HomeMy WebLinkAboutInsurance Certificate: KAS & Associates
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eRb" CERTIFICATE OF LIABILITY INSURANCE I DATE IMMIDOIYYYY)
OP 10 CU
KASAS-1 11/18/09
PRODUCER I:)NL Y AND CON~;RS NO RIGHTS U;O'rJ T~~ g~RTIFICA TE IV.
Western States - The Dalles HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
101 E. Third St., PO Box 1940 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
The Dalles OR 97058
Phone: 541-296c2268 Fax:541-296-9427 INSURERS AFFORDING COVERAGE NAIC#
INSURED .' INSURER A '1'rave~ers Insurance Ca:Ilpany 19038
INSURER B
.KAS & Associates, Inc INSURER c:
Scott Pringle
304 S Holly Street INSURER 0:
Medford OR 97501
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 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.
LTR NSR TYPE OF INSURANCE POLICY NUMBER D~~'i~~kr6~1 D2~ErM~'iD~~ LIMITS
~NERAL LIABILITY EACH OCCURRENCE $
- pMMERcrAL GENERAl LIABILITY PREMISEs(E~c~r~nce) $
CLAIMS MADE D OCCUR MED EXP (Anyone person) $
-
PERSONAL & ADV INJURY $
-
GENERAL AGGREGATE $
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMPIOP AGG S
"I POLICY n j~& n LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
(Eaaccident)
- ANY AUTO
- ALL OWNED AUTOS BODILY INJURY
(Per person} S
- SCHEDULED AUTOS
f-- HIRED AUTOS BODILY INJURY
- (Per accident) $
NON-OWNED AUTOS
-
- PROPERTY DAMAGE S
(Per accident)
RRAGE LIABIUTY AUTO ONLY. EA ACCIDENT $
ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESS I UMBRELLA UABILlTY EACH OCCURRENCE S
:=J OCCUR D CLAIMS MADE AGGREGATE $
$
=J DEDUCTIBLE S
RETENTION S S
WORKERS COMPi:NSAnON - ITORY LIMITS. I IUE~.
AND EMPLOYERS' LIABILITY V,N
ANY PROPRIETORIPARTNERIEXECUTIVD E.L. EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH) E.L. DISEASE. EA EMPLOYE $
IfY6s.describeunder
SPECIAL PROVISIONS below E.L. DISEASE - POliCY LIMIT S
OTHER
A PROF LIABILITY QP03802672 01/21/09 01/21/10 EA eLM $500,000
ANN AGG $1,000,000
DESCRIPTION OF OPERA TlONS I LOCATIONS' VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
City of Ashland
20 East Main Street
h1and OR 97520
ACORD 25 (2009/01)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAnON
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL l.2.- DAYS WRITTEN
NonCE TO THE CERTlACATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATlON OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
All rights reserved.