HomeMy WebLinkAboutInsurance Certificate: Northwest Mailers 11/16/2011 14: 17 FAX 5416578883 ASHLAND INS—MEDFORD — f�001/001
CERTIFICATE OF LIABILITY INSURANCE °°'E'"'"°°"""'
`./ 11/16/2011
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: If the certificate holder is an ADDITIONAL INSURED, the pollcy(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 NOME CT Marcene Forney
Ashland Insurance Inc PHONE (541)857-0679 ,uc Ne: l5A11057-9883
801 O'Hare Parkway, Ste 101 aDORIE :marcenafQaahlandinsurance.com
INSURER(S)AFFORDING COVERAGE NAIL p
Medford OR 97504 INSURER AINational Fire Insurance CO. 0478
INSURED INSURER B:COntinEntal Ina 35289
Northwest Mailers, Inc . INSURER CICOntinental Casualty Ins 20443
550 AIRPORT RD INSURER 01
IN9URER E 1
MEDFORD OR 97506 msuRER F:
COVERAGES CERTIFICATE NUMBER:CL11111603308 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,
IN LI Y EXP
R TYPE OF INSURANCE POLICY NUMBER
TR LIMITS
GENERAL LIABILITY EACH OCCURRENCE S 1,000,000
COMMERCIAL GENERAL LIABILITY PREMISES IE. 5 _ 300,000
A CLAIMS-MADE F7 CCCUR 4031103057 1/1/2011 111/2012 MED EXP M an _ S 10,U00
PERSONAL}ADV INJURY S 1,000,000
GENERAL AGGREGATE 5 2,000,000
G EN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS.COMP/OP AGG S 2,000,000
7 POLICY F 'I'&. LOC S
AUTOMOBILE LIABILITY COMBINED SINGLE LIMB 1,000,000
X ANY AUTO BODILY INJURY(Per pe,aonl S
B ALL OWNED 77 SCHEDULED 41031104063 11/1/2011 1/1/2012
AUTOS AUT08 BODILY INJURY(Paraal4enl) E
NON-OWNED PRCPER'ZOAMAGE S
Y` VIREO AUTOS X AUTOS rI
Unlnaured molorlel commso S 1,000,000
X UMBRELLA LIAB OCCUR EACH OCCURRENCE 1 1,000,000
C EXCESS LIAB CIAIMS-MACE AGGREGATE S 1,000,000
DIED I X I RETENTIONS 10,00C r031104077 1/1/2011 1/1/2012 5
WORKERS COMPENSATION vW STATU oiN.
AND EMPLOTERS'LIABILITY YIN CRY
ANY PROPRIETOWPARTNEILEXECUTIVE F7 NIA E.L.EACH ACCIDENT S
OFFICERMEMSER EXCLUDED?
(Maneaterr In NH) E.L.DISEASE•EA EMPLOYE S
If gat,dele6be under
DESCRIPTION OF OPERATIONS W.. E.L.DISEASE-POLICY LIMIT S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Anech^CORD 101,A44I11onal Ranarke Scned Uk.It more spece la required)
CERTIFICATE HOLDER CANCELLATION
(541)488-5320 SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Ashland
Purchasing AUTMOMMO REPRESENTAnv6
20 E Main St
Ashland, OR 97520
Mar°ene Forney/MARC
ACORD 25(2010105) _ - ®1988.2010 ACORD CORPORATION. All rights reserved,
1Mcn,c,nc.n. Tom- .1 .n A I.r. _-- na .niaen