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HomeMy WebLinkAboutInsurance Certificate: Siskiyou Singers CERTIFICATE OF LIABILITY INSURANCE OP ID K9 °ATE(MEV°DVrvr) SISKI-3 12/02/11 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Western States Ins. - Medford HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR .38 N. Central Ave Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Medford OR 97501 Phone: 541-779-1321 Fax:541-779-9187 INSURERS AFFORDING COVERAGE - NAIC# INSURED - —'"" - - INSURER A: American State. insurance Co _ INSURER 8' Siskiyyou Singers, Inc. Pat a eitsmann I INSURER C:. Ashland 3041 INSURER D' andOR97 52 D INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING 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. WUL POLICY EFFECTIVE POLY`LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YYYY DATE MM/DWYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A R COMMERCIAL GENERAL LIABILITY 01CI28554930 11/28/11 11/29/12 PREMISESEeomlrence $ 1,000,000 CLAIMS MADE C OCCUR MED EXP(Arty one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMB ANY AUTO (Ea accident) E ALL OWNED AUTOS BODILY INJURY $ 1 SCHEOULEDAUTOS (Per person) HIRED AUTOS I BODILY INJURY $ NON-OWNED AUTOS - (Per accident) PROPERTY DAMAGE $ iI - (Per amdent) GARAGE LIABILIN .. AUTO ONLY-EA ACCIDENT Is i ANY AUTO OTHER THAN EA ACC 3 AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F-1 CLAIMS MADE AGGREGATE 5 E DEDUCTIBLE $ RETENTION $ S WORKERS COMPENSATION - AND EMPLOYERS'LIABILITY TORY LIMB$ ER YIN ANYPROPRIETORIPARTNER/EXECI'TNr E.L.EACH ACCIDENT J$ OFFICERMEMBER EXCLUDED? _--- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE!, $ I N yea.de.c MMer I SPECIAL PROVISIONS EelO El-DISEASE-POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR City of Ashland' REPRESENTATIVES. Rossann Grim AUTHO DREPRES ATNE 20 East Main Ashland OR 97520 ACORD 25(2009/01) - ©1988-2 09 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD