HomeMy WebLinkAboutInsurance Certificate: Access Inc
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ACORD. CERTIFICA TE OF LIABILITY INSURANCE I DATE (MMIDDIYYYY)
40,.....--. 6/29/2010
PRODUCER (541) 772 1111 FAX: (541)772-3785 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Beecher carlson :Insurance Agency LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
707 _:<phy Ild ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
.
Medford OR 97504 INSURERS AFFORDING COVERAGE NAlC#
INSURED INSURER A Philadelphia Indemni ty Ins CO 18056
Access Ine; Conifer Gardens Ltd Partnership; INSURER B
Access Development Co.r:poratioD INSURER c:
3630 Aviation way INSURER D"
Medforc1 I OR 97504 INSURER E
COVERAGES
THE POLICIES OF INSURANCE lISTEO BELOW HAVE BEEN ISSUEO TO TH E INSUREO NAMED ABOVE FOR THE POLICY PERIOO INDICATED. NOTWn-HSTANDING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Wn-H RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFSUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iNSR~ ~oon" POLICY tLlMBER C~~~~:ri~~ ~~~C;Mlfl,b~ LIMITS
.hI!!.
~NI;~L LIABILlTV EACH OCCUPRENCE . 1 000 000
X CQMMERCLAJ... GENERAL LIPBILlTY I ~~~~~~ YE~~~~~ence\ I 100 000
A I CLAIMS MADE [X] OCCUR PHPK589693 7/1/2010 7/1/2011 M ED EXP (An y one person) I 5 000
PERSONAL & PDV INJJRY I 1 000 000
GENERAL AGGREGATE I 2 000 000
~'~AGG~EnE LIMIT APFilSIPER PRODUCTS - COMP/O? AGG I 2 000 000
POLICY PJW-i X LOC
~OMOBILE LIABILITY COMBINED SINGLE LIMIT I 1,000,000
~ ANY AUTO (Eaaccident)
A - ALL OVvNED AUTOS PHPK589693 7/1/2010 7/1/2011 BODILY IN.uRY
(Per person) I
- SCHEDULED AUTOS
- HIRED AUTOS BODILY IN.uRY
I
NON-O\^.NED AUTOS (Peracddent)
-
PROPERTY DAMAGE ,
(Peracddenl)
~~GE UABILlTY AUTO ONLY - EA ACCIDENT I
ANY AUTO OTHER THAN EA ACe I
AUTO QNL Y /'bG I
~~SS I UMBRELLA L.IABILITY EACH OCCURRENCE I 5 000,000
X OCCUR D CLAIMS MADE AGGREGATE $ 5 000 000
.
A ~ ~EDUCTIBLE PHUB312649 7/1/2010 7/1/2011 $
X RETENTION . - 10,000 - - - -- .
WORKERS COMPENSATION I. v..c STATU- I IOTH-
AND ~M~LOY~ftS' L1Al5lLlT'r' V/N
ANY PROPRIETORIPARTNERIEXEOJTIVE D EL EACH ACCDENT I
OFFICER/MEMBER EXClUDED?
(Mandatory in NH) EL DISEASE - EA EMPLOYE I
lI~s,describeunder
SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT I
A OTHERCommeroial Property PHPK589693 7/1/2010 7/1/2011 Blanket Buildings $1.3,985,489
Blanket BPP $795,850
"1 000
DESCFllPTlON OF OPERA. TlONe: I L.OCATlONe: I VEHICL.ES I EXCL.UC10NS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate holder is an additional insured as respects General Liability as requi red by wri tten contract. This form
is subject to policy terms, conditions and exclusions.
CERTIFICATE HOLDER
CANCELLATION
SHOLLD ANY OFTHE ABOVE DESCRIBED POLICIES BECANCELLED BEFORE THE EXPIRATION
City of Ashland DATE THEREOF, THE ISSUING INSURER WlL.L. ENDEAVOR TO MAIL ~ DAYS wmTEN
its officers, emp10yees & agents NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
Attn: Kristen Bakke
20 E Main street IMPOSE NO OBLIGATION OR LIABlLllY OF ANY KINO UPON THE INSURER, ITS AGENTS OR
Ashland, OR 97520 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~.Jz.LC1\. ~
Sandy OrrlSANDOR
ACORD 25 (2009/01)
INS025 (200901)
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