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HomeMy WebLinkAboutInsurance Certificate: Oregon Shakespeare Festival (3) Alllla °® CERTIFICATE OF LIABILITY INSURANCE 1/31/2012) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Pam Breazeale Beecher Carlson Insurance Agency LLC PHONE (541)494-2655 FAX (5,t)494-2755 707 Murphy Rd EMAIL .pam.brea zeal e @beecherc arl son.com INSURER(S)AFFORDING COVERAGE NAIL d Medford OR 97504 INSURERA:Great American Insurance Cc 16691 INSURED INSURERB:Great American Alliance Ins Cc 26832 Oregon Shakespeare Festival INSURER C: PO BOX 158 INSURER D: INSURER E Ashland OR 97520 1 INSURER F: COVERAGES CERTIFICATE NUMBER:2012 GL,Auto & Umb REVISION NUMBER: THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVO POLICY NUMBER iMMIDDNYYYI IMMIDDIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED rrnce $ 100,000 A CLAIMS�MADE OCCUR X PACS049553 1/1/2012 1/1/2013 MED EXP(Any one person) $ 5,000 PERSONAL S ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGO IS 2,000,000 ECT X POLICY PRO LOC $ POMOBILE LIABILITY CEO BINEDI SINGLE LIMIT 11000,000 A ANY AUTO BODILY INJURY(Per person) $, ALL OWNED SCHEDULED X AP8049554 1/1/2012 1/1/2013 BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ PIP-Basic $ 15,00 4 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,000,000 DED I X I RETENTION$ 10100 8049555 1/1/2012 1/1/2013 $ WORKERS C O M P E N S A T I O N W C STATU- DTH- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED' NIA (Mandatory in NH) E .DISEASE-EA EMPLOYE $ If.yes:ditac.",mde,— _. _ --------_ .- ._._.... _.._ _. _. _ ._.... L. _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 401,Additional Remarks Schedule,if more space is required) Certificate holder included as additional insured as respects general liability on a primary & noncontributory basis where required by written contract. This form is subject to policy terms conditions & exclusions. 172 no 0 CERTIFICATE HOLDER AN ION S 1 OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EXPI TIC N DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDA E WITH THE POLICY PROVISIONS. Its agents, directors, off employees and volunteers AUTHORIZED REPRESENTATIVE 20 E Main Ashland, OR 97520 Pam Breazeale/PAMBRE ACORD 25(2010/05) ©1988.2010 ACORD CORPORATION. All rights reserved. INS02512010135101 Thn annRn nnmc ciri Inns.re ennie4nrn,I me,Le if Arnwn