HomeMy WebLinkAboutInsurance Certificate: RW Hays Company
PRODUCER
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A CORD_.n;tfoHrltfl~^;;reiNe'il\^B:'.'\'ljII;;rvIil"'.iiM~"BI^ii!jjSiEII IIfI DATE IMMIDDIVYI
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: 05/16/11
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.
COMPANIES AFFORDING COVERAGE
COMPANY FEDERATED SERVICE INSURANCE COMPANY OR
A FEDERATED MUTUAL INSURANCE COMPANY
8-711
ELLIOTT POWELL BADEN
1521 SW SALMON STREET
PORTLAND OR 97205
INSURED
314-757-6
COMPANY
B
RW HAYS COMPANY
PO BOX 1220
MEDFORD OR 97501
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT 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 DOCUMENTWITH 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTIVE POUCY EXPIRATION UMITS
'T" DATE IMMIDDIYYJ DATE IMM/DDfYYJ
GENERAL UABIUTY GENERAL AGGREGATE , 2 000 000
COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG , 2 000 000
A CLAIMS MADE 00 OCCUR 9802189 07/01/11 07/01/12 PERSONAL & ADV INJURY , 1 000 000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE , 1 000 000
FIRE DAMAGE (Anyone fire) 100 000
MED EXP (Anyone person)
AUTOMOBILE UABIUTY
X COMBINED ~INGlE LIMIT. , 1,000,000 '
ANY AUTO .,
ALL OWNED AUTOS BODilY INJURY
A SCHEDULED AUTOS 9802189 07/01/11 07/01/12 (Pet person) .
X HIRED AUTOS ,,: ;-", . ..~: ....'1, :;'1':' '":;'c'_ -...~.,. :: J~..~
BQDIL Y INJURY. ,.
X NON-OWNED AUTOS (Peraccidentl ''c'
PROPERTY DAMAGE
GARAGE UABIUTY AUTO ONLY - EA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT .
AGGREGATE ,
EXCESS UABIUTY EACH OCCURRENCE .10000000
A X UMBRELLA FORM 9802190 07/01/11 07/01/12 AGGREGATE .10000000
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND I OTH-
EMPLOYERS' UABlUTY
EL I::ACH ACCIDENT
THE PROPRIETORI INCL I EL DISEASE- POLICY LIMIT
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/SPECIAL ITEMS
SEE ATTACHED PAGE
gifV RECORDER
CITY OF ASHLAND
90 NMOUNTAIN AVE
'ASHLAND OR 97520
101
., ':.'
:~.\'ExP,RATION DATE THEREOF, THE ISSUING COMPANY WilL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO '~~H~ ~iR.!~~A~~HO':DER..N~~ED_ TO. ~~~ ~~, _
BUT FAILURE TO MAIL SUCH NOTI~E SHAll IMPl?,SENO OBLIGATION OR-UABIUTY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE ~-.. .
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ACOljC2S:S .11/95ft
CERTIFICATE OF INSURANCE
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INSURED
314-757-6
.. ~
,
RW HAYS COMPANY
PO BOX 1220
MEDFORD OR 97501
-DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS .
CERTIFICATEHOLDER IS AN ADDITIONAL INSURED FOR
GENERAL LIABILITY.
CERTIFICATEHOLDER IS AN ADDITIONAL INSURED SUBJECT TO THE
CONDITIONS OF THE ADDITIONAL INSURED BY CONTRACT ENDORSEMENT
FOR BUSINESS AUTO LIABiLITY.
'THE CITY OF ASHLAND, OREGON AND ITS ELECTED OFFICIALS,
OFFICERS AND EMPLOYEES ARE INCLUDED AS RESPECT TO DELIVERY
OF FUEL. THIS INSURANCE IS PRIMARY AND NON-CONTRIBUTORY
SUBJECT TO POLICY TERMS, CONDITIONS AND EXCLUSIONS.'
CERTIFICATE HOLDER
CITY OF ASHLAND
90 N MOUNTAIN AVE
ASHLAND OR 97520
101