HomeMy WebLinkAboutInsurance Certificate: Pape Machinery (2)
AWRtl CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODIYVYY)
~ 12/10/2009
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 I INSURERS AFFORDING COVERAGE
Alln: Liz Whiting (503)-248-1204
900810-0 1-CAS-09-1 0 PM NAIC#
INSURED INSURER A: Zurich American Insurance Co 16535
PAPE' MACHINERY, INC.
clo THE PAPE' GROUP, INC. INSURER B:
PO BOX 407 INSURER c:
EUGENE, OR 97440
INSURER D:
INSURER E:
'.-
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA TED.
NOlWlTHSTANDING 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 ADD'L; TYPE OF INSURANCE I POLICY NUMBER I POllCVEFFECTIVE I POtlCY EXPIRATION I LIMITS
IlTRllNSRq DATE (MMIODIVYVYl DATE (MMlDDIYYYY)
GENERAL LIABILITY EACH OCCURRENCE ,$ 1 000"000
~ g~~~~~~:~Nc~7~ncel 100,000
A X I COMMERCIAL GENERAL LIABILITY GLO 378485704 12101/2009 1210112010 $
I CLAIMS MADE [K] OCCUR MED EXP (Any one perron) $ 5,000
)L WASTOE.GAE' PERSONAL & ADV INJURY $ 1,000,000
~. LIMIT $l,OQO,OPO GENERAl AGGREGATE $ 5,000,000
GENERJ\l AGGREGATE LIMIT APPLIES PER; PRODUCTS - COMPIOP AGO $ 2,000,000
Xl POLICY n PRO- n LOci
JECT
AUTOMOBilE LIABILITY COMBINED SINGLE LIMIT
X ANY AUTO $ 2,000,000
A BAP 3784856-04 1 2101/2009 12101/2010 lEa accident)
- All OWNED AUTOS BODILY INJURY $
-
SCHEDULED AUTOS (per person)
X HIRED AUTOS BODILY INJURY $
-
~ NQN-OWNED AUTOS (per accident}
PROPERTY DAMAGE
- (Peraccid~nt) $
RRAGE LIABILITY AUTO ONL y-- EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: $
AGG
B- ,".~".._," EACH OCCURRENCE $
OCCUR 0 CLAIMS MADE AGGREGATE $
$
DEDUCTIBLE $
RETENTION S .
WORKERS COMPENSATION AND WWCSTATU- ~TH-
EMPLOYERS. LIABILITY TORY_LIMITS ER_
ANY PROPRIETORlPARTNERlEXECUTIVE Y I N E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? D E.L. DISEASE. EA EMPLOYE $
IM,'lndatory inNH) tfyes, describe under ~.L. DISEASE - POLICY LIMIT 1$
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATlONSILOCATIONSNEHIClESIEXCLUSIONS 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.
CERTIFICATE HOLDER
SEA-001523266-23
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF ASHLAND EXPIRATION DATE THEREOf, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
20 EAST MAIN STREET ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
ASHLAND, OR 97520 BUT FAILURE TO DO SO SHALL IMPOSE NO OBlIGATlON OR LIABILITY OF ANY KIND .
UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
Agll~,~~~EB~irl~l~~ENT ATIVE ~~ 4.WhiAAr
Elizabeth A. Whiling
ACORD 25 (2009/01)
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