2009, 6-23 Transmittal of InsuranceJun 24 09 12:28a SVHM
1- 509 - 922 -4570 P.1
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.7-leritage c.,Museum
PO Box 141341 Spokane Valley WA 99214 509-922-4570
facsimile transmittal
To:
Re. '
CC:
Fax:
Date: 62312009
Pages:
13 Urgent x For Review 0 Please Comment 0 Please Reply 11 Please Recycle
Jun 24 09 12:28a
SVHM
1- 509 -922 -4570
p.2
CERTIFICATE OF LIABILITY INSURANCE
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PRODUCER
ASSOCIATED AGENTS GROUP INC RNLATI
ON
THLS CERTIFICATE IS I AS A 1'I OF I:YFOEtt1'L4TJ
PO BOX 13008 ONLY AND CONFERS NO RIGHTS UPON THE CERTIF'ICA'TE
SPOKANE, WA 99213 HOLDER. THIS CERTIFICA7T: DOES NOT AMEND, EXTEND OI:
ALTER THE COVERAGE AFFORDED BY TIIF, POLICIF5 BE 1.0
COMPANIES A FFORDING CO W 'IZA(
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INSURED PHONG NO,
SPOKANE VALLEY HERITAGE MUSEUM
PO BOX 141341
SPOKANE VALLEY, WA 99214
COMPANY
A RED SHIELD IN SURANI
COMPANY
B
COMPANY
C
COMPANY
CONIPANY
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E
COVERAGE
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE. LISTED BELOW HAVE BEEN ISSUED TO THE LNSIIRED NAMED ABOVE FOR THE I'(JLIL'Y PEiUU.`)
INDICATED, NORVITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECI' TO Wi!!I*II !!t;y
CERTIFICATE MAY BE ISSUED Olt MAY PERTAIN, THE INSURANCE, AIFORDED BY TIrE POLICIES DESCRIBED HEREON IS SUBJECT TO ALI, Tim TERMS, BXC[.('S!i)NS
AND C0NDr1'IONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN RF,DUCED BY PAID CLAIMS.
CO TYPGOFINSURANCB
LTR POLICY NUMBER POLICY FSFECI'IVF, pOUCY EXPIR ATI0.V
i G1- -- DATE(MM/DUJYY) DATE(MM/DDNY) L!..%TnS
A X' COIN IrRCIALGENERAL
CLAIMS MADE QOCCUR
\YNIiR'S & CON'TRACTOR'S PROT
AUTOMOBILE LIABILITY
j ANYAUTO
ALL OWNED AUTOS
SC11EDULED AUTOS
HIRED AUTOS
1 NON-OWNED AUTOS
MUSEUM
Attn: Chris Bainbridge
GENERAL ACiGRFGA1U
PROD CO MPi()P A GG
CLP 015523 4/2312009 4/23/2010 P ERSONAL & ADV I NJURY
EACH OCCURRENCE
FIRE OAMAGD (A:w, one rim)
MED EXP (Aly nne [rrsory)
I
CO.V,BINED SINGLE Lp1r'['
BODILY INIt;RY
BODILY 1 V URY
PROPERTY DAMAGE
I
The Certificate Holder is included as an additional insured pursuant to FSO form CG 2026(07/04) an exemplar copy of which is atta:.hed
hereto for informational purposes.
L -A-.F. " 'OULD ANY 01 ABOVE DESCRIBED POUC!ES RE CANCISLI.rzo srT mR[ 1-11 YIRATION DATE TLiIEREOF, THE ISSUING COMPANY WILLENDrA VOH TO MA:L
CITY OFSPOKANE VALLEY Q DAYS WRITTEN NOTICE 'DO THE CFRTI 1(nr! :POLDER NAMFIF) (7 y;llj
T. EXCEPT FOR NN- PAYMF_N
O1 OF PR °lA 11:Y1 %smliN MORE 'llIAN ;!� I).:1'S IS 11707 E SPRAGUE AVE ICATED, BUT FAILURE TO MAIL. SUCH NOTICE SHALL !h1POSLi N(;
SPOKANE VALLEY, WA 99206 LIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, rr.' {rnVrg OR
PRFSEYrATIVFS.
THHOR17ED RFP
� `` %A CER 00 02 (Ii5/(Is)
to page 2 for important infonnation.
Service Center
301 WOODS PARK DRIVE
CLINTON NY 13323
(866) 467 -8730
Fax: (800) 308 -5459
05/11/09
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000773
CITY OF SPOKANE VALLEY
11707 E SPRAGUE AVE STE 106
SPOKANE VALLEY, WA 99206
Insured Name: SPOKANE VALLEY HERITAGE MUSEUM NFP
Policy Number: 01SBARD2633
Effective Date: 04/23/08
Expiration Date: 04/23/09
To whom it may concern:
Our records indicate that a certificate of Insurance was issued, providing proof of insurance,
on behalf of the above named insured.
This is to inform you that effective 04/01/09 , all coverage shown on the certificate for the
above policy number is cancelled.
Should you have any questions, please do not hesitate to contact our office.
Sincerely,
Your Customer Service Team
at The Hartford
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