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HomeMy WebLinkAboutInsurance Certificate: Pathway Enterprises (2) .-----, .. "~RD 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 ~ .. -- -- - - - . -