HomeMy WebLinkAboutInsurance Certificate: Access
A CORDN CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDOfYYVYj
4/29/2009
PRODUCER (541) 772-1111 FAX: (541) 772-3785 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Beecher Carlson Insurance Agency LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
707 Murphy Rd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford OR 97504 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURERA:North American Elite
Access lnc; Conifer Gardens Ltd Partnership; INsuRERB:Alliance of Nonprofits
Access Development Corporation INSURER c:
3630 Aviation Way INSURER D:
Medford OR 97504 INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING 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.
LIMITS SHOWN Mdv ,'^". BEEN REDUCEO BY PAlO CLAIMS
II~;: I~~~~ TYPE OF INSURANCE POLICY NUMBER P~.k+~~~~~g8~~lE Pg~l.flf~~b~~N LIMITS
GENERAL LIABILITY EArH nrrIIRI:/!:",r!: $ 1,000,000
r- ~~~*~l9~~ENT~~ n ..,\
X COMMERCIAL GENERAL LIABILITY $ 100,000
A I CLAIMS MADE [iJ OCCUR 200913096 4/17/2009 7/1/2010 MED EXP An one arson $ 5,000
r- p!:Rc:.nN Il Any INJURY $ 1,000,000
r- GENERAL AGGREGATE $ 2,000.000
~'L AGG~EnE LIMIT AAES PER: PRnDllrT'~ _ rnMplnp Ar..r.. $ 2,000,000
X POLICY ~~.pT LOC Professional Liab. $1.000,000
A ~TOMOBllE LIABILITY COMBINED SINGLE LIMIT 1,000,000
$
r!- ANY AUTO 200913096 4/14/2009 7/1/2010 (Eaaccident)
r- All OWNED AUTOS BODILY INJURY
(Per person) $
f- SCHEDULED AUTOS
r- HIRED AUTOS BODILY INJURY
(Per accident) $
f- NON-OWNED AUTOS
f- PROPERTY DAMAGE $
(Peraccidenl)
RAGE LIABILITY AUTO ONLY. EA ACCIDENT $
ANY AUTO OTHER THAN r:.AArr $
AUTO ONLY: AGG $
~ESSfUMBRELLA LIABILITY .dr.' $ 5,000,000
X OCCUR D CLAIMS MADE AGGREGATE $ 5.000,000
$
B ~ DEDUCTIBLE 200913096UMB 4/17/2009 7/1/2010 $
X RETENTION <t10,000
WORKERS COMPENSATION AND IlXg~nT,Ll-Q I OJbl-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.l. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROYISIONS below E.l. DISEASE - POLICY LIMIT $
A OTHER Commercial property CWBOO084570013096 4/17/2009 7/1/2010 Blanket Buildings $16,483.981
Blanket BPP $845.850
$1,000 Deductible
DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Certificate holder is an additional insured as respects General Liability as required by written contract. This form
is subject to policy terms, conditions and exclusions.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ashland EXPIRATION DATE THEREOF, THE ISSUING INSURER WlLL ENDEAVOR TO MAIL
its officers, employees & agents 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
Attn: Kristen Bakke -
20 E Main Street FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
Ashland, OR 97520 INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~(K~
Sandy Orr/SANDOR