HomeMy WebLinkAboutInsurance Certificate: OnTrack Inc
ACORQ. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/ODNYVY)
04/09/2009
~~ODUCER (541)687-2211 FAX (541)344-5894 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
~mith & Crakes, Inc, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 489 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
,
Eugene, OR 97440
Debbie light, CISR INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A Great American Insurance Comp
OnTrack Inc INSURER B- SAIF Corporation
221 W Main INSURER c'
Medford, OR 97501 INSURER 0:
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 CONOITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEO OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF suel-
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS.
INSR foRD' TYPE OF INSURANCE POLICY NUMBER POL~~r EFFECTIVil ! faun EXPIRAT10y~ LIMITS
LTR NSR DATE MMIDOIYYYY DATE MMIDOIYYYY
~NERAL LIABILITY PAC6536160 05/01/2009 I 05/01/2010 EACH OCCURRENCE $ 1,000,000
~~~~~$ YE~~~~c.~__
x COMMERCIAL GENERAL liABILITY PREMISES Ea occurrence} $ 100 , 000
! CLAIMS MADE 0 OCCUR I MED EXP (Anyone person) $ 5,000
A X X Professional liab PERSONAL & AOV INJURY $ 1,000,000
GENERAL AGGREGATE $ 3,000,000
~.~ AGG~nE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 3,000,000
PRO- n
POLICY JECT laC
~TOMOBllE LIABILITY CAP537426740 05/01/2009 05/01/2010 COMBINED SINGLE LIMIT
(Eaaccidenl) $
X ANY AUTO 1,000,000
'ALL OWNED AUTOS BODilY INJURY
- $
SCHEDULED AUTOS (Per person)
A X X
HIRED AUlDS BOOll Y INJURY
X $
NON-OWNED AUTOS (Per accident)
-
PROPERTY DAMAGE $
(Peraccidenl)
GARAGE liABILITY AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $
:=J OCCUR D CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSA liON 451050 0?/01/2008 , 07/01/2009 X I {O~$L~MI~S I !UER-
AND EMPLOYERS' LIABILITY YIN
B ANY PROPRIETORlPARTNERlEXECUTIVD E,l. EACH ACCIDENT $ 500,000
OFFICER/MEMBER EXCLUDED?
(MandaloryinNH) E.L. DISEASE - EA EMPLOYE $ 500,000
~~~~I~tS~~~v~S?6~s below E.L. DISEASE - POLICY LIMIT $ 500,000
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS
S respects all operations of the insured in accordance with policy terms and conditions,
he City of Ashland, its officers, and employees are Additional Insureds
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRATlm
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAil 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL
City of Ashland IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
FINANCE DEPARTMENT REPRESENTATIVES.
20 East Main Street AUTHORIZED REPRESENTATIVE ~~...I'~\ H,c:.~+~-.(
As~land, OR 97520 Ronald Crawford, CPCU/Dl
ACORD 25 (2009/01) FAX: 541.652.2059 @1988-2009ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD