HomeMy WebLinkAboutInsurance Certificate: Rogue Iniative Vital Econ
MAY-28-2010 14:49 FRoM:ASHLAND INSURANCE 541 488 5851
TO: 5415522059
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P:1/3
ACORD' CERTIFICATE OF LIABILITY INSURANCE I DATe. (WNID1'fYVYI
~' 5/28/201.0
PROPUCF.A (541)482-0831 FAX. (541) 488-5851 TlfIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Ash1<<nc1 %nsuranae Znc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
585 A a~~eet Sui~e 1. ALTER THE COVERAGE AFFORDED BY TlfE POLICIES BELOW.
P. o. !lox 880
Ash1anc1 OR 97520 INSURERS AFFORDING COVERAGE NAlC#
INSURED tN9URER A: ANIRRG:
'.
~e Rogue Iniative'~or a Vital :a:conomy', DBA = INSURER e:
,
340 A Ser"e~ INSURER Cj.
Buiee 205 --
~~p;
AShland OR 97520 INSUREA:E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NO'lWlTHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY COfoll'RACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 88 ISSUED OR
MAY PE!RTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS Or- SUCH
I;;;;POl1CIES, AG<!.R8GATE LIMITS .SHOWN MAY HAVE BEEN ReDUCED BY PAID ~LAIMS,
II~f: N~~[ POUCVlfUWIER -'EFFEcTlVn. EXf'lRA m UMTS
_~I!.NF.:RAL LIADlL.TTY F,ACH OCCURRa.K:I? $
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..!.. C_~~ERCIAL GEN~L UABILIlY. ~..a.tes~.J:!t:Q.C;!'l..L.... ~
A X I CUll"'" MAOF. [iJ OCCUR 789" G/1/2010 G/1/201:1 ..'1"1'lO<P (A", 00. """"", $
f'ER50N^1.." ArN INJulty G
~~~AGCREGl\n; J
PRODUCTS. COMP/oP AGO $,
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__ ANYAllTO
_ ALL OWNf;;D AUT0;5
_ f1CHEOULED AUTOS
._ HIREOAUTOS
_ ~t4-0WNEO AUTOS
COMalNEO SINGLE LIMIT
(ED ttc:z:ldnnl)
-.
aOOILY INJURY
(Psr pe"or1)
aoPll.Y INJURY
(Poraccldert)
OAAACG UA.BILJrY
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PEXCE!SS , UMaRF.LLA IJABILrrY
OCCUR 0 CLAIMS Mt\DE
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AND 5MPLOYEPS' Ltl\B[ury Y I N
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antl!!l
PRoP[RTY twMGE
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~.UTO ONLY. Gh AC!=.lDENT
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DEScRIPTION OF Of'ERAllOHSJ LOCATIONS JVE!H1CLSSJ EXCLUSJoNS ADDED BY ENDO~Q.taNT JSPECIAL PROVIGIONS
Cere1t1cate hcld.~ ia addielona~ inau~od WhAn regu!~.4 by writeen oontract o~ ag~eBment AD ~~~pect8 liability a~~~~ng
from op~ration. of insured on their behalf. Oove~ago is subject to the poltcy t.~; aond~~1onp and exclusions.
CERTlFICATEHOLPER
(541)552-2059
Ciey of Ashland, Its office~s and employe
I!'inance Dept
20 Bas~ Main lie.
Ashl~d, OR 97520
CANCELLA110N
SHOULD ANYOFTHl!!AAOVE D~saull~ POUCIM; BECANCa.\..'I;O BEFORDTtmSCfllRA'nON
DATE THERIZOF. THe ISSlnNG INSURF.R WIl.L ENPeAVOR TO MAIL ~ nAYS WRITTEN
H011CE! TO T11'1; CEfmACATli HOI.DFJl HAMEiDTO ~ I...EFT, BUT FAlWRE! TO DO 80 SHALL
M'Osa NO ODuCATION OR LiABILItY OP A1fY K1NP UPON THD INSURF.R, rrn AGENTS OR
REPRE9ENTA'fI'IES.
AVT'HO Jm'ATIVE
ACORP 25(2009/01)
INS025 (2OO!lOl)
. <i;'11\188-2DD9 . CO
Ths ACORD nams snd logo are roglslsred maries of ACO!ID
MAY-28-2010 14:50 FRDM:A5HLAND INSURANCE 541 488 ~851
TO: 5415522059
P:3/3
r;;, Ania1tCe",
l j Nonprofits
LJ '''!~~~.!~!Je.;
ALLIANCE OF NONPROFITS FOR INSURANCE
RISK RETENTION GROUP
P,O. Box 8546, Santa Cruz, CA 95061
P: (800) 359-6422
F: (831) 459-0853
II COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS
PRODUCER:
Ashland Insurance. Inc.
P.O. Box 880
Ashland. OR 97520
NAME OF INSURED AND MAILING ADDRESS:
Rogue Initiative for a Vital ECDnomy (The) (THRIVE)
340 A Street. Suite 205
Ashlend. OR 97520
POLICY NUMBER: 2010-27698
POLICY PERIOD: FROM 06/0112010 TO 06/0112011
AT 12:01 A,M. STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE
BUSINESS DESCRIPTION: Supports local farms and other food related businesses
IN RETURN FOR THE PAYMENT OF THE PREMIUM. AND SUBJECT TO ALL THE TERMS OF THIS
. POLICY, WI:: AGREE WITH YOU TO PROVIDE THE COYERAGE AS STATED IN THIS POLICY.
LIMITS OF COVERAGE:
GENERAL AGGREGATE LIMIT (OTHER THAN PRODUCTS - COMPLETED OPERATIONS)
PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMIT ............................
PERSONAL AND ADVERTISING INJURY LIMIT .......................................,...........
EACH OCCURRENCE LIMIT .......,....,.........,......,...........,................,.......................
DAMAGE TO PREMISES RENTED TO YOU ....,...................................................'
MEDICAL EXPENSE LIMIT ......................,..,.,............ ,......, ... ..............., ......., ,..........
ADDITIONAL COVERAGES:
$1,000,000
$1,000,000
$1,000,000
$1,000,000
$500,000 Any on" p...ml..
20.0'00 any ona p...on
SOCIAL SERVICE PROFESSIONAL LIABILITY
EXCLUDED.
CLASSIFICATION(S)
SEE ATTACHED SUPPLEMENTAL DECLARATIONS SCHEDULE G
PREMIUM
$700
I'ORMS AND ENDORSEMI!NTS AFPLICABLE TO THIS POUcY ARE INCLUDED IN COMMERCIAL LINES COMMMON POLICY DECLARATIONS
05128/2010
BY
~~A!2.
(AUTHORIZED REPRESENTATIVE)
THP..8e DECLARATlOf.IS J\lIIO THE COMMON POLtcY PECLARAll0NS,IF APPLJOAaU. TOGaTH~R WITH ntE COMMON POucy CONomONS, COVERAGIa FORM(8)
AND FOP;MS AND ENDORSEMENTS, If ANY, ISSUED TO FOR... ^ PARTTHgR20F, COMPLETE niE ABOVE NUM.aR~p POLJCY.
'"NOTICE: This Policy 15 11ISued by your risk retention group. Your risk retention group may not be subject to BII
the Insurance laws and regulBlIons of your Stete. State Insurance Insolvency guarenly funds are not available for
your risk retentIon group. ~
ANI - RRG . GI. (02753)