HomeMy WebLinkAboutInsurance Certificate: Soda Mountain Broadcasting
CHAMBCOMM
ACORD," CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY)
11/23/2009
PRODUCER Commercial Lines. . 541-685-5300 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Welts Fargo Insurance Services of Oregon, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
975 Oak Street, Suite 900
Eugene, OR 97401 INSURERS AFFORDING COVERAGE NAIC#
INSURED Soda Mountain Broadcasting, Inc. DBA: KDRV & KDKF INSURER A: Fireman's Fund Insurance Company 21873
PO Box 7009 INSURER B:
INSURER C:
INSURER D:
Eugene, OR 97403 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 PDOALi~~~~r68m\E Pg~'fJ I~X:,~,wN LIMITS
A ~NERALlIABIlfTY MZX80913389 12/01/2009 12/01/2010 EACH OCCURRENCE S 1,000.000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S 1,000,000
P CLAIMS MADE [8] OCCUR -
- MED EXP (Anyone pen;on) S 20,000
- PERSONAL & ADV !NJURY S 1,000,000
GENERAL AGGREGATE S 2,000,000
- 2.000,000
~'L AGG~Efr LIMIT APrlS PER: PRODUCTS - COMPIOP AGG S
POLICY ~~g: LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT S
ANY AUTO (Eaacddenl)
-
- ALL OWNED AUTOS BODILY INJURY
(Perpen;on) S
- SCHEDULED AUTOS
- HIRED AUTOS BODILY INJURY
(Peraccidenl) S
- NON-OWNED AUTOS
- PROPERTY DAMAGE S
(peraccidenl)
~RAGE LIABILITY AUTO QNL Y - EA ACCIDENT S
ANY AUTO OTHER THAN EAACC S
AUTO ONLY: AGG S
:=JESS/UMBRELLA LIABILITY EACH OCCURRENCE S
OCCUR D CLAIMS MADE ffi]~i?' y;;'I",-~'1 i~!!f~ ~ ~ AGGREGATE S
D 1'-' ( ~ r' s
-~ '-.::::</ "- ~.-,
~ OEOUCTIBLE 1 r'~----- ~-~--1 s
RETENTION S II I ! S
WORKERS COMPENSATION AND .- - ~~E' 2009 _III. L I wc STATU-, I. 10J~-
'E~Pl<?Y:RS' LIABILITY _~:-- -- . i~ I EL EACH-ACCIDENT S
ANY PROPRIETOR/PARTNERJEXECUTIVE
OFFICER/MEMBER EXCLUDED? EL DISEASE. EA EMPLOYEE S
lfye$,dascribeunder
SPECIAL PROVISIONS below E_L- DISEASE - POLICY LIMIT S
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder is added as additional insured.
CERTIFICATE HOLDER CANCELLATION Ten Day Nollee for Non-Payment
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
Ashland Fiber Network City of Ashland NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO so SHALL
20 East Naub IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Ashland, OR 97520 REPRESENTATives,
AUTHORIZED REPRESENTATIVE ~ ~
ACORD 25 (2001108) 1 of 2 9735B1 @ ACORD CORPORATION 1988