HomeMy WebLinkAbout2002-110 Insurance Certificate - Landshark ACORD CERTIFICATE OF LIABILITY INSURANCE DATE,MM,DDt)
04/12/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Joe Rayb ~[ n insurance Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
10V 2 Gr ape St COMPANIES AFFORDING COVERAGE
Medford )g 9'1501 COMPANY
541. 772-~9107 A NATIONAL LIABILITY & FIRE INS CO
INSURED COMPANY
LANDSHARK ENTERPRISES, LLC B
dba CHAUFFEURED MEMORIES COMPANY
PC BOX 4126 c
MEdFORD, OR 97501 COMPANY
__.j.54 ~. 774-2232 O
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NC)TWlTHSTANDING 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.
F~)UCY EFFECTIVE POLICY EXPIRATION
CO TYRE {)F INSURANCE POLICY NUMBER LIMITS
LTR DATE (M M/DD/YY} DATE (M M fDD/YY)
' I GENERAL LIABll I~f GENERAL AGGREGATE $
OMMER( ~ GENERAL LIABILITY PRODUCTS - COMP/DP AGG $
2 ClAiMS MADE ~ OCCUR PERSONAL & ADV INJURY $
WNER'S ~ ~'ONTRACTOR'S PROT EACH OCCURRENCE $
FiRE DAMAGE (Any one fire) $
MED EXP (Any one person)$
] AUTOMOBILE L~ABILITY
COMBINED SINGLE LIMIT $ ~[,
ANY AUJf 000, 000
ALL OWN~ AUTOS BODILY INJURY $
SCHEDL)L~ t AUTOS (Per person)
A ~,RED~U ~S 73APN172310 04/30/02 04/30/03
BODILY INJURY
$
NON-OWN; ~1 ,aUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABIL f' AUTO ONLY - EA ACCIDENT$
ANt AUI( OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE $
EXCESS LIABIL~ ~ ~, EACH OCCURRENCE $
UMBREiL ORM AGGREGATE $
~- ...... J S)Y__H_E.[~ TP~N UMBRELLA FORM ...................................................... $
-- WC STATU- lOTH-
WORKERS COMPENSATION AND TORY L M TS ER
EM PLOYERS' LIABILITY
EL EACH ACCIDENT $
THE PROPRIET _,~-,/ ~ INCL I EL DISEASE - POLICY LIMIT
PARTNERS/EXE C~ JTIVE
OFFICERS ARE EL DISEASE - EA EMPLOYEE $
OTHER
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
C I FY OF ASHLAND EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MA~.
2 0 E MA I N S T 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
A S ! t LAN D OR 9 7 5 2 0 BUT FAR-URE TO MAL,a~UCH, , NOTICE~HALL IMPOSE NO OBLIGATION OR Lb~BILITY
ATP BARBARA CHRIST IANSEN .o_[_~_~Y~it~t~ UPON .~II~E COMI~Y, ITS AGENTS OR R__EPRESEN___~_~TATIV=~ES__
FA ~ 541 552 - 2059 AUTHORED R~i~I;~NTATIV~'~ , V