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HomeMy WebLinkAboutInsurance Certificate: Soda Mtn Broadcasting-KDRV KDKF CHAMSCOMM ,d►coRV' CERTIFICATE OF LIABILITY INSURANCE °"11`/29/20 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: .It the certificate holder Is an ADDITIONAL INSURED,the policy(ies) 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). NTACT PRODUCER NAME: .. Commercial Lines-541-6855300 PHONE FAx (ALr No EatF Wells Fargo Insurance Services USA,Inc ADDRESS: 975 Oak Street,Suite 900 INSURER SI AFFORDING COVERAGE__ MAC S Eugene,OR 97401 INSURER A: Fireman's Fund Insurance Company 21873 INSURED INSURER 8: Soda Mountain Broadcasting, Inc.DBA: KDRV 8 KDKF INSURER C: PO Box 7009 INSURER D: ' INSURER E: Eugene,OR 97401 INSURER F COVERAGES CERTIFICATE NUMBER: 3570767 REVISION NUMBER: See below 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 TYPE OF INSURANCE IN%R R POUCYNUMBER MM/DDYIYYYY MM/DDM'YY LIMITS LM GENERAL LIABILITY EACH OCCURRENCE $ I,"," A MZX80935887 1211/2011 12/1/2012 DnMnGFtOR-ENTED X COMMERCIAL GENERAL LIABILITY PREMISE$(E.occunencel $ 1.000,000. CLAIMS.MADE RXOCCUR MED EXP(My one Person) $ 20,000 PERSONAL&ADV INJURY_ $ 1,000,000 GENERAL AGGREGATE S 2,000.000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2.000.000 POLICY PRO- LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident AUTO 'BODILY INJURYIPer person)-ANY S ALL OWNED SCHEDULED BODILY INJURY(Par accident) S AUTOS NON TOS —OWNED PROPERTYDAMAGE S HIRED AUTOS AUTOS Peraccident S UMBRELLA LUIB OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE __ S DED I I RETENTIONS S WORKERS COMPENSATION I`R WC STATU- AND EMPLOYERS'UABILITY -- ANY PROPRIETORIPARTNER/EXECUTIVE� NIA E.L.EACH ACCIDENT _ S OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S u yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if mme space Is required) Certificate holder is added as additional Insured. CERTIFICATE HOLDER CANCELLATION Ashland Fiber Network City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 East Naub THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ashland,OR 97520 AUTHORIZED REPRESENTATIVE roe.. The ACORD name and logo are registered marks of ACORD ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 215(2010105) 111111111111111111 IN 11111111111 IN 11111111111111111111111111111111111111111111111111111