HomeMy WebLinkAboutInsurance Certificate: Valley Cab & Limo
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ACORi:/' . I DATE (MMIDDfYYYY)
CERTIFICATE OF LIABILITY INSURANCE 04/05/10
1....---' .... "," ;
PRODUCER , . . THIS CERTIFICATE IS ISSUED AS A MAITER OF INFORMATION
, .' rr... :_1/": ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE - . '--- -- -.
VENTURE SPECIALTY INSURANCE. LLC ! HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. 8oxi8026,. .. ,. j ALTER THE COVERAGE AFFORDED. BY THE POLICIES 8ELOW.
.... RICHMOND VA '23226 "
, '-'."~---:-~--' ....-. ."--.-.-- -~_. -- - ' ~I'._~ "r L..' .~. .. .~ . , , . ';" .'J ~IL."
- I INSURERS'AFFORDINGCOVERAGE-- '_'_ NAIC#
.-- -
INSURED INSURER A: Preserver Insurance Company 15586
VALLEY CAB & LIMOUSINE
INSURER B:
P.O. BOX 1012 INSURER c:
ROGUE RIVER OR 97537 INSURER 0:
I INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAN DING
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 PAlO CLAIMS,
INSR DO' TVD=. POLICY NUMBER I !:PTLJ~Y EFFECTIVE POLICY EXPIRATION LIMITS
~NERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE 0 OCCUR
-
-,-
~'L AGGRE~E LIMIT AP~S PER
I J,'tJ' ,-"~"~ LPOuc~,1 I ~~R.: I I LOC
$
$
$
$
$
PRODUCTS - COMPIOP AGG $
EACH OCCURRENCE
~~~~~E TO RENTED n ,,\
MED EXP (Anv one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
.. ..;
A
~ SCHEDUCED'AUTOS.~~~::- ...- ..
~ HIRED AUTOS
_ NON-QWNED AUTOS
o Deductible
'BAPDF0092110..-._. . '__
i"t,
r' COMBINED SINGLE LIMIT $ 1,000,000
1 ':;:~~):;:;tF;~"'1 ~';~~~;'!~;'i-:~:'(~~;~:( _,{~aaC,Cjdentl. . ". ;-~~:.'t~:';~' -;-j~: r ,_
:'.' ...~.-..~" ~-:...,,;,:..,:,;~_ BODllYINJURyi!"::IJ!; fXI-s)r1I',..
,3/26/20,10_. .'.~ j~~' 3/2_6/.2~1'j, >:."~~: ,(Perpersonj ,:'~:~ ~ ':t~;~: ,._-' - ',_
BODllY.INJURY. -. '---r:' $ ,. __u_
(PeraCC?dent) ,
: '0' E ~TgMpBILE LIABILITY
n" '1"- 'ANY AUTO
'. .. ~: ,._. _c\l~',ar,~"
,;....'{,' ,;" All OWNED AUTOS
i':>-rrc
X
PROPERTY DAMAGE
(Per accident)
$
-~~r~,GE LIABILITY
I ANY AUTO
AUTO ONLY - EA ACCIDENT
~ESS 1 UMBRELLA UABIUTY
-------.J OCCUR 0 CLAIMS MADE
I DEDUCTIBLE
I ~ETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' L1ABIL.ITY Y I N
ANY PROPRIETOR/PARTNER/EXECUTlV~
OFFICER/MEMBER EXCLUDED? L..J
(Mandatory In NH)
~~~I~r~~J:~~6~s below
OTHER
A Uninsured Motorist BAPDF0092110
EACH OCCURRENCE
$
EA ACC $
$
$
$
$
$
$
AGG
OTHER THAN
AUTO ONLY:
AGGREGATE
I T"X~~TAT~;" I IOTH-
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
E.L. DISEASE - POLICY LIMIT $
3/26/2010
3/26/2011
25.000/50.000
DESCRIPTION OF OPERATIONS 1 L.OCATIONS I VEHICL.ES I EXCL.USIONS ADDED BY ENDORSEMENT I SPECIAL. PROVISIONS
CERTIFICATE HOLDER"'SEE ATTACHED VEHICLE LIST'"
CITY OF ASHLAND PUBLIC WORKS DEPT
20 E MAIN STREET
Ashland OR 97520.
Certificate Holder
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10. DAYS WRITTEN NOTICE
TO THE CERTIFICATE HOLDER TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER. ITS AGENTS OR
REPRESENTATIVES.
AUTItORIZED REPRESENTATIVE
ACORD 25 (2009/01)
@ 1988-2009 ACORD
The ACORD name and logo are registered marks of ACORD
--
All rights reserved.
04105/2010 17:09
Vehicle List
Page 1 of 1
Policy: BA'PDl'0092110
VALLEY CAB & LIMOUSINE
Revision Effective Date:
Effective:
03/26/201000:01
03/26/201000:01
Company Book Class Price
Veh# Veh # Year Make Model Type Vin# Territory Code Per Unit Status
1 2003 FORD CROWN VIC TAXI 2F AFP71 W33X154831 104 4169 $2.977.00 Add
2 2 1993 BUICK REGAL TAXI 2G4WB54T6P1447657 104 4169 $2,977.00 Add
3 3 1997 FORD CROWN VIC TAXI 2FALP71W6VX143506 104 4169 $2,977.00 Add
Total # of Vehicles: 3
42463207