HomeMy WebLinkAboutInsurance Certificate: Ashland Gallery Association 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 certillicate,holder Is an must be endorsed. B D,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
NAME:
PHONE FAX
Insurance Marketplace, Inc. W,Ed): (AA^No):
1998 Skypark Dr Suite 100 ADDRESS:
Medford OR 97504 CusroMERoo, ASHLA-5
Phone:541-779-0177 Fax:FAX 772-8235
INSURFA(S)AFFORDING COVERAGE NAIL a
INSURED INSURER A: American States Ins. Co. 19704
Ashland Gallery Association INSURERS:
John Davis
P O Box 241 INSURER C:
Ashland OR 97520
USURER D
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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 REGUIREMENT,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.
LTR TYPE OF INSURANCE INSR WVC POLICY NUMBER MWDDNYYY) (MMDOYYYI) Lam
GENERAL LIABILrrY EACH OCCURRENCE $1,000,000
A X COMMERCIAL GENERAL LIABILITY 01-CH-770410-5 03/31/12, 03/31/13 PREMISES Eaamarerce =1,000,000
QAB.s-MADE F—X]OCCUR NED EXP(Any aria person) $ 10,000
• Host Liquor g PERSONAL aADVINJURY $ 1,000,000
• EPL $10k GENERAL AGGREGATE s2,000,000
GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-comptoP AGO $2,000,000
POLICY JJE-CCTT LOC $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $
(Ea mode"
ANY AUTO
BODILY ACUITY(Per person) $
ALL OWNED AUTOS BODILY INJURY(Pa amdenc $
SCHEDULED AUTOS PROPERTY DAMAGE
HIRED AUTOS (Per axkMm) $
NON-OWNED AUTOS $
$
UMBRELLA LUIS OCCUR EACH OCCURRENCE $
EXCESS LIAR CLAIMS-MADE AGGREGATE $
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION -
AND EMPLOYERS'LW OR1'UMITS LIABILITY YIN T ER
ANY PROPRIETORPARTNEREXECUTN El EACH ACCIDENT $
OFFICER(MEMBER EXCLUDED? /A
(Mandatory In NM E.L.DISEASE-FA EMPLOYEE $
It y,%describe under
DESCRIPTION OF OPERATIONS b EL DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atleea ACORD 101 ACd1 coned Ramada Setodul X mpe Spam b
City of Ashland and its officers, employees and agents are additional
insureds.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
DIRECW THE E)RRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Ashland
Director of Finance AUTHORIZED REPRESENTATIVE
20 E. Main St.
Ashland OR 97520 R. Scott Weaver, CIC
®1888-2009 ACORD CORPORATION. All rights reserved.