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HomeMy WebLinkAboutInsurance Certificate: AIFF A c b? CERTIFICATE OF LIABILITY INSURANCE 7A 7E `� 0 611 9/2 01 2 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 Reinholdt&Or Harra Insurance PHONE Rebecca DeVall FAx 541)482-1921 ac No:(541 488-4458 No Fall 518 Washington St EAtA1L rdevall@reinholdtins.com Ashland,OR 97520 ADDRESS, License#: 800442 INSURE SAFFORDINGCOVERAGE NAIC0 INSURER A: Philadelphia Insurance Companies INSURED INSURER B: Southern Oregon Film Society DBA Ashland Independent Film Festival INSURER C: : P O Box 218 INSURER D Ashland, OR 97520 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 00001419-0 REVISION NUMBER: 1 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 CONTRACTOR 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 rypE OFINSURANCE ADDL'SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMOJ MMIDDIYYYY LIMITS A GENERAL LIABILITY Y N PHPK747027-01 07/1412012 07/1412013 EACH OCCURRENCE I$ 1000000 X COMMERCIAL GENERAL LIABILI DAMAGET RENTED PREMISES Ea oaurtence $ 100,000 CLVMBMADE EXI OCCUR MEDEXP(Ag one persm) $ 5000 PERSONAL&AOV INJURY S 1.000.000 GENERALAGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG 5 2,000,000 -XI POLICY I PRO- LOC $ AUTOMOBILE LIAMUTY EOMOIEDSINGLE LIMIT 5 ANY AUTO BODILY INJURY(Per person) S ALL OVMED SCHEDULED AUTOS AUTOS BODILY INJURY(Per amdenn $ HIRED AUTOS q�OSNMED pReOa EwRT�DAMAGE S S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMBMADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION - WC STATU- OTH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTNE ❑ E.L.EACH ACCIDENT $ OFFICEPJMEMBER EXCLUDED, NIA (Myyaeendator,In NH) E.L.DISEASE EA EMPLOYE S DESCRIPTION OF OrPERATIONS Is. E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Aeach ACORD 101,Additional Remarks Schedule,If man spade is rpuina) City of Ashland,its officers,directors,and employees are listed as additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPTION DATE THEREOF,NOTICE City of Ashland ACCORDANCE WITH THE POLICY P OVISIONISLBEDELIVEREDIN 20 East Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIIVIE. REB ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Printed by REB on June 19,2012 at 04:31 PM