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HomeMy WebLinkAboutInsurance Certificate: ScienceWorks/8/2012 5:32 P11 (GMT) From: Ashland Insurance Inc 541-488-5851 TO: 15414885320 Page 2 OF 2 ® DATE(MMIDOIYWY) CERTIFICATE OF LIABILITY INSURANCE 6/8/2012 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(tes) 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 endomement(s). CONTACT Julie Asher PRODUCER NAME: Ashland Insurance Inc PHONE Fell. (541)482-0831 gAIXC Not.(541)409-5951 585 A Street Suite 1 e-pAAIL .]ashen(lashlandinsurance.com P. O. Box 8BO INSURERISI AFFORDING COVERAGE NAICN Ashland OR 97520 INSU ERANon rofit Ins Alliance of CA INSURED INSURER 6 ScienceWorks Hands-On Museum INSURER C: 1500 E Main St INSURER D: INSURER E Ashland OR 97520 INSURER F: COVERAGES CERTIFICATE NUMBER:CL12680361B 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 POUCHES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. p - POLICY EFF POLICY UP LIMITS �LTR TYPE OF INSURANCE PODCYNUM13ER MMIDDNYYY) (MMIDDIYYYY GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES aorswronca 5 500,000 A CLAIMS.I1 De OCCUR X 011-24747 /19/2012 /113/2013 MED EXP(my one person) 5 20,000 PERSONAL S ADV INJURY S 1,000,000 GENERAL AGGREGATE 5 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG 5 2,000,000 X POLICY 7 PRr LOG S COMBINED SINGE IMfr 0140 BILE LIABILITY Ea acddenl 5 ANY AUTO BODILY INJURY(P.parson) 5 ALL OVAVED SCI ICOULED BODILY INJURY(Par ucdd.N) S AUTOS AUTOS NED PROPERTY DAMAGE 5 HIRED AUTOS AUTOS Per a¢ItleM 5 UMBRELLA LIAD DIMS-MADE CCUR EACH OCCURRENCE 5 EXCESS LIAR CLA AGGREGATE 5 Dr_n RETENTIONS 5 OTH- WOnRERSCOMPENSATON WG STATU- ANDEMPLOYEWLIARILDY YIN ANY PRDP'.::ErORIPAHINERIEXECUTIVE I El-EACH ACCIDENT is OFr-ICERR UDED"j i.-.:III R EXCL F-1 NIA (Manaala,yul Nlq E.L DISEASE-EA EMPLOYE 5 Ifyy 'ascribe untlar EL DISEASE-POLICY LIMIT $ DESCI11P11UN OF OPERATIONS Sabw DESCRIPTION OF OPERA I IONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional RvOarha Schedule,IF mom space Is mqulred) City of Ashland, their officers, employees and agents era listed as an additional insured. CERTIFICATE HOLDER CANCELLATION (541) 488-5320 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland Finance Department AUVAORIZE0 REPRESENTATIVE Attn: Bryn 20 E. Main St. Ashland, Of: 97520 Julie Asher ACORD 25(2010/05) ©1988 ACORD CORPORATION. All rights reserved. INS025(201001).D1 The ACORD name and logo are registered marks of ACORD