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