HomeMy WebLinkAboutInsurance Certificate: Wilson Heirgood Associates
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ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDNYYY)
~ 6/29/2010
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER ~~=~~CT Laesa Martindale
Wilson-Heirgood Associates ~~~N~_c_" (800)852-6140 I r~ No: (541)342-3786
2930 Chad Drive ~t'D~~SS: lmartindale@whainsurance.com
PO Box 1421 PROOUCE~ ,... ..0000 6532
Eunene OR 97440-1421 INSURER/SI AFFORDING COVERAGE NAIC#
INSURED INSURERA:SAIF COrDoration
INSURER B:
WHA Insurance Agency roc, INSURER C :
DBA: Wilson-Heirgood Associates INSURER D :
PO Box 1421 INSURER E :
Eugene OR 97440 INSURER F :
COVERAGES
CERTIFICATE NUMBER,10/11 WC
REVISION NUMBER'
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE 1~.,oDL I~~~~ I ,&~'5gu.tt.. POLICY EXP
LTR POLICY NUMBER MMIDDNYYY LIMITS
~NERAL LIABILITY EACH OCCURRENCE .
COMMERCIAL GENERAL LIABILITY ~~~~~J9E~~E~nre .
I CLAIMS-MADE 0 OCCUR MED EXP (Anyone person) .
I-- PERSONAL & ADV INJURY .
I-- GENERAL AGGREGATE .
n'l AGG:En LIMIT APnS PER: PRODUCTS.COM~OPAGG .
POLICY ~~R.; lOC .
~TOMOBILE LIABIlITY COMBINED SINGLE LIMIT .
(Eaaccident)
I-- MY AUTO BODILY INJURY (Per person) .
I-- ALL OWNED AUTOS BODILY INJURY (Per accident) .
I-- SCHEDULED AUTOS PROPERTY DAMAGE
HIRED AUTOS (Per accident) .
I--
I-- NON-OWNED AUTOS .
.
I-- UMBRELLA LIAS HOCCUR EACH OCCURRENCE .
EXCESS lIAB CLAIMS-:MAOE AGGREGATE - .
I-- DEDUCTIBLE .
RETENTION . .
A WORKERS COMPENSATION X I T"X~~TfH,~;.1 IO,!,tI-
AND EMPLOYERS' LIABILITY VIN
ANY PROPRIETOR/PARTNER/EXECUTIVE 0 E.L. EACH ACCIDENT . 500 000
OFFICER/MEMBER EXCLUDED? NI' /1/2010 /1/2011
(Mandatory In NH) 15291 E.L. DISEASE - EA EMPLOYE . 500 000
g~~~~~fro~ 'brw~PERATIONS below E.L. DISEASE - POLICY LIMIT . 500 000
DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarfl:s Schedule,lf more space Is requIred)
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCelLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS.
Kari Olson , Purchasing Representative
90 N. Mountain Ave AUTHORIZED REPRESENTATIVE
Ashland, OR 97520
Leesa Martindale/LJM ~=--./ /7?~do...tiZ,
ACORD 25 (2009/09)
INS025 (200909)
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