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A CORDm CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DDfYY)
10/03/07
PRODUCER CAL# 0531007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Wells Fargo Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Services Northwest, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O. Box 91143
Seattle, WA 98111-9243 INSURERS AFFORDING ~lRAGE
INSURED INSURER A Markel Insurance Co. ,. ?,,~_
Mt. Ashland Association Commonwealth Ins Co. ---771 .\~
P.O. Box 220 INSURER B
Ashland OR 97520 INSURER C ~ O/'~
INSURER 0 ^ P .. i:
I INSURER E ~ r: ~ (.) :JrL
COVERAGES .... "(.1/
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED ~~WITHSTA NG
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MA ~E ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIOlr.i",OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ...
lNSR TYPE OF INSURANCE POLICY NUMBER b~~~YJ~~%~x.~ Pg);!.flrf.,~P1~~JJ~N LIMITS
LTR
A ~ERAL LIABILITY 02ARG3015.2 10101/07 10/01/08 EACH OCCURRENCE $ 1 000,000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE IAny one fire) $ 1 000,000
I CLAIMS MADE W OCCUR MED EXP (Anyone person) $ Nat Cov.
- PERSONAL &. ADV INJURY $ 1 000,000
- GENERAL AGGREGATE $ None
~'~ AGG~En LIMIT APn PER: PRODUCTS. COMP/OP AGG $ 2 000,000
POLICY ~~.9T lOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO lEa accident)
-
- ALL OWNED AUTOS BOOIL Y INJURY
$
SCHEDULED AUTOS (Per person)
-
- HIRED AUTOS SOOIL Y INJURY
$
NON.OWNED AUTOS !Per accident)
-
- PROPERTY DAMAGE $
{Peraccidentl
~RAGE LIABILITY AUTO ONLY. EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
A EXCESS LIABILITY 02ARU6015-1 10101/07 10/01/08 EACH OCCURRENCE $ 5,000 000
t~j' OCCUR D CLAIMS MADE AGGREGATE $ 10000000
$ Prad.-l0M
R OEOUCTIBLE $ Pers.-SM
RETENTION $ $
WORKERS COMPENSATION AND I WC STATU.; I 10m
TORY LIMITS ER
EMPLOYERS' LIABILITY
E.l. EACH ACCIDENT $
E.l. DISEASE- EAEMPlOYEE $
E.l. DISEASE POLICY LIMIT $
B OTHER USS 2082 10101/07 10/01/08
Property $2,000,000
DESCRIPTION OF OPERATIONS/LOCATIDNSNEHICLESIEXCLUSIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS
The City of Ashland, its officers & employees are added as Additional
Insureds solely as respects liability arising from the operations of
the Named Insured and Loss Payee as Respects interest in owned assets
acquired 7-01.92. mk
CERTIFICATE HOLDER I X I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION
The City of Ashland, Its DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
Officers and Employees NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
20 E. Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Ashland, OR 97520 REPR~~
AUTHORIZ SE E
,
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ACORD 25-S 17/971
10.50
"ACORD CORPORATION 19B8