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Home My WebLink AboutInsurance Certificate: Lithia Artisans Mkt 10:0& 541747&&40 POWELL INS PAGE 01 QI."l"epllllrO'n'YYJ 0812712010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CE1mFlc;ATE DOES NOT AFflRMATM!L'I' OR NtOAlN1tLY AlIENO. EXTENO OR ALTER THE COVERAGE AFFORDED BY THE POUClES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONS'IITIl'n A CONTRACT BETWEEN THE ISSUING INSURERCS/, AUTHORIZEO REPRESENTATIVE OR PRODUCE... AND THE C&tmFICATE HOLDER. ~RTANT: 11_ _ _.. on ADDmotlAllNSURED, _ poIlcy(loo'maat be .ndonod. If SUBROGATION IS WAlIIED, ._ to IIlo t.rn. .Ad COftdIIkma; of the DOlley. certain poIkMs IIIQ' JWqulnll an endotaemDftt. A etalDmont on Iftlll cetIIftce:tD don not confet rtghta to the 4)...lIftt4:.tt botdIr......... of euch e:ndor~.q.J. PIOllllUCIlR POWEll INSURANCE ASSOCIATES INC PO BOX P SPRINGFIELD OR 974n CERTIFICATE OF LIABILITY INSURANCE KE U POWEll ,501,747-6840 flllllll.lREfte: lN~p: 1NfIUfII!A1!: 1NSlIA!R' : COVERAGES ceRTlF1CATE NUMEIl!R: ReVISION NUMBER; THIS IS TO CERTIFY THAT TtlE POliCIES Or- I"'SU~E LIS'TeD BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR. THE POLICY PERla!) rNDICATED. NOTWTHSTANDING N4Y REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 01l1ER DOCUMENT WITH RESPECT TO V\1-tICH THIS CERTIFICATE MAY BE ISSUED OR MAY IJoERTAJN. THE 'ftSUAANCe: AFFORDED BY THE POUCIES DESCRIBED HEREIN 19 SUBJEC" TO AlL Tl1E TER.MS, EXCLUSJQNS ANn CONDmONS OF SUCH POUCtES. UMfT9 SHO\llrtll MAY HAVE BEEN R:EOUCEO 8Y PAID CLAJMS. ll1l1/A ARTISANS MARKET INC INCLUDING VENDORS PO BOX 31185 ASHlAND OR 97520 -- -aMlJIAQ _ A, FIRST NATIONI\lINS CO OF AMERICA IIdUR!R 8 : owe. - A QIJdRAL l.JMIUTY X COMMERCIAl. GENERAl. UASUTV Ct.AI~ [8] OCCUR 0'.(;H,933884-3 [XI 1'YPEOF......,..JrK::e >><< AUTO ,4.ll OWNED AlITOS 8CMEDULE.oAVT06 H1REDAlnOS N<JN.O'NNED AlJTO& II UMBREU.A UAB EllCaOUAB DeOOCTI8l.E RETENTION WClfblaUI COIIPENM l1DN _.......,...",. UAIllUlY IIMVPAO~~ '/l1li r- OFRC~l!JItC\.UtlE01 0 M'A I ~-:"..=::'::l.. 0CC1JR c.......~'\DEII 'I DI!BCRl:P11ON OF~noNS/LOCAnDNal~ ~AQORD .ot,AddldolW~ ......,,_ap_..........,) CITY OF ASHlANO AS AN IIDDmONAL INSURED PER FORMa CG 7635 (020n ATTACHED CERTIFICATE IIOlDER CANCEUAl10M CITY OF ASHLAHD 20 E MI\lN ASHLAND OR 97520 FAX' 541-4611-6311 lIHCAA.D ANY (>>: 1'MI: AIIDVI!! ~~o POUCIEI RE CANCmJ.l:O ~ nI! ~l1ON DAlI TMUI!OF. NCma! Wl..l. R lIBJWEIWJ ., ".......--.~ 'M1'N nI!! """""_. AUTMQRIlED AEPAE8ENTAnYE ACORD 2'1_1 KEllI S POWELL C.98 ,2OOIl ACORO CORPORA lION, All rtghW ....",od. TlIe ACORD name.1Id logo.... ....,_ ....... of ACORD 08/27/2010 10:06 5417476640 POWELL INS PAGE 02 ,....--.. Saff&co Insurance COMMERCIAL GENERAL LIABILITY co 76 35 02 07 .. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CA~EFULL Y. LIABILITY PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABIUTY COVERAGE PART SCHEDULE Nllme 01 Person or OrganlzaUon: t ADDITIONAL CONTRACT, SCHEDULE INSURED BY.. WRITTEN AGREEMENT OR PERMIT, OR lease or occupy, subject to the following additional provisions: (a) This insurance does not apply to any .occurrence" which takes place after you cease to be a tenant in any premises leased to or rented to you; (b) This insurance does not apply to any structural alterations, new Con- struction or demolition operations performed by or on behalf of the person or organizetion added as an insured; (2) Your ongoing operations for that in- sured, whether the work is performed by you or for you; (3) The maintenance, operation or use by you of equipment leased to you by such person or organization, subject to the following additional provisions: (a) This insurance does not apply to any .occurrence" which takes place after the equipment lease e)(Jlires; The following paragraph is added to WHO IS AN INSURED (Section II): 4. Any person or organization shown in the Sched- ule. or for whom you are required by written con- tract, agreement or permit to provide insurance is an insured, subject to the following additional provisions: a. The contract, agreement or permit must be in effect during the policy period shown in the DeClarations, and must have been axe- cuted prior to the "bodily injury". "property damage", or .personal and advertising injury" . b. The person or organization added as an in- sured by this endorsement is an insured only to the extent you are held liable due to: (1) The ownership, maintenance or use 01 that part 01 premises you own, rent, -. Includes Copyrighted Material of Insurance Services Office, Inc., with Its permission. Copyright, Insurance Services, 2001 co 76 35 02 07 Safece and Ih. Sldeco I~O are regll'l~,.td ,r.dllfJl.,k. olli81flCO Corporallon Page 1 014 EP C.AG..22.pftINTml..a1t.V>.MI, _M 08/27/2010 10:06 5417476640 .~. (b) This insurance-does not apply to "bodily injury" or "property dam- age" arising out of the sole negli- gence of such person or organization; (4) Permits issued by any state or political subdivision with respect. to operations performed by you or on your behalf, subJect to the following additional pro- vision: This Insurance does not apply to "bodily injury". "property damage", or .personal and advertising injury" arising out of operations performed for the state or municipality. c. The insurance with respect to any architect, engineer, or surveyor added as an insured by this endorsement does not apply to "bodily injury", "property damage", or "per- sonal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, includ- ing: (1) The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change or- ders, designs or specifications; and (2) Supervisory, inspection or engineering services. d. This insurance does not apply to "bOdily Injury" or "property damage" included w~hin the "products-completed opemtions haz- ard", A person's or organization's status as an insured un- der this endorsement ends when your operations for that insured are completed. No coverage. will be provided if, in the absence of this endorsement, no liability would be imposed by law on you. Coverage shall be limited to the extent of your negligence or lault according to. the applicable princi- ples of comparative fault, NON-OWNED WATERCRAFT AND NON-OWNED AIRCRAFT LIABILITY EKclusion g. of COVEI;lAGE A (Section I) is replaced by the following: g, "Bodily injUry" or "property damage" arising out 01 the ownership, meJntenance, use or entrustment to others of any aircraft, "auto' or watercraft owned or operated by or rented or loaned to any insured. Use includes. oper- ation and .Ioading or unloading", POWELL INS PAGE 03 This exclusion applies even if the "'aims against any insured allege negligence or other wrongdoing In the supervision, hiring, employment, ireining or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury. or "property damage" involved the ownership, mainte- nance, use or entrustment to others of any aircraft, .auto" or watercraft that Is owned or operated by or rented or loaned to any in- sured, This exclusior. does not apply to: (1) A watercraft while ashore on premises you own or rent; (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge; (3) Parking an "auto" on, or on the ways next to, premises you own or rent, pro- vided the "auto. is not owned by or rented or loaned to you or the insured; (4) Uability assumed under any "insured contract" for the ownership, mainte- nance or use of aircraft or watercraft; or (5) "Bodily injury" or "property damage" arising out of: (a) the operation of machinery or equipment that is aUached to, or part of, a land vehicle that would qualify under the definition of "mobile equipment" if it were not subject to a compulSOry or linancial responsibility law or other motor ve- hicle insurance law in the state where it is licensed or principally garaged; or (b) the operation of any of the machin- ery or equipment listed in Paragraph f.(2) or f.(3) of the definition of "mobile equipment", (6) An aircraft you do not own provided it is not operated by any insured. . .. TENANTS' PROPERTY DAMAGE LIABILITY When a Damage To Premises Rented To You Umil is shown in the Declarations, EKclusion J. 01 Coverage A, Section I is replaced by the following: J. Damage To Property "Property damage" to: -. (1) Property you own, rent, or occupy, including any costs or expenses incurred by you, or Page2014 c..Af'..n-PAIIfTm1~~7_N