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HomeMy WebLinkAboutInsurance Certificate: Pathway Enterprises (3) ..,~--;;y PRODUCER CERTIFICATE OF LIABILITY INSURANCE ~~~~~1 I DAT~~~7:7: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 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, In<;:".. 655 Washington St Ashland OR 97520 , 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. POLICY NUMBER .rffJ~r ~~~ ~~Hfl"EX~w.:.w. LIMITS lTR NSR TYPE OF INSURANCE DATE MMiDD DATE MMfDDfYYYY GENERAL LIABILITY EACH OCCURRENCE $1,000,000 - A X COMMERCIAL GENERAL LIABILITY PHPK565846 05/11/10 05/11/11 PREMISES(E~~~nce) $100,000 \ ClAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5000 - . PERSONAL & ADV INJURY $1,000,000 ~ Profess1onal Liab GENERAl AGGREGATE $ 3,000,000 ~~ AGG~nEUMIT APnS PER PRODUCTS - COMPIOP AGG $3,000,000 PRO- Emp Ben. 1000000 POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $1,000,000 A ~ ANY AUTO PHPK565846 05/11/10 05/11/11 (Eaaccidenl) - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - - HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) - PROPERTY DAMAGE $ (Peraccidenl) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ =i ,""Y AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESS f UMBRELLA L1ABIUTY EACH OCCURRENCE $3,000,000 A ~ OCCUR D CLAIMS MADE PHUB306719 05/11/10 05/11/11 AGGREGATE $ 3,000,000 $ ~ ~EDUCTIBLE $ X RETENTION 510,000 $ WORKERS COMPENSATION ITeR/LIMITS livER AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETORfPARTNERfEXECUTI"D El. EACH ACCIDENT $ OFF1CERfMEMBER EXCLUDED? (Mandatory In NH) EL DISEASE - EA EMPLOYE $ If yes, desaibe under SPECIAL PROVISIONS below El. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS \ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN City of Ashland Administrative Services Dept Attn: Bryn Morrison 20 E Main St shland OR 97520 ACORD 25 (2009/01) The ACORD name and logo are registered marks of ACORD