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Insurance Certificate: MAA - Property
SK131499 ,4co oir ° EVIDENCE OF PROPERTY INSURANCE Ogg/30//2011 Y THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS;,AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE ADDITIONAL INTEREST. AGENCY PHONE 206-701-5000 COMPANY PHONE __._. Commercial Lines 206-701-5900 AIX Specialty Ins Co. Wells Fargo Special Risks,Inc.CAL#OG13561 520 Pike Street,Suite 2100 Seattle,WA 98101 —1 E -MAIL _AL,MJ`_ ADDRESS. LOGE SUB LODE AGENCY ------ 4111E13I2l: _ _— __--- INSURED LOAN NUMBER_-_---- _ POLICY NUMBER-_ --� -- Mt.Ashland Association _. 1 WFZ-CL-0020037-2 P.O.BO%220 EFFECTVE DATE EXPIRATION DATE CONTINUED UNTIL Ashland, 97520 10/01/11 10/01/12 j TERMINATED IF CHECKED THISREPLACESPBIOR EVIDENCEDATED -L PROPERTY INFORMATION LOCATIONIDESCRIPTIOH PROPERTY&INLAND MARINE 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE NFORMATI ON COVERAGE:PERILS:FORMS I AMOUNT OF INSURANCE DEDUCTIBLE Buidli ngs and Bus i n—es s Presonal Propert y $7,028,610 $5,000 Scheduled Equipment $729,674 $5,000 I 1 REMARKS(Including Special Cond;bons Re:Interest In owned assets acquired 07/01192. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST NAME AND ADDRESS MORTGAGEE � _ ADDITIONAL INSURED City of Ashland,Its Officers&Employees I X,.�LOSS PAYEE j LOANb _...___......._. 20 E.Main Street ' I .........._. __._...... _......__._. ._._.__.._ __.....-.----_- Ashland,OR 97520 �gUTNORD:ED REPRESENTATNE A 1 ACORD 27(2009112) The ACORD name and logo are registered marks of ACORD ©1993.2009 ACORD CORPORATION. Al, rights reserved. 233668 NW.. I VIII I VIII IIII III IIII I III IIII III I II I II II III I II II II II II II I III VIII IIII II II