HomeMy WebLinkAboutInsurance Certificate: Planned Parenthood SW OR
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A;CORDf) CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDNYYY)
12121/2010
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: II the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsementtsl.
PRODUCER CONTACT
Marsh USA, Inc. NAME:
1166Avenue of the Americas I r,"~~N.t "'...\. j f~~ No\:
New York, NY 10036 E-MAIL
ADDRESS:
PRODUCER
INSURER/51 AFFORDING COVERAGE HAle.
INSURED INSURER A : Markel Insurance Company 38970
PLANNED PARENTHOOD OF SOUTHWESTERN INSURER 8 : N/A NIA
OREGON, AN AfFILIATE OF PLANNED PARENTHOOD
FEDERATION OF AMERICA, INC, INSURER C :
360 EAST 10TH AVENUE, SUITE 104 INSURER 0 :
EUGENE, OR 97405
INSURER E : .
INSURER F :
COVERAGES
CERTIFICATE NUMBER'
NYC-00497753IJ.OJ
REVISION NUMBER'
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO TO THE INSUREO NAMED ABOVE FOR THE POLICY PERIOO
INDICATEO. NOTWITHSTANOING ANY REQUIREMENT. TERM OR CONOITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN. THE INSURANCE AFFOROEO BY THE POLICIES OESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS ANO CONOITlONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REOUCEO BY PAlO CLAIMS.
INSR TYPE OF INSURANCE I~E!'~ I~~~ POLlCY EFF POLICY EXP LIMITS
LTR POLICY NUMBER MMlDDNYVY MMlDDNYYY
A ~NERAL LIABILITY 3C4OJ59 01101/2011 O1fD1f2012 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY ~~~~~9E~~~~ncel $ 100.000
I CLAIMS-MADE 0 OCCUR MED EXP (Anv one nArson) $ S,OOO
~ SIR $100,000 PERSONAL & ADV INJURY $ 1,000,000
- GENERAL AGGREGATE $ 2,000,000
~'L AGG~EnE LIMIT APMS PER: PRODUCTS - COMP/OP AGG $ 2,000,000
POLICY ~,EI,Q.; X LOC $
AUTOMOBILE LIABIlITY COMBINED SINGlE LIMIT $
- (Eaaccident)
- ANY AUTO BODILY INJURY (Per person) $
- AlL OWNED AUTOS BODILY INJURY (Per accident) $
- SCHEDULED AUTOS PROPERTY DAMAGE
HIRED AUTOS (Per accident) $
-
- NON-OWNED AUTOS $
$
- UMBRELLA L1AB H OCCUR EACH OCCURRENCE $
EXCESS LIAS CLAIMS-MADE AGGREGATE $
- DEDUCTIBLE $
RETENTION 50 ,
WORKERSCOMPEHSATION r:':(TI:~Di~ I 10JI;'-
AND EMPLOYERS' LIABIlITY VIN
ANY PROPRIETOAlPARTNERlEXECUTIVE D NIA E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYE $
~~~~gf~ir~ cr~PERATIONS below E.L DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
RE: SOCIAl SERVICE GRANT AWARD RELATED TO DISBURSEMENT OF GRANTS FOR FY 2010.11 WHICH Will OCCUR ON OR AFTER JULY 1, 2010
CITY OF ASHLANO OREGON, ITS OFFICERS, EMPLOYEES AND AGENTS ARE INCLUOEO AS ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CITY OF ASHLAND OREGON, ITS OFFICERS, THE EXPIRATION OATE THEREOF, NOnCE WILL BE DELIVERED IN
EMPLOYEES AND AGENTS ACCORDANCE WITH THE POLICY PROVISIONS.
ATTN: BRYN MORRISON
20 EAST MAIN STREET AUTHORIZED REPRESENTATIVE
ASHLAND. OR 97S20 of Marsh USA Inc.
, Christian Victorino ~-V~
ACORD 25 (2009109)
@1988-2009ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD