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HomeMy WebLinkAboutInsurance Certificate: Pape Machinery saiFcorporation 400 High Street SE Salem. OR 97312-1000 Toll Free 1-800-285-8525 OREGON WORKERS COMPENSATION CERTIFICATE OF INSURANCE MAIL TO: CERTIFICATE HOLDER: CITY OF ASHLAND 20 EAST MAIN STREET ASHLAND, OR 97520 CITY OF ASHLAND 20 EAST MAIN STREET ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded by the policy described herein is subject to all the terms exclusions and conditions of such nolicv. POLICY NO. 938352 INSURED: PAPE' MACHINERY INC PO BOX 407 EUGENE, OR 97440 POLICY PERIOD ISSUE DATE 01/01/2010 to01/01/2011 01/06/2010 BROKER OF RECORD: LIMITS OF LIABILITY Bodily Injury by Accident $1,000,000 each accident Bodily Injury by Disease $1,000,000 each employee Bodily Injury by Disease $1,000,000 policy limit DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS: IMPORTANT: The coverage described above is in effect as of the issue date of this certificate. It is subject to change at any time in the future. This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. CANCELLATION: Should any of the above described policies be canceled before the expiration date thereof, the issuing company will mail 30 days' written notice to the above named certificate holder. AUTHORIZED REPRESENTATIVE DANHUM ~r?}>- J~I~~i~. :__~ .-J<( -" f1 Vi so: I