HomeMy WebLinkAboutInsurance Certificate: Valley Cab & Limousine
ACORD" CERTIFICATE OF LIABILITY INSURANCE r DATE (MMlDDIYYYY)
\0.-.,.--- 03/30/11
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Tower Risk Management Corp ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
500 West Cypress Creek Road, #500 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Fort Lauderdale, FL 33309 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Phone: (800) 417-4577 Fax: (954) 489-9389
INSURERS AFFORDING COY"_~RAGE.... ........._ NAIC#
INSURED INSURER A- Preserver Ins,r...no",CO[l;Ii1i.nyil i::.U 15588
VALLEY CAB & LIMOUSINE
INSURER B:
1236 DISK DR. STE H INSURER c.
MEDFORD OR 97501 INSURER 0: Af'~ 1 '1. 20'11
, INSURER e-
COVERAGES -~.J.. .t. ^_L...I__....l
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR T Y RIlRI ...{fltPM)'r-MTHSTAN DING
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 CO'L POLlCY EFFECTIVE POLICY EXPIRATION
POLICY NUMBER LIMITS
~NERAL LIABILITY EACH OCCURRENCE I.
COMMERCIAL GENERAL LIABILITY !;~~~~~J9,,~~E~ -, $
I CLAIMS MADE o OCCUR MED EXP (Anyone person) $
f- PERSONAL & ADV INJURY .
f-- GENERAL AGGREGATE $
nLAGG~En ~IMIT APn PER: PRODUCTS - COMPIOP AGG $
POLICY PRO- LOC
~OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
r- ANY AUTO (Eaaccldent)
'x ALL OVvNED AUTOS BODlL Y INJURY
(Per person) $
A r'-'- SCHEDULED AUTOS BAPBZ0099411 3/26/2011 3/26/2012
f-- HIRED AUTOS BODILY INJURY
$
NON-QVvNEO AUTOS (Per accident)
-
- o Deductible PROPERTY DAMAGE
X (Per accident) $
~RAOE LIABILITY AUTO ONLY - EA ACCIDENT .
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG .
~ESS I UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR 0 CLAIMS MADE AGGREGATE $
$
=i.~EDUCTlBLE $
.RETf.NTI0N $ $
WORKERS COMPENSATION VVC STATU- I IOTH-
AND EMPLOYERS' LIABILITY V'N
ANY PROPRIETORlPARTNERlEXECUTIVE 0 E.L EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) EL DISEASE - EA EMPLOYEE $
If yes, descnbeunder
SPECIAL PROVISIONS below EL DISEASE - POLICY LIMIT $
OTHER
A Uninsured Motorist BAPBZ0099411 3/28/2011 3/26/2012 25,000/50,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEO ey ENDORSEMENT I SPECIAL PROVISIONS
~
CERTIFICATE HOLDER***SEE ATTACHED VEHICLE L1ST***
CITY OF ASHLAND PUBLIC WORKS DEPT
20 E. MAIN ST.
ASHLAND OR 97520-
Certificate Holder
ACORD 25 (2009/01)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10' DAYS WRITTEN NOTICE TO
THE CERTIFICA TE HOLDER 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 REPRESENTATNE
@ 1988-2009 AC
The ACORD name and logo are registered marks of ACORD
.._, ., ..~ " " . .... ~.;''' \' '. ': ~ ' .
03/30/201115,09
Vehicle List
Page 1 of1
Policy: BAPBZ0099411
VALLEY CAB & LIMOUSINE
Revision Effective Date:
Effective:
03/26/2011 00:01
03/26/2011 00:01
Company Book Class Price
Veh# Veh # Year Make Model Type Vln# Territory Code Per Unit Status
1 2003 FORD CROWN VIC TAXI 2FAFP71W33X154831 104 4169 $2,927.00 Add
2 2 1997 FORD CROWN VIC TAXI 2F ALP71 W6VX143506 104 4169 $2,927.00 Add
3 3 1998 DODGE CARAVAN TAXI 1 84GP45R 3W87 4 7031 104 4169 $2,927.00 Add
Total # of Vehicles: 3
37033210