HomeMy WebLinkAboutInsurance Certificate: Pape' Machinery
?""'\ DATE (MMfDDfYYYY)
ACORd CERTIFICATE OF LIABILITY INSURANCE
~ OS/26/2010
PRODUCER THIS CERTIFICA nON IS ISSUED AS A MA ITER OF INFORMATION
MARSH USA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
111 SW. COLUMBIA HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
FIFTH FLOOR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PORTLAND, OR 97201
90081 0-05-CAS-1 0-11 PM INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: National Union Fire Ins Co Pittsburgh PA 19445
PAPE' MACHINERY, INC.
C/O THE PAPE' GROUP INSURER B: N/A N/A
PO BOX 407 INSURER c: N/A
EUGENE, OR 97440 N/A
INSURER 0:
INSURER E:
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 POLlCJES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS.
NS' ADO' TYPE OF INSURANCE POLlCYEFFECTIVE POllCYEXPlRATION
Lm INS"R[] POLICY NUMBER DATE lMMlDDlYYYYl DATE (MMlDDIYYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE 1 000 000
- ~~:~~Jg:~~c~~~nce\ 100,000
A ~ COMMERCIAL GENERAL LIABILITY GL 4309787 04/30/2010 03/01/2011 $
- .=J CLAIMS MADE [K] OCCUR MED EXP (Any one person) $ 25,000
x... INr.I r.nNTRAr.IIIAI liAR PERSONAL & AJ:)V INJURY $ 1,000,000
~ POLICY AGG. $10 OOO..Q..OQ.. GENERAl AGGREGATE $ 2,000,000
GENERAl AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGe $ 2,000,000
h - POLICY n j:g: fXl LOC
A AUTOMOBILE LIABILITY CA 3482083 04/30/2010 03/0112011 COMBINED SINGLE LIMIT
I- $ 1,000,000
~ ANY AUTO (Eaaccidenl)
I- ALL OWNED AUTOS BODtL Y INJURY $
SCHEDULED AUTOS (per person)
1-
~ HIRED AUTOS BODILY INJURY $
~ NON-QWNED AUTOS (Per accident)
PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO I:~ ~~ (f-:; f -- ---- OTHER THAN EAACC $
'n~7~ ~ AUTO ONL V: $
AGG
[JESS I UMBRELLA LIABilITY U - - - .. - II $
EACH OCCURRENCE
OCCUR D CLAIMS MADE I AGGREGATE $
JUN 2 2010 lW $
I=l DEDUCTIBLE $
RETENTION $
WORKERS COMPENSATION AND I W1C STATU- I 10TH,
EMPLOYERS' LIABILITY DRY liMITe:: I=R
ANY PROPRIETORlPARTNERlEXECUTIVE Y IN .L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? D .L. DISEASE. EA EMPLOYE $
~'j;EnglA'Lp~no~7~ib~eih~f~ibe under .L. DISEASE. POLICY LIMIT $
OTHER
DESCRIPTION OF OPERATIONSIlOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
RE: THE CITY OF ASHLAND, OREGON, AND ITS ELECTED OFFICIALS, OFFICERS AND EMPLOYEES ARE INCLUDED AS ADDITIONAL INSUREDS
WHEN REQUIRED BY WRITTEN AGREEMENT OR CONTRACT AS RESPECTS TO OPERATIONS OF THE NAMED INSURED.
CERTIFICATE HOLDER
SEA-001523266-25
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF ASHLAND EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
20 EAST MAIN STREET ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE lEFT,
ASHLAND, OR 97520 BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR liABILITY OF ANY KIND
UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
A~l~~~~mli"I~~ENTATIVE ~~ IUlJl1iMr
Elizabeth A. Whiting
ACORD 25 (2009/01)
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