HomeMy WebLinkAboutInsurance Certificate: Ashland Housing Opp
ACORD CERTIFICATE OF LIABILITY INSURANCE / DATE (MMJDDNYVY)
TM. 03130/2010
PRODUCER Phone: 503-365-7001 Fax: 503-365-7354 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MID, VALLEY GENERAL AGENCY LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4305 RIVER ROAO N - , -- ~~;.?;R. THIS CERTlFICA TE DOE~ ~~T AMEND, EU~~? ,?.,R
KEIZER OR 97303
i ! l !~'..'":~ '-~ ":~a' ...to:: , L._
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. , ., INSURERS AFFORDING COVERAGE::..,';';'"!" NAIC#
I i t ~',CHl,,:;::.,1.{: ....;., ,... ..1".",.1,
, , , . -'__~_'.n____ -, ,.. ---- ...
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INSUREO.-.-.J .. ",~"','...; :;l.:.'J~ , , INSURER A: SCOTTSDALE INSURANCE COMPANY I'}
,
ASHLAND HOUSING OPPORTUNIllES, INC. , INSURER B: ... "'..,,
, ~-. ----. . . ., ,
1215 SW "G~' ST. .. , ;:. :.::c.,(.~:J~;.., ,
GRANTS PASS OR 97S26 , I INSURER C: ,..... "
INSURER D: .. -.'-'" ..~ . ,
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 'MTH 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 SHOVoN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD'\.
LTR lNSR
GENERAL UABIUTY
~ COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE 0 OCCUR
CPS1.159952
~i~~~~~~~~ ~~i; ~~70~~N LIMITS
03131/10 03131/11 EACH OCCURRENCE $ 1,000,000
CWAA.GE TO RENTED , 100,000
PREMISES (EI oocuflllCel
MED. EXP (Anyone person) , 5,000
PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE , 1,000,000
PRODUCTS.COMPIOP AGG, , 1,000,000
.
TYPE OF INSURANCE
POLlCY NUMBER
A
I-
,
~'l AGGREGATE LIMIT APPLIES PER:
h .POlICY h j:g-i n lOC
,:: ....::,~~M~BILE lIABIUTY
" ",\;' '. ANYAUTO_~'...,,'...:.i~~,.....ld,;, "..:;'
:1~2 ;t::EP-
_. _All OWNED AUTOS
'- ...
_ SCHEDULED AUTOS
HIRED AUTOS
-
"'=
-"
,.,
,c: ...
COMBINED SINGLE LIMIT .
(Eaaccident). __
, !
i~r~~~~~;';
,
~~'~'~:/.~~ ~~~-:::2 'rp~f~~~0~~:~~::: ~-_-__~~ ~_'- ,
,
.-
! .""'qL'.~\:: "~::.r
,. ., , ,: l.- ~ BODilY .INJURY , '"
" J (Per aCCIdent)
PROPERTY DAMAGE ,
{Per accident)
AUTO ONLY - EA ACCIDENT ,
OTHER THAN EA ACC ,
AUTO ONLY: AGG ,
EACH OCCURRENCE ,
AGGREGATE ,
,
,
,
I ~R~Td~YTs I laTHER
E.L EACH ACCIDENT ,
E.L OISEASE.EA EMPLOYEE ,
E.L. DISEASE-POLICY LIMIT ,
NON..QWNED AUTOS
GARAGE UABlUTY
=1 ANY AUTO
hE~S' UMBRELLA LIABILITY
f----J OCCUR D CLAIMS MADE
~ DEDUCTIBLE
i RETENTION $
WORKERS COMPENSA liON AND
EMPLOYERS' LIABILITY
ANY PROPRlETORIPARTPreRlEXECUTIVl:
OFFICERlMEMBeR EXCLUDeD?
Ifyel,d"crlbeund..
SPEClALPROVlSlONSbllow
OTHER:
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADOED BY ENDORSEMENTI SPECIAL PROVISIONS
1971 SISKIYOU BLVD, ASHLAND, OR 97520
CERTIFICATE HOLDER
CANCELLATION
CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WLL ENDEAVOR TO MAIL 10 DAYS
20 EAST MAIN STREET WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT. BUT FAILURE TO
ASHLAND, OREGON 97520 00 SO SHAll IMPOSE NO OBUGA TlON OR LIABILITY OF ANY KIND UPON THE INSURER, IT'S
AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
MID VALLEY GENERAL AGENCY ~ ,t!'. Un."
LLe .4-c,
Attention: ROBERT D NELSON Herman R Deiss
ACORD 25 (2001/08)
Certificate #
44147
@ACORD CORPORATION 1988