HomeMy WebLinkAboutAshland Gun Club (3)ACORD . CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
Carpenter Insurance Service,
134 Holiday Court
Suite #300
Annapolis, ~D 21401__
INSURED
Ashland Gun Club
c/o Beverly Gettling,
P.O. Box 953
Ashland, OR 97520
COVERAGES
Treasurer
DATE
07/14/03
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
~NSURERA: Northland Insurance Companies
INSURER B:
INSURER C:
INSURER D:
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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.
LNTS~ POLICY EFFECTIVE POLICY EXPIRATION
NSR TYPE OF INSURANCE POLICY NUMBER DATE {MM/DDP(Y) DATE {M M/DD/~YI LIMITS
A GENERAL LIABILITY NC 018136 09/05/03 09/05/04 EACH OCCURRENCE $ 2
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 1 0 0
~ CLAIMS MADE [~ OCCUR MED EXP IAny one perso[~)E 1,00(
X Shootinq Club PER$ONAL&ADVINJURY E 2, 000, 00(
SCGL GENERALAGGREGATE E 2,000zOO(
GEN'L AGGREOATE LIMIT APPLIES PER: PRODUCTS COMP/OPAGG EIn_cl
in
PO L, CY 77 LOC
AU~TOMOBILE LIABILITY COMBINEG SINGLE LIMIT
ANY AUTO lea accident)
__ ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS IODILY INJURY
-- NON_OWNED AUTOS Per accident)
__ PROPERTY DAMAGE $
IPer accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
WOR"ERS OOMPENSATIOR A"O ITORY"MITSI I%"
Additional Insured: City of Ashland
Broad form
CERTIFICATE HOLDER I I ADDITIONAL INSURED: INSURER LETTER: -- CANCELLATION
City of Ashland
20 E. Main Street
Ashland, OR 97520
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~L~ DAYS WRITTEN
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 ~NSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Carpenter Insurance Service. Inc.
~ ACORD CORPORATION 1988
ACORD 25-S (7/97)