HomeMy WebLinkAboutInsurance Certificate: Pathway Enterprises
"A CORD_ CERTIFICATE OF LIABILITY INSURANCE OP 104M I DATE (MMlDDIYYYY)
PATHW-1 05/12/09
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Western States Ins. - Medford HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
38 N. Central Ave Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Medford OR 97501
Phone: 54l-779-1321 Fax:541-779-9187 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Philadelphia Ins CO
INSURER 8:
Pathway Enterprises, Inc. INSURER c:
655 Washington St INSURER 0:
Ashland OR 97520
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 ~y CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE lNSURANCE 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
POLlCY NUMBER Po~,;!~1J~fDE8~E POLlC!(fXPIRAT.!,.~N LIMITS
LTRINSRD TYPE OF INSURANCE DATE MMIDDIYY
~L LlABILITY EACH OCCURRENCE $1,000,000
A X X COMMERCIAL GENERAL LIABILITY PHPK4l6727 05/11/09 05/11/10 PREMISES /E~~~nce\ $200,000
CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10,000
~professional Liab PERSONAL & ADV INJURY $1,000,000
GENERAL AGGREGATE $ 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000
Xl POLICY n jr2-r n LOC Emp Ben. 1,000,000
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
A X ~ ANY AUTO PHPK416727 05/11/09 05/11/10 (Eaaccident)
- ALL OWNED AUTOS BODILY INJURY
(Per person) $
SCHEDULED AUTOS
-
HIRED AUTOS BODILY INJURY
- (Per accident) $
- NON-OWNED AUTOS
- PROPERTY DAMAGE $
(Per accident)
RRAGE LlABILlTY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
~~~c..~ EACH OCCURRENCE $3,000,000
A X X OCCUR D CLAIMS MADE PHUB270976 05/11/09 05/11/10 AGGREGATE $3,000,000
$
DEDUCTIBLE $
X RETENTION $ 10 000 $
J WORKERS COMPENSATION AND I ITaR/LIMITS I IVER-
EMPLOYERS' LIABILITY
, A~:Y PRnPRI~TC'PJP_.o.,RTNFR1E)(EC'JTIVF: E.L. EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? I E.L. DISEASE - EA EMPLOYEEi $
~~~tl~!S~~~v~S?O~S below E.L. DISEASE - POLICY LIMIT I $
OTHER ,
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS
Certificate holder is additional insured.
CI"ry RECORDER
CERTIFICATE HOLDER
CANCELLATION
City of Ashland
Attn: Kari Olson
90 N Mountain
Ashland OR 97520
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
ACORD 25 (2001/08)
t!../G
, @ ACORD CORPORATION 1988