HomeMy WebLinkAboutInsurance Certificate: Pathway Enterprises (2)
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PRODUCER
CERTIFICATE OF LIABILITY INSURANCE O:A\F~~l I DAT~~~MI::';:)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Western States Ins. - Medford
38 N. Central Ave Suite 100
Medford OR 97501
Phone: 541-779-1321 Fax:541-779-9187
INSURED
INSURERS AFFORDING COVERAGE
INSURER A: Philadelphia Ins
INSURER B:
INSURER c:
INSURER 0:
INSURER E:
NAIC#
Co
Pathway Enterprises, Inc.
655 Washington St
Ashland OR 97520
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 CONOlTlON 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.
LTR NSR TYPE OF INSURANCE POLICY NUMBER IDATElMWDDIYYVY DATE IMMlDDIYYYY) LIMITS
~NERAL LIABILITY EACH OCCURRENCE $1,000,000
A X X COMMERCIAL GENERAL LIABILITY PHPK565846 05/11/10 05/11/11 PREMISES (Ea occurence) $100,000
_I CLAIMS MADE [!] OCCUR MED EXP (Any one person) $ 5000
- $1,000,000
PERSONAL & ADV INJURY
X Professional Liab GENERAL AGGREGATE $ 3,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $3,000,000
IlnPRo. n, Emp Ben. 1000000
POLICY JECT LOC
AUTOMOBILE LIABILrrY COMBINED SINGLE LIMIT $ 1,000,000
-
A X .!.. ANY AUTO PHPK565846 05/11/10 05/11/11 (Eaaccidenl)
,
- ALL OWNED AUTOS BODilY INJURY
(PerpersOl1) $
SCHEDULED AUTOS
-
- HIRED AUTOS BODilY INJURY
(Per accident} $
- NON-OWNED AUTOS
PROPERTY DAMAGE $
(Per accident)
-=rGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
5~SS I UMBRELLA LIABILITY EACH OCCURRENCE $3,000,000
A X X OCCUR D CLAIMS MADE PHUB306719 05/11/10 05/11/11 AGGREGATE $3,000,000
$
~ ~EDUCTIBLE $
X RETENTION 010 000 $
WORKERS COMPENSATION ITOR/LIMITS I IVE'-
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORlPARTNERlEXECUTI"D E.l. EACH ACCIDENT $
OFFICERlMEMBER EY.CLUDED?
(Mandatory In NH) E.l. DISEASE - EA EMPLOYE $
If yes, describe under E.l. DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder is additional insured.
CERTIFICATE HOLDER
CANCELLATION
City of Ashland
Attn: Kari Olson
90 N Mountain
shland OR 97520
ACORD 25 (2009/01)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL
IMPOSE NO OBLlGATlON OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
The ACORD name and logo are registered marks of ACORD
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