AFFORDING COVERAGE
- -- l-- ....____._.._._._. ._____.__.. ______~_____.___._.__._.~.__ __._
1_~~':I.RER A:__~nc"_I~~nera!J.r!s_u ra!1..~ CompanL__________
: INSURER B:
r=;:: ~ -~ -~--:-~_ : - -~: .... -~ ·
, INSURER E:
INSURED
VALLEY CAB & LIMOUSINE
I
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.
INSR! TYPE OF INSURANCE POLICY NUMBER POLICY EFFEC'f1vE- [poLiCY EXPIRATioN" LIMITS
':T;~:~:~:::Er~I~~~~: I ~~l~~~~~;~~) ~ ~-
f- ~i'E!'JERAJ.._A~~.ic;ATE _ _I ~_
I GEN'L AGGREGATE LIMIT APPLIES PER IXRQQLJC'T~__C~J';!P/o.fl..tlc;G_-+}
! POLICY ! i PRO- - i
ANY AUTO
ALL OWNED AUTOS
A X SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
o Deductible
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
TCA6008436
3/26/2009
3/26/201 0
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
_ _ : ANY AUTO
CLAIMS MADE
AUTO ONLY - EAACCIDENT
--- --- --- --- ---. - I
EAACC : $
- t
AGG : $
: $-
OTHER THAN
AUTO ONLY:
EXCESS LIABILITY
lEACH OCCURRENCE
: AGGREGATE
DEDUCTIBLE
RETENTION
'I. WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT ISPECIAL PROVISIONS
CERTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER:
CITY OF ASHLAND PUBLIC WORKS DEPT
20 E MAIN STREET
Ashland OR 97520-
Certificate Holder
CANCELLATION
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 TO THE LEFT, BUT FAILURE TO DO SO
SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS
AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25-S (7/97)
03/26/2009 15:13
Vehicle List
Page 1 of 1
Policy: TC.~6008436
VALLEY CAB & LIMOUSINE
Revision Effective Date:
Effective:
03/26/2009 00:01
03/26/2009 00:01
Company Book Class Price
Veh# Veh # Year Make Model Type Vin# Territory Code Per Unit Status
1 1993 MERCURY GRAND MARQI TAXI 2MELM75W8PX633301 104 4169 $3,252.00 Add
2 2 1992 FORD CROWN VIC TAXI 2FACP74W6NX217633 104 4169 $3,252.00 Add
Total # of Vehicles: 2
18171204