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HomeMy WebLinkAboutInsurance Certificate: Rogue Farm Corps i4COR® CERTIFICATE OF LIABILITY INSURANCE DATE(MM DDYYYY) 07106/2011 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: N 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 endoreement s. PRODUCER _ - CNOMWCT Dan Bates Evergreen Insurance Managers Inc- ac°N; 503 616-7900 - ac No: (503)259-3065 m 5293 NE Ela Young Pkwy Ste 160 - - ADDRESS: dbates evergreeninsm m.com INSURER(S)AFFORDING COVERAGE NAICN Hillsboro OR 97124 INSURERA: American Alternative Insurance Corporation 19720 INSURED INSURER B: Rogue Farm Corps INSURER C: PO Box 533 INSURER D: INSURER E: Ashland OR 97520 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE 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. LTR TYPE OF INSURANCE POLICY NUMBER MMM MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,000 X COMMERCIALGENERAL LIABILITY PREMISES Ea occurrence 100,000 CLAIMS-MADE OCCUR MED EXP An one rson $ 5,000 A Y 2CA2GL000001100 06/09/2011 06109/2012 PERSONAL&ADV INJURY $ 1,000,000 GENERA-AGGREGATE $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 1,000,000 X1 POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANVAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Perawidanl) $ HIRED AUTOS gOTQ�NED PROPERTY DAMAGE $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPART,IER/EXECUTIVE 2 NIA EL EACH ACCIDENT $ Oarniat UIUEMBMI EXCLUDED? I E.L.DISEASE-EA EMPLOYE S (Mandatory In siH) IIyes,de I,eunder DESCRIPTION OF OPERATIONSI,el. E.L.DISEASE-POLICY LIMIT I$ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ANBCh ACORDID1,MdItMnal Rema Sch duM,Ifmcraspecalsnqulmd) PC D SEP a 3 2011 pll� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Ashland,its officers and employees THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Finance Dept,Attn:DL Tuneberg,Director ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main St AUTHORIZED REPRESENTATIVE Ashland OR 97520 ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010 10S) The ACORD name and logo are registered marks of ACORD