HomeMy WebLinkAboutInsurance Certificate: Civil Air Patrol
~
ACORD" CERTIFICA TE OF LIABILITY INSURANCE I DATE (MMlDDfYVYYI
~ 9/27/2010
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 arid conditions of the policy I 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 ~2=~~CT Laura Stowers
Ir^~9N~, . (314)523 UAX .----
ARM Financial Group, LLC .<J<U~___ BBOO ___'__ AIC NOI~14145~.::-_~.:.~__,_
11975 Westline Industrial Dr E-MAIL 1 t @ hmf' . 1
ADDRESS: sowers a J.na~C:=J.a group. com --.----.-
1~~~~~~~~JD".00009706. .______
Saint Louis MO 63146 ---- 'N5URE~t5) AFFORD'NG COVERAGE .-------k __ NA'C!_
-----
INSURED ~l,!RER~_:Char~~r Qak F~E....e Ins C~._._____.___5615___
INSURER B ;Travelers Indemni ty Co of CT !
Civil Air. Patrol INSURER C ; . J -~==
-
B1dg 714, Maxwell Air Force Base , I
-- - _.~---.. ~"-'-.- - .IN.~l}R.ERp_: _h_ _ ,,_.'"""u'____,_, ......-. -. . .~ . -.-...".- -
Montgomery AL 36112-6332 ~l,!~ERE.:._~_ _______~. u____...____ - ._--"" --
INSURER F ;
COVERAGES
CERTIFICATE NUMBER;10/11
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 POUCIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~~: TYPE OF INSU~ANCE --- l~~~.}~~ .-
GENERAL liABILITY I !
-I '
COMMERCIAL GENERAL LIABILITY I
IE~ CLA'MSMA:E~.J_~~C_~:__ :
I-J ___. ___ .. ____.___.____n _,
! GEN'L AGGREGATE LIMIT APPLIES PER
r--! POLICY 1- -; ~~9-' l- LaC
I AUTOMOBilE LIABILITY
i X -I ANY AUTO
A ["--I ALL OWNED AUTOS
Ii SCHEDULED AUTOS
A [X:J HIRED AUTOS
rx ! NON.OWNED AUTOS
B ----I
POLICY NUMBER
POLlCY~POlICY exp---r------~-~--- -- -
IIMM/DDffYYY MM/ODffYYYI i LIMITS
~~.H OCCl}RREN.~.~__.J.!__ ___ __
I DAMAGE TO RENTED :
.PREMISES {Ea_!,.~currencel.~ ._ _____ ._
: MEO ~XP (An~_?ne personl---t-s _.__
i PER~~~~_!-.~V INJU.R_~_$. _~
l~_~_~G.~REG~T_~__~:..$___..
, ,
! PRODl!.CTS - fl?MP/OP ~~.~_L$ ___
I
I
~al0750K8i47COFlO
I' COMBINED SINGLE LIMIT
(Ea8cOdenl) ;$
,-.-----.----.---- -
~BO~~_ ~~JUR_: (Per pel~~ ! .$_.
1.000,000:
- .-- --
i
~A7 50K876010CAG
BOOIL Y INJURY (Per aCCIdent) $
i-PROPERTY OAMAGE'-
!(Petacc,aent)
unoe"nsureomotOrlSI
1,000,000
P810750K8759INDIO
BaSIC PIP
:_ _.J UMBRELLA LIAS
i EXCESS lIAB
;----.1..-----
._~ ;-OEDUC,'Bl'E
OCCUf::
~!:.~M~:...~~'p.E '
__~./lo~q~CU~.~ENCE
.! -..
,_.~_G~!,~!-!_~.._, .____ ____ $
_i_...
...:}
i RETENTION $
: WORI<ERS COMPENSATION
; AND EMPLOYERS' LIABILITY V I N
'I ANY PROPRIETOR/PARTNER/EXECUTIVE 0
OFFICER/MEMBER EXCLUDED? I Ill' A
IIMandatory In NHI
Uyes.aescnbeunaer
I DESCRIPTION or OPERATIONS oelo....
WC STATU- OTH-
_n ....l'ORY----Ll.M!T.S__ .----.fA n_
__i.l.. E~CH ~.~.f!.I?EN2- _. I _..
__~ L _~~E~~~ EA_~~PLq::-XE. $
E L QISEASE. POLICY LIMIT 1
DeSCRIPTION OF OPERATIONS I LOCATIONS I VE~ICLES (Attach ACORD 101, AddjtjOnill;~e~a,~, SChedule,l1 mort spilce is required)
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2010
CERTIFICATE HOLDER
CANCELLA TION
..- ..-. -.- -~. ,'n ....-... --.. .~
i..._.__... ..____..___.."............__......._.._ ...._.. I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
'-' THE EXPIRA liON DATE THEREOF, NOTICE Will BE DELIVERED IN
C1ty of Ashland ACCORDANCE WITH THE POLICY PROVISIONS.
Finance Dept.
City Hall AUTHORIZED REPRESENTATIVE
Ashland, OR 97520
John Anderson/CARRIE 9~- -~-':---'- -J
ACORD 25 (2009/091
INS025 (200909)
@ 1988.2009 ACORD CORPORA TION, All rights reserved,
The ACORD name and IOQo are reaistered marks of ACORn