HomeMy WebLinkAboutInsurance Certificate: Silver Ridge Outfitters Inc CC CERTIFICATE OF LIABILITY INSURANCE DA v,srzo„
ACORO
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 NAME: Lindsay Leary
Big Sky Underwriters PnHic°VINO Ezt: 406-5437161 aIX No: 406-721-9311
A Division of Hull and Company Inc ADDRESS: Iindsey bigskyunderwriters.com
P.O. Box 3567 INSURER(S)AFFORDING COVERAGE NAIC a
Missoula MT 59806 INSURERA: Capitol Specialty Insurance Corporation 10328
INSURED INSURERS:
Silver Ridge Outfitters,Inc. INSURER C
9411 West Evans Creek INSURERD:
NSURERE:
Rogue River OR 97537 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 FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OFANY CONTRACTOR 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 g POLICY NUMBER 1 I14WYYYY MWYYYY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
X COMMERCALGENERALLIABILIrY PREMISESIEa occurrence) 100,000
CLAIMSMADE Eg OCCUR MEDEXPAr one pI $ Excluded
A Y CS00332764 11242011 11242012 PERSONAL aADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GENT AGGREGATE LIMITAPPLIES PER. PRODUCTS-COMPICPAGG $ 2,000,000
X POLICYF-J'FIT- LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea as deml
ALL AUTO
BODILY INJJRY(Perpemon) $
ALL OWNED SCHEDULED BODILY INJJRY(PeracadeM) $
AUTOS AUTOS
NON-O V ED PROPERTY DAMAGE $
HIREDAUTOB ALTOS IPerecridanD
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAR CLAIMS-MADE AGGREGATE $
DED I I RETENTION I $
VORKERSCOMPENSATION VC STATUS OFH-
AND EMPLOYERS'LIABILITY YIN
ANYPROPRIETORrPARTNEP/EXECUTIVE - N/A - ET.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED'?
(Mandator,In NH) EL.DISEASE-EA EMPLOYE $
If s,des mdeundor
DESCRIPTION OF OPERATIONS bel. E.L.DISEASE-POLICY LIMIT I$
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
Certificate holder is Additional Insured with respect to the operations of the insured per form CG2012.
(S IOP p� O V
CERTIFICATE HOLDER ULU z 6 111 4NNCELLAT10N
HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Ashland E EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
20 E Main St CCORDANCE WITH THE POLICY PROVISIONS.
ORIZED REPRESENT
Ashland OR 97520 A
®1988-2010 ORR//D CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD