HomeMy WebLinkAboutInsurance Certificate: OnTrack Inc (2)
~
ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DOfYYYY)
~ 4/30/2010
PRODUCER (541) 687-2211 FAX: (541) 344-5894 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Smith & Crakes Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMENO, EXTENO OR
POBox 489 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
I INSURERS AFFORDING COVERAGE ,
Eugene OR 97440 ! NAIC #
INSURED INSURER A: Great American Insurance Camp I
OnTrack Inc INSURER B: SAIF Corporation I
221 W Main INSURER c: I
INSURER 0: I
Medford I OR 97501 INSURER E: i
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.
Il~~: '~~~.~~ ~.. I POLICY NUMBER I ~2}J~Y EFFECTIVE I POLICY EXPIRATION! LIMITS
I GENERAL LIABILITY I I .) 5/1/2D11 L EA.CHOCCU_RRENCE _~_ _~, 000, 000
IX; COrERCIAL GENERAL LIABILITY I L DAMAGE TO RENTED I
~REIIr1!SESJEa_OCcUl!ef1ce)--t-;-- 100,000
A X) I CLAIMS MADE W OCCURPAC6536160 5/1/2D10 I MEDEXP(~yoneperson)_.~_.2.' 000
~ Professional Liab I PERSONAL & ADV INJURY 1$ 1,000, 000
I GENERAL AGGREGATE I. 3,000,000
I ~'L AGGREGATE LIMIT APPLIES PER'I I PRODUCTS - COMP/OP AGG ! $ 3,DOD,DDD
X ' POLICY n ~~,9,: n LOC I I
~.""..,. I I COMBINED SINGLE LIMIT I.
I (Eaaccidenl) l,DDO,DDD
ANY AUTO I
A X L.!. ALL OWNED AUTOS CAP537426740 5/1/2D1D 5/1/2D11 I BODIL~- T----
SCHEDULED AUTOS (Per person)
-. .-+----- ---
~ HIRED AUTOS BODILY INJURY I.
X NON-oWNED AUTOS (Peraccidenl) L----
--
PROPERTY DAMAGE I.
(Per accident) I
I RAGE LIABILITY AUTO ONLY - EA ACCIDENT I $
I ANY AUTO OTHER THAN EAACC j $ ---
AUTO ONLY: ~"$""---'
~ESS I UMBRELLA LIABILITY I EACH OCCURRENCE I.
fl- n~,".-, AGGREGATE I.
I I.
DEDUCTIBLE i.
I RETENTION $ 1 I I.
B ' WORKERS COMPENSATION I I I ~ WC STATU- L1TH-\
AND EMPLOYERS' LIABILITY Y I N TORY_LIMITS I ER~~~____
ANY PROPRIETOR/PARTNER/EXECUTIVE D EL. EACH ACCtDENT 1$- 500, 000
OFFICER/MEMBER EXCLUDED?
(MandatorylnNH) 451050 7/1/2DD9 7/1/2D1D EL. DISEASE - EA EMPLOYEE $ 500 , 000
IfrS, describe under I EL. DISEASE - POLICY LIMIT I $ 5DD DDD
S ECIAL PROVISIONS below
I OTHER
I
DESCRIPTION OF OPERATIONS I LOCATIONS /VEHlCLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVlSIONS
As respects all operations of the insured in accordance with policy terms and conditions. The City of Ashland, its
officers, and employees are Additional Insureds
CERTIFICATE HOLDER
CANCELLATION
(541)652-2059 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
City of Ashland DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRlnEN
FINANCE DEPARTMENT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
20 East Main Street
Ashland, OR 97520 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~.......,..J>-4 H.~",~....(
R Crawford, CPCU/DL
ACORD 25 (2009/01)
INS025 12(0901)
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