HomeMy WebLinkAboutInsurance Certificate: Pathway Enterprises (3)
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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)
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