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HomeMy WebLinkAboutInsurance Certificate: WHA Ins dba Wilson-Heirgood CERTIFICATE OF LIABILITY INSURANCE 6121120 1 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: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)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 endorsement(s). PRODUCER CONTACT Leesa Martindale NAME: _ FM Wilson—Heirgood Associates 0)852-6140 INC 0.(541)3 2930 Chad Drive PO . matindale @whainsurance.com 42-3786 PQ Box 1421 INSURERS AFFORDING COVERAGE NAIC0 Eugene OR 97440-1421 INSURERA:SAIF Corporation INSURED INSURER B: WHA Insurance Agency Inc, INSURER C: DBA: Wilson-Heirgood Associates INSURER D: PQ BOX 1421 INSURERE: Eugene OR 97440 INSURERF: COVERAGES CERTIFICATE NUMBER:11/12 WC REVISION NUMBER: 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 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR rypE OF ADDL USR POLICY EFF POLICY UP LTR POLICY NUMBER IMWDDNYYYI (MMIDDNYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY AMAGE T PREMISE Eao aln ce $ CLAIMS-MADE F-I OCCUR MED EXP(Any one Person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ IFQT POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acadent ANY AUTO BODILY INJURY(Par person) $ ALL OWNED F I SCHEDULED BODILY INJURY(Per E AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE E HIRED AUTOS AUTOS Poracca0enl UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LU1B CLAIMS-MADE AGGREGATE $ DIED I I RETENTION$ $ A WORKERS COMPENSATION x WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS FR ANY PROPRIETORIPARTNEWEXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED] NIA (Mandatory In NH) 515291 /1/2011 /1/2012 E.L.DISEASE-EA EMPLOYE $ 500 000 If yes,tlesaiba mMer DESCRIPTION OF OPERATIONS belm E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more apace la regalred) CITY RECORDER CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Kari Olson , Purchasing Representative AUTHORIZED REPRESENTATIVE N. Mountain Ave Ashland, OR 97520 Leesa Martindale/LJM �`n7a•- vcla..r2i ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INSn25lcninm%n, Th.Ar:r1Rn nmm.end Inn.oru mnicfarnd m.,k.of Anewn