HomeMy WebLinkAboutInsurance Certificate: Bob Harshman Transport
Corrunercial Certificate of Insurance
.. FARMERS:
Agency
Name
&
Address
St. 73
Insured
Name
&
Address
i t! -. - ~ "
Issue Date (MM~~~ '104i07/20:IO
This certificate is issued as a matter of information only ~d confers no rights
upon the certificate holder. Thls'cehiflcatFdo"',,ot amend. extend or alter the-
coverage afforded hy the policies shown below.
,.' Thomas Stanaland Ins A
;:,. .722 CARDLEY AVE.
. . Medford, OR 97504
t, ''54'1-779:5364 .
,.
Companies Providing Coverage:
Company A Truck Insurance Exchange
Letter
Company B Farmers Insurance Exchange
Letter
Comp,ny C Mid-Century Insurance Company
Letter
Compmy D
Letter
Type of Insurance
Policy Effective
Date (MMlDDIYY)
Policy Expiration
Date (MMlDDIYY)
1 i~:'
Dist. 01
Agent 307
Coverages
This is to certify that the policies of insurance listed helow have been issued to the insured named above for the policy period indicated. Notwithstanding
any requirement, term or condition <?f 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. Limits shown may have been reduced by
paid claims.
Co.
Ltr.
- L
A
. BRUCE HARSHMAN
. BOB HARSHMAN TRANSPORT & EXt
. 1254 DIXIE LN
. MEDFORD, OR 97501
Policy Number
" .
General liability
Commercial General
Liability
"') ,..' - .
- Occurrencc'yersi9!1 ~ '.
/......1, ,I.. -",
Contractual'- Incidental -'1':'
Only .' ",-.-.. - - ,-, "
. .. I,.
Owners & Contractors Proto'
General Aggregate ..
Products-Comr/OPS .
Aggregate ,,',,' -
-- - ---
Personal &
.; . Mverti!ing Injury".5' $
Each Occurrence- $
Fire Damage
(Anyone fuel
Medical Expense
(Anyone person)
Combined Single
Limit
Policy Limits
$
$1 -
$
$
$ 1,000,000
$
$
$ ] ,000,000
I
$
Description of Operations/Vehicles/Restrictions/Special items:
VehicIe(s): 1987 PETERBIL T CONvENTION IXPCDB9X5HD213624; 1989 WESCO TRUCK & T I WRFH3280KW893618; 2000
KENWORTH CONSTRUCT I NKWLUOX3YR846 I I7
Endorsement - (IF APPLICABLE: WILL BE DELIVERED WITH POLICY).
,..
." ....
,~-.'-:. ..
....._u I
IC
Automobile Liability
All Owned Commercial
Autos
Scheduled Autos
Hired Autos
Non-Owned Autos
Garage Liability .
Bodily Injury
(Per person)
Bodily Injury
(Peracddent)
Property Damage
Garage Aggregate
604700405
12/05/2009
12/05/2010
Umbrella Liability
Workers' Compensation
and
Employers' Liability
Limit
Statutory
Each Accident $
Disease. Each Employee $
Disease - Policy Limit $
Certificate Holder
Name
&
Address
56-2492 4-94
Cancellation
Should any of the above described policies be cancelled before the expiration date
thereof. the issuing company will endeavor to mail 30 days written notice to the
certificate holder named to the left. but failure to mail such notice shall impose no
obligation r 'ability of any kind upon the company. its agents or representatives.
CITY OF ASHLAND
90 N MOUNTAIN ST
ASHLAND OR 97520
Authorized Representative
Copy Distribution: Service Center Copy and Agent's Copy
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