HomeMy WebLinkAboutInsurance Certificate: Pape Machinery
" -" CERTIFICATE OF LIABILITY INSURANCE DATE (MMfDOIYYYY)
ACORiJ
~ 12/01/2009
PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION
MARSH USA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
111 SW. COLUMBIA HOLDER THIS' CERTIFICATE DOES NOT AMEND, EXTEND OR
FIFTH FLOOR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_
PORTLAND, OR 97201
Attn: Liz Whiting (503)-248-1204
900810-0 1-CAS-09-1 0 PM INSURERS AFFORDING COVERAGE NAIC#
INSURED , INSURER A: Zurich American Insurance Co 16535
PAPE' MACHINERY, INC.
c/o THE PAPE' GROUP. INC. INSURER B:
PO BOX 407 INSURER C:
EUGENE. OR 97440
INSURER 0: I
INSURER E: I
THE POLICIES OF INSURANCE LISTED BElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED.
N01WITHSTANDING 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 ADO"I.: TYPE OF INSURANCE I POLICY NUMBER I POLICY EFFECTIVE I POLICY EXPIRATION I LIMITS
ILTRllNSRq OATE(MMlDDIYYYY) OATEjMMIDDIYYYY)
GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000
- ~~~~~~I~:~~~~~nce\ $ 100,000
A X COMMERCiAl GENERAl UA8lLllY GLO 378485704 12/01/2009 , 12/01/2010 .
I CLAIMS MADE 0 OCCUR MED EXP (Any one person) $ 5.000
L WA.SIOE'-GAP PERSONAL & ADV INJURY $ 1,000.000
.!<... LIMIT $1 000 000 GENERAl AGGREGATE $ 5,000,000
GENERAL AGGREGATE LIMIT APPliES PER PRODUCTS. COMP/OP AGG$ 2 000 000
)(l PRO- n
X POLICY n JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1$
- BAP 3784856-04 (Ea accidenl) 2,000,000
A .!<.. ANY AUTO 12/01/2009 12/01/2010
- ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
-
J<. HIRED AUTOS - BODILY INJURY $
J<. NON.QWNED AUTOS (Per accident)
PROPERTY DAMAGE
e- I , - , (Peraccidenl) , $ "'-".
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: $
AGG
EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $
b OCCUR D CLAIMS MADE r'~ - -n\\,/, ~,~ AGGREGATE $
. 0 "_J \( "=-,/1 $
~: ~j -' - - '~
R DEOUCTlBLE i I I ----- ------ $
RETENTION $ .
WORKERS COMPENSATION AND ~ U DEe - 8 2009 'llJ)/ ~~c9Tfrr,y~1 IOJ~-
EMPLOYERS' LIABILITY ORY_
ANY PROPRIETOR/PARTNERlEXECUTlVE Y / N .L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? D ' I .L. DISEASE - EA EMPLOYE $
(Mandatory in NH) If yes, describe under .L. DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATlONSllOCATIONSNEHIClESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: THE CITY OF ASHLAND, OREGON, AND ITS ELECTED OFFICIALS, OFFICERS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSUREDS
WHEN REQUIRED BY WRITTEN AGREEMENT OR CONTRACT AS RESPECTS TO OPERATIONS OF THE NAMED INSURED.
COVERAGES
CERTIFICATE HOLDER _
. - -SEA-001523266-22
CANCELLATION
CITY OF ASHLAND
20 EAST MAIN STREET
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 KINO
ACORD 25 (2009/01)
UPON THE INSURER,
AcWAA~~grr::~ENTATlVE
Elizabeth A. Whiting
@ 1998-2009 ACORD CORPORATION. All Rights Reserved
The ACORD name and logo are registered marks of ACORD
ITS AGENTS OR REPRESENTATIVES.
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