HomeMy WebLinkAboutInsurance Certificate: Rogue Opera Association Jun 21 1202:26p STATE FARM 541-772-304 5417723040 p.2
DATE fI%V&wrYYYYI
°►`�°® CERTIFICATE OF LIABILITY INSURANCE 06"2112012
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI5
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY AUTHORIZED
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
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 candfiwte does not confer rights to the
certificate holder in lieu of such endorsement(s). coNrA
PRODUCER Rogue Opera Association a Ratsv Manuel
541-772-3040 I IAic 541-772-3999
33 N. Central Ste.424 E-MAIL
ADDRESS:
a Medford, OR, 97501 INSURER(S)AFFORDING COVERAGE NAICA
INSURER A,State Fain Mu'ual AulDmobda Insurance Com an 231a
I
INSURED Rogue Opera Association assuREJR e:
33 N. Central Ste. 424 INSURER :
i INSURER O:•
Medford, Oregon 97501 INSURER E:
MSVRER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED I THE INSURED RVAED ABOVE FOR THE POUCY PERIOD
INDICATED, NOrA1THSTANDING ANY REQUIREMENT, TERM OR CONOr..ION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MA.Y 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.LIM17S SHOWN MAY HAVE 3EEN REDUCED BY PAID CLAIMS. LIMIia
POLICY EFF PODCYEXP
WSR TYPE OFINSLREANCE L e POLICY NUMEER MM1UDDM'YY MAID
Lra EACH OCCURRENCE 4 1,000,(100
I GENERALUASIUTY Y - -
1 Y. COMMERp.4_3ENERAL LIABLRY ��I 97-CC-6946-0 F 06/162012 106f16R013 'RcMIEES'E'°o°rrc*rce` S
NED ExP;Arty me Persanl 3 5.000
CLLJMSMADE "OCCUR 1,000.OU0
1 I PER.:CNAL 3AC'J INJURY IS
3ENERAL AGGRE3ATE I$ 2.000.000
I
PRODUCTS-COMPIOP.4^uG S 1000 DW
AGGREGA7E JMIT AP?-I=S PER, I I S
FOLIC I PRO-
G A1w 4GL_LIM T S
AUTOMOBILELLABLOY Ea aoacar:
LJ IJ' eCDLY INJURY TF PMm1 S
I AM'AU+O
..LL CINNED —'SCHECULED 1 aOO�L`!INJURY(Per actlEentl -g
&U-.0S NQKN C'NED I I OF mrc MJi.GE 3
HIREOAUTCS AI;TOS I S
UA�RE'WLUAR I I EACH OCCURRENCE 3
OCCUR 'I�LI
EXCESS U CLAIMS)AJ. ' I I 1 AGGREGAT- 3
I I IS
DEC RE`EMION S '.\C STATLL
WORKERSCOMPENSATION I I 1
/AND EMPLOYERSU ILITY E.LEACH ACCIDENT S
:.I.'Y PRO?a'ETCRIPARTNER.EXECU-IVE rY l�HI
OFFICEMEM6-ER EXCLCDEDi � N/AIM I E.L.DISEASE-E4 EMPLOYE S
le•.anealory In NH1
u xcae,v2emmr I E.L.DISEASE-?OLICY OMIT 13
I I
DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (AMa ACORD tat,AtlAtivvl Remerk�SSNedule,amare epau brcyWredl
Opera Company S.CUNNINGHAM 37-2111
MAFO SOUTHERN OREGON 15-F472
CERTIFICATE HOLDER CANCELLATION
Agents City of Ashland, It7S Officers, Employees, and A en SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE BEFORE
9 THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
ACCORDANCE WrTH THE POLICY PROVISIONS. .
20 E Main St.
Ashland, OR. 97520 AUTHORLED PRESENTATIVE
I
8-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1001485 132649.7 03.01-2012