HomeMy WebLinkAboutInsurance Certificate: JM Northwest
~
DICKWRE-01
SHPRIDDLE
ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDOfYYYYj
~ 10/21/2010
I PRODUCER License # 0015602 (916) 789-1523 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
WorldClass Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
2351 Sunset Blvd. #170-560 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Rocklin, CA 95765 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A Plaza Insurance Company ~0945
J.M. Northwest, Inc INSURER B:
dba Dick's Wrecker Service
P.O. Box 1025 INSURER c:
Medford, OR 97501 INSURER 0:
INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ~~~~ TYps:: .O.ElNS.UllaNr-E POLICY NUMBER ~2iJc~~~~gf?t~~~\ ri~~~rM'if,~~ LIMITS
J,LR.
~NERAL L1ABIL.ITY EACH OCCURRENCE $ 1,000,000
A X X COMMERCIAl GENERAL LIABILITY PTOWKOO0816-01 11/1/2010 11/1/2011 PREMISES E~=~nce\ $ 100,000
I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ 5,000
PERSONAl & ADV INJURY $ 1,000,000
f-- 3,OOO,OOC
GENERAl AGGREGATE $
f-- 3,000,000
M'l AGG~EnE LIMIT APnS PER: PRODUCTS - COMP/OP AGG .
X POLICY ~~RT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
A X ANY AUTO PTOWKOO0816-01 11/1/2010 11/1/2011 (Eaaccident)
f-
ex All OWNED AUTOS BODilY INJURY
$
SCHEDULED AUTOS (Per person)
ex HIRED AUTOS BODilY INJURY
'X $
NON-OWNED AUTOS . (p~raccidenl). . , . - .
- I~. '
'-' ':' '. ._.v. --.: :." , ' . PROPERTY DAMAGE .' " .
f-- (Peraccid!;nt) . $
- , .
R~GE UABIUTY . '. ) AUTO' ONLY ~ EA ACCIDENT $
ANY AUTO OTHER THAN EAACC $
i AUTO ONLY: AGG $
pESS I UMBRELLA UABIUTY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION I T':X~,mI,~~ I IOJ~-
AND EMPLOYERS' UABIUTY Y,N
ANY PROPRIETQRlPARTNERlEXECUTIVE 0 E.l. EACH ACCIDENT $
OFFICERIMEMBER EXCLUDED?
(Mandatol)l in NH) E.L. DISEASE. EA EMPLOYEE $
~~E(:~pA~~s~ONS below E.l. DISEASE - POLICY LIMIT $
OTHER
A On Hook I Cargo PTOWKOO0816-01 11/1/2010 11/1/2011 $75,000 - $250,000 Oed 1,0~0
DESCRIPTION OF OPERATIONS J LOCATIONS J VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT I SPECIAL PROVISIONS
GARAGEKEEPERS LEGAL L1AaILlTY: 4048 CRATER LAKE AVE., MEDFORD, OR 97501 & 160 LOWE RD.. ASHLAND, OR 97520: $200.000 LESS
$500/$2,SOO OED
"THE CITY OF ASHLAND, ITS OFFICERS, EMPLOYEES AND AGENTS SHALL aE NAMED AS ADDITIONAL INSURED"
CERTIFICATE HOLDER
CANCELLATION
. "
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF~ THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ OAYSWRfTTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
-,4
City of Ashland
99 N Mountain Ave
Ashland OR 97520
ACORD 25 (2009/01)
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