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HomeMy WebLinkAboutInsurance Certificate: St Clair Productions CERTIFICATE OF LIABILITY INSURANCE °"�.13i oil THIS CERTIFICATE IS ISSUED AS A MATTER THIS CERTIFICATE OF IN FORMATION 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. OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT: It the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the temp 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 FRANCIS L.DEAN 8 ASSOCIATES, LLC CONTACT NAME: 1776 S.NAPERVILLE ROAD,BLDG-B PHONE FA P.O. BOX 4200 Arc No EXL: 800-745-2409 INC No: 630-665-7294 WHEATON,lL 60189 nDDDRESS info @fdean.com www.fdean.com INSURERIS)AFFORDING COVERAGE NNC0 (800)745-2409 INSURERA: Riverport Insurance Company 36684 INSURED SPORTS AND RECREATION PROVIDERS ASSOCIATION(PURCHASING GROUP)AND ITS PARTICIPATING MEMBERS: INSURERS: - St. Clair Productions INSURERC: PO BOX 835 INSURERD: Ashland,OR 97520 INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 50152167-00 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. NOTWTHSTANDING 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 ADDL SUBR LTR TYPE OF INSURANCE INSR YAM POLICY NUMBER PDLCY EFF POLICY UP MSVD GENERAL LIABILITY MINN) UNITS X GENERAL AGGREGATE $1,000,000.00 COML1EflOK GENERK LI.BILITv CLNMS.MIDE PRODUCTS-COMPIOP AGO $1,000,000.00 J( OCCUR A PERSONAL E ADV INJURY $1,000,000.00 X FLDG180312 9/15/2012 9/15/2013 EACH OCCURRENCE $1,000,000.00 GErrLAGGREGATELIWAPPLIESPER: FIRE DAMAGE(Any one toe) $300,000.00 X PDUCr .IE q-T CT MED EXP(Ay..parson) $5,000.00 LOC AUTOMOBILE LIABILITY f COMBINE09NGLE LIMn Niv AUTO E.acC $ KLOWNFA SCNDIULED — BODILY INJURY(P.,Pelson) f AM AMOS RED AUio � BODILY INJUtY(Perecc.Q f AMOS PROPERTY DM1MaE ¢M l S UMBRELU IIAB OCCUR $ EACH OCCURRENCE S EXCESS LIAB CwMSMIOE U AGGREGATE f pEU HETEMRn s f GL Premium: $569.00 DESCRIPTIONOFOPERATIONSILO MUSIVEHICLES(AnaGll ACORD 101,ACCiROnal RemarASScNMIJe,ii more apace is repuirell) Special Event Activities CERTIFICATE HOLDER CANCELLATION St. Clair Productions SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE PO Box 835 THE EXPIRATION DATE THERECIF, NOTICE WILL BE DELIVERED IN Ashland,OR 97520 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (Francis L. (Dean ACORD 25(2010/06) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD