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HomeMy WebLinkAbout2003-012 Insurance Certificate - BrothersDP!ID 1~ 11/19/02 ACORD. CERTIFICATE OF LIABILITY INSURANCF R H.2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MA~rEk OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Security Insurance - Ashland HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 707 Murphy Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Medford OR 97504 Phone = 5&1-772-1111 INSURERS AFFORDING COVERAGE INSURED INSURERA: Clarendon National Ins Co INSURER B: Brothers Restaurant and Deli INSURER C: 95 North Main Street INSURERD: Ashland O~ 97520 I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIrflG 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRI POLICY EFFECTIVE POUCY EXPIRATION LTR I TYPE OF INSURANCE POMCY NUMBER DATE (MM~iD/YY) DATE (MM/DD/YY) LIMITS I GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY 50CL4024486 11/30/02 11/30/03 FIRE DAMAGE (Ar~Y one fire) $ 100,000 I CLAIMSMADE ~ OCCUR UEDE. XP(Anyond, person)~$ 5,000 PERSONAL & AD~ INJURY $ 500,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COI~IP/OP AGG$ 1 · 000 · 000 I POLICY [~PRO' JECT I i LOC i AU__._TOMOBILE UABILITY COMBINED SINGL~E LIMIT $ ANY AUTO (La accident) __ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS {Per person) __ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) __ PROPER'FY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA. ACCIDENT$ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURREI~CE $ ]OCCUR [] CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I WC STATU- I EMPLO RS'.A.L E.L. EACH AOOID, NT E.L DISEASE * PC~LICY LIMIT $ OTHER A Liquor Liability 50-CL-402448-6 11/30/02 11/30/03 Aggregate $1000000 Co~ C, ause $500000 DESCRIPTION OF OPERATIONSILOCATION,~VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Restaurant w/alcohol sales less than 754 of total receipts I N I ADDITIONAL INSURED; INSURER LETTER: __ CERTIFICATE HOLDER CANCELLATION la1~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE QANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER W~LL ENDEAVOR TO MAIL ~ DAYS WRI'I-FEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Ashland 20 E Main Street iMPOSE NO OBUGATION OR LIABlU~Y OF ANY raND UPON THE INSURER, ITS AGENTS OR Ashland OR 97520 REPRESENTATIVES. AU~"OR,'"D REP~S~rATIVE ACORD 25-S (7197) ] I ' / ©ACORD CORPORATION 1988