HomeMy WebLinkAboutInsurance Certificate: Harrang Long Gary Rudnick PC
~" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMJDDIYYYY)
03/25/2010
PRODUCER 541. 484.6624 FAX 541.686.2726 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Pacific Benefit Consultants, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
450 Country Club Road #330 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Eugene, OR 97401
INSURERS AFFORDING COVERAGE NAIC#
INSURED Harrang Long Gary Rudnick PC INSURER A: American States
360 E 10th Ave Suite 300 INSURER S" American States 19704
PO Box 11620 INSURER c:
Eugene, OR 97440 INSURER 0:
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 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 DO' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY 02CEl928523 04/14/2010 04/14/2011 EACH OCCURRENCE $ 1,000,000
~
X COMMERCiAl GENERAL LIABILITY DAMAGE TO RENTED $ 200,000
I CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ 10 ,000
A PERSONAl & ADV INJURY $ Excl udec
- GENERAL AGGREGATE $ 2,000,000
- 2,OOO,OO(
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/QP AGG $
I rnPRO- n
POLICY JEer lOC
~TOMOBILE LIABILITY 02CEl928523 04/14/2010 04/14/2011 COMBINED SINGLE LIMIT
(Eaaccident) $ 1,000,000
ANY AUTO
-
ALL OWNED AUTOS BODILY INJURY
- '. $
SCHEDULED AUTOS (Per person)
A X
HIRED AUTOS BODlL Y INJURY
X (Peraccidenl) $
-"- NON-OWNED AUTOS
- PROPERTY DAMAGE $
(Per accident)
~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESs/UMBRELLA LIABILITY 01SU40251320 04/14/2009 04/14/2010 EACH OCCURRENCE $ 2,OOO,OO~
~ OCCUR D CLAIMS MADE AGGREGATE $
B 000000 $ 2,OOO,OO~
~ DEDUCTIBLE $
X RETENTION $ 10,OO( $
WORKERS COMPENSATION AND I T,;>;g,JT:)JN" I I OJ~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? l --, ~---~- ~-- - ~I E.L DISEASE - EA EMPLOYEE $
If yes describe under ",\ l'::'~ ". , ,~_ II ':,II!e:; ~\.
SPECIAL PROVISIONS below' i I :,,'-:; \\ ,-" i' ~ -, II \ E.L DISEASE -POLICY LIMIT ,
OTHER ,LJ} i - II )'
"
lint APil 1 3 2010 II I'
II
DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
C I L:::/ 1
I
*Except for 10 days notice of cancellation for non-payment.
CA C
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Ashland
Attn: lee Tuneberg
20 East Main Street
Ashland, OR 97520
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
*30 DAYS WRITTEN NOTICE TO THE CERTIACATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NonCE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
b~e~ "b-tl ~ t:
Diane Dra t/WSC
ACORD 25 (2001/08)
@ACORDCORPORATION1988