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HomeMy WebLinkAboutInsurance Certificate: Pathway Enterprises (4) "-' ~.. CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDIYYYY) ~R OPID 4M I 05/04/10 PATHW-1 PRODUCER i-" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION .. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Western States Ins. - Medford HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 38 N. Central Ave Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Medford OR 97501 Phone: 541-779-1321 Fax:541-779-9187 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Philadelnhia Ins CO INSURER B: Pathway Enterprises, Inc. INSURER c: 655 Washington St INSURER 0: Ashland OR 97520 I INSURER E: COVERAGES THE POliCIES OF INSURANCE liSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT'NITHSTANDlNG 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 R.EDUCED BY PAlO CLAIMS. LTR NSR TYPE OF INSURANCE POLlCY NUMBER ~ ~'?~~c~~~~ LIMITS DATE MMlDD DATE MMfDD GENERAL LIABILITY EACH OCCURRENCE $1,000,000 - 05/11/10 05/11/11 A X X COMMERCIAL GENERAL LIABILITY PHPK565846 PREMISES TEa OCClJrence) $ 100,000 I CLAIMS MADE [!] OCCUR MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $1,000,000 X Professional Liab GENERAL AGGREGATE $3 000,000 GEN'LAGGREGATE LIMIT APf~!~tLPER: PRODUCTS - COMP/OP AGG $ 3,000,000 II ,nPRO' Emn Ben. 1000000 POLICY JECT LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,900,000 A X ~ ANY AUTO PHPK565846 05/11/10 05/11/11 (Ea accident) , - ALL OWNED AUTOS BODILY INJURY (Per person) $ - SCHEDULED AUTOS HIRED AUTOS BODILY INJURY - $ NON-DWNED AUTOS (Per accident) - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ==1 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $3,000,000 A X ~ OCCUR D CLAIMS MADE PHUB306719 05/11/10 05/11/11 AGGREGATE $3,000,000 $ ~ ~EDUCTIBLE $ X RETENTION $10 000 $ WORKERS COMPENSATION I TB'~/ ~1~:-flS I IU~;;- AND EMPLOYERS' LIABILITY YIN ANY PROPRlETORlPARTNERlEXECUT1VD E.l. EACH ACCIDENT $ OFFICER/MEMBER E.XCLUDED? (Mandatory in NH) E.l. DISEASE - EA EMPLOYE $ If yes, desaibe under E.l. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHiCLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECiAL PROVISIONS Certificate holder is additional insured. CITV RECORDER CERTIFICATE HOLDER CANCELLATION Ci ty of Ashland Attn: Kari Olson 90 N Mountain hland OR 97520 ACORD 25 (2009/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICiES BE CANCELLED BEFORE THE EXPIRATlO DATE THEREOF, THE iSSUING iNSURER WILL ENDEAVOR TO MAlL ~ DAYS WRITTEN NOTICE TO THE CERTlACATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAtL iMPOSE NO OBLIGATION OR lIABILITY OF ANY KIND UPON THE iNSURER. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD