Financial- Capital City Transfer

Home Browse Search

, . ;:::.;::: > :;<;:;; .~ . : . : .: ~: a~:~~~.i~~ ~I~I~Tt~~~~~1! ~IF : :::::: , ,... . . . .~ : : : .:. ~ ~ ISSUE DATE (MMIDD/YY~ ~::,::. ~~I~u~~1N~~ ~ - :. :: vHO~uc~+ __ :: _ :: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND ' CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Acordia Of Oregon, IriC . DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 10 3 0 0 SW Gre enburg Rd .# 110 Poucies se~ow. ___ _ _ Portland, OR 97223 COMPANIES AFFORDING COVERAGE (503) 293-9500 FAX (503) 293-9599 _ _ __ __ _ _ __ _ ___ _ _ _ __ ,~°~RY A CORNHUSKER CASUALTY COMPANY _ ___. _ _ .........___...........................___.........__....................... . _ _ __ _ __ __ ___ . _ ........._ Y B CORNHUSKER CASUALTY COMPANY _ .............. . INSURED LETTER _ _ _ _ _ _ _ __ _ _ _ _ __ _ ... CAPITAL CITY MOVING & STORAGE ', coMPnriv C' DBA: CAPITAL CITY TRANSFER LEffER ' _ __ __ __ _ __ .. __ _ _._ P. O. BOX 7 3 71 , '" D SALEM, OREGON 97303 L~R _ _ __ _ _ _ _ _ __ _ _ __ _ _ __ _ , coMPnrrr~ ORNHUSKER CASUALTY COMPANY LEITER , :....... . ........_ _... _ _ _.. , THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE B~ r INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF AN ~ CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY TH EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEE , _ _ __ .... _. _. __ _ _ _ _ __ ___ _ __ _ CO ; TypE OF INSURANCE POLICY NUMBER ~UCY E ~Tp; DATE (N _ __ _ _ __. . ___ ___. _ ___ _ _ _..._ A ; GENERAL WIBILITY X: COMMERCIAL GENERAL LIABIL~TY OBPOOOB4B - _.. -, - _.. .:_:,,.. ,..__ ... .. . ....... . . ....... ED T INSURED NAMED ABOVE FOR THE POLICY PERIOD IACT O OTHER DOCUMENT WITH RESPECT TO WHICH THIS ICIES DESdA1BED HEREIN IS SUBJECT TO ALL THE TERMS, JqCED BY yr1~ID CLAIMS. i~Ve Pouc runoN : uMrrs ~/YYj - DATE /DD/Y1~ , __ _ _ _........ __ ._ GEN~u AGGREGA~ S 2, O O O, O O O _ '. PRODUCTS-COMP/OP AGG. _ .. S 1~ O O O~ O O O _ _ .. ._....._ _ I O S~ O 1~ 9 9. PERSONAL 6 ADV. INJURY _ .. '$ _ __ _._ _ 1~ Q Q Q~ ~ Q Q EACH OCCURRENCE S 1~ O O O~ O O O _ _.. __ `: FIRE DAMAGE (My one fire) $ _ _ . .. .. S O~ O O O .................. _._..... MED. EXPENSE (My one person) $ __:_ ___ __ _ __ ._ . .... ...... ~j ~ Q Q Q _. __ COMBINED SINGLE ~LIMIT ~la 1~~0~~~~~ _ _ . . _ _ _ ( O 5~ O 1~ 9 9 BODILY INJURY ; (Per person) _ ' $ _I. __ __ _ ' BODILV INJURY I $ (Per accident) ' PROPER7Y DAMAGE $ _ . _ _ _ _....._ _ __ ' EACH OCCURRENCE __ _ 'S _ __ _ ........................... AGGREGATE I $ ' STATUTORY LIMITS :...__.,_... ... _.__._ _.._ .. . .........._ ._............._.. EACH ACCIDENT : ' $ DISEASE - POLICY LIMIT _ ........_ ;$ ___ .__ _ ._ I DISEASE - EACH EMPLOYEE i 3 H _ .............. _.......... CLAIMS MADE I X OCCUR. O C~ /O 1/9 OWNER'S & CONTRACTOR'S PROT. _ _ _ AUTOMOBILE LIABILRY B : X ; ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X : HIRE~ AUTOS X NON-OWNED AUTOS GARAGE LIABILITY _ _.. . _ _ EXCESS IJABILRY UMBRELLA FORM OTHER THAN UMBRELLA FORM ~ WQA!!:P.'c .^.~JMf~E4SA'*P.N AND ~v~or~s~ uaaiurr ; ................................................................... ..................................................... . oTM~ ' E; HIRED AUTO OBPOOOSa6 ;05/01/98 ! 05/ O1/ 99 LIMIT 50, 000 PHYSICAL DAMAGE ' COMP./ COLL. 50 ,250 DESCRIPTION OF OPERAT10N3lLOCATIONSlVEHICLES/SPECIAL ITEMS ALL OPERATIONS OF THE NAMED INSURED MARION COUNTY ATTN: ELYN LYON 220 HIGH STREET, 4TH FLOOR SALEM OR 97310 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 3 ~ DAYS WRITTEN N~TICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFf, BUT FAILURE MAII SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR l1ABILITYibF ANY KIN UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.