HomeMy WebLinkAboutInsurance Certificate: Karin Onkka
CiTY RECORDER
CYfl'p-k0
c;J~~~,,/
ALLSTATE llENHOWER SERVICE CENTER
PO BOX 660349
VALLl/S.TX 75266-0349
c::--c...."^-~-- ~.I~~.{?
CLL/do~i:'-J
(f?--fJ1Jo 0 -r ()
1"1111'111'1'1'111,11,1111111111111'1"11'1111'1,111111111"1111
CITY OF ASHLAND OR
340 S PIONEER ST
ASHLAND OR 97520-2729
Date: 02/03/11
CERTIFICATE OF INSUUANCE
ALLSTATE INSURANCE COMPANY
Northbrook,IIlinois, certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER
KARINONKKA 08785155403/10
125 WIMER ST
ASHLANU OR 97520-1647
EFFECTIVE DATE
OF CERTIFICATE
MARCH 10,2011
POLICY PERJOD
MARCH 10,2011
SEPTEMBER 10, 2011
Al 12:01 A.M.
StLlld.ardTame
The person or organization designated below is described in the policy as:
CITY OF ASHLAND OR @ LIENHOLDER
340 S PIONEER ST (Lo"" Payahl, Clause)
ASHLAND OR 97520-2729 X ADDITIONAL
INTERESTED PARTY
AGENT ROBERT N BUCKMISTER
PHONE (541)488-2516
Coverages designated below are afforded for each described vehicle:
BI $100,000 EAPERS.- $300,000 EAOCC. 1997 IMPRr,zA
PD $50,000 EAOCC. JFIGF4855VG813245
Collision- OED. Comprehensive-No Comprehensive Coverage
See reverse side for provisions concerning Loss Payable Clause and Additional Interested Party.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage
afforded by the policy referred to above.
Dl696
"11~1~]i~i~fili~~ ~fl~'m~ ~ ~Im ~Im~ ~~ I~I ~I~ ~U~ ~i ~~ ~~ I~~~I ~~
The Loss Payable Clause of such policy provides:
"The company reserves the right to cancel such policy at any time as provided by its terms, but in such
case the company sh~1I notify the Lienholder when not less than ten days thereafter such cancellation shall
be effective as to the interest of said Lienholder then;in and the company shall have the right, on like
notice, to cancel this agre~menl. ~'
The Additional Interest Endorsement of snch policy, in part, provides:
"...such insurance as is afforded by the policy" for automobile liability insurance listed on the reverse side
hereof applies also to the person or organization named as Additional Interested Party.
"As respects such...interest, no can~ellation...and no endorsement...adversely affecting such additional
interest, shall be effective until ten (10) days following the mailing ofwriuen notice (to the person or
organization) of such cancellation or endorsement..."
S883862479S1P