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HomeMy WebLinkAboutInsurance Certificate: Ashland New Plays Festival i-� 9ASHLNE OP ID:JO CERTIFICATE OF LIABILITY INSURANCE 1 DAM 08/17DIYYYY) 08/17/12 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 a . PRODUCER 641479-5521 NTALT Hart Insurance NAME: P.O.Box 1240 541-474-1890 PNGN a ac No); Grants Pass,OR 97528 E-MAIL Hart Insurance Agency ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 INSURERA:First National Ins Co INSURED Ashland New Plays Festival INSURER B: P.O.Box 3314 Ashland,OR 97520 INSURER C: INSURER 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 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 TYPE OF INSURANCE POUCY NUMBER MMAO EF MME LTR IYYY LIMITS GENERAL LIABIUTY EACH OCCURRENCE E 1,000,00 A X COMMERCIAL GENERALUABILITY X 25CC312172 10101112 10101113 PREMISES(Ea ooemence E 1,000,0 -0LAIMS-' DE a OCCUR MEDEXP(Anyoneperson) E• 10,00 PERSONAL BAOVINJURY S 1,000,00 :X Liquor Llab•f ' ' - GENERAL'AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ :2,000,00 JECT X POLICY PRO LOC Liquor E _ 1,000,00 AUTOMOBILE LIABILITY E COMBINED m N E MI E ANY AUTO BODILY INJURY(Per person) $ ALL COINED r I SCHEWLED BODILY INJURY Per ectltleni) $ AUTOS NONOWNED PROPERTY A A E HIRED AUTOS AUTOS Per ecvdenl E UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE E DEC) I I RETENTIONS E WORKERS COMPENSATION WC STATU- TH - ANDEMPLOYERS'UABIUTY YIN ITORY ANY PROPRIETORIPARTNER/EXECUTIVE❑ NIA E.L.EACH ACCIDENT $ OFFICERIMEMSER EXCLUDED? (Mandatory M NH) E.L.DISEASE-EA EMFLOYE $ II yea tlescdCe under DESCRIPTION OF OPERATIONS Eelow E.L.DISEASE-POLICY LIMIT E DESCRIPTI NOFOPER MONSILOCATIONSIWHICLES(AMaO ACORD 101,Addieonel Remarks ScM uls,a mom space is required) Re:The�ity of Ashland,its officers,employyees,and aggents-Policy includes blanket additional insured form CG7635 02/OTas attached CERTIFICATE HOLDER CANCELLATION CITYASH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Ashl rE 11 � rs 0 IV IR ACCORDANCE WITH THE POLICY PROVISIONS. 20 E.Main Stree �/ Ashland,OR 97 AU ORIIE REPRE NTATIV n e Ap AUG 2 0 2012 ©1988-2010 ACORD C RPO TIO . All rights reserved. ACORD 25(2010/05) ogo a r red marks of ACORD k I'rl'rrtr COMMERCIAL GENERAL LIABILITY V' N.�rtl»nv. CO 76 35 02 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIABILITY PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: ADDITIONAL INSURED — BY WRITTEN lease or occupy, subject to the following CONTRACT, AGREEMENT OR PERMIT, OR additional provisions: SCHEDULE (a) This insurance does not apply to The following paragraph is added to WHO IS AN any -occurrence•which takes place INSURED(Section 11): after you cease to be a tenard in arty premises leased to or rented to 4. Arty person or organization shown in the Schad- You; uie or for whom you are required by written con- (b) This insurance does not apply to tract, agreement or permit to provide insurance any structural alterations, now corn is an insured, subject to the following additional struclion or demolition operations provisions: performed by or on behalf of the a a. The contract, agreement or permit must be person or organization added as an in effect during the policy period shown in insured; the Declarations, and must have been axe- (2) Your ongoing operations for that in- cuted prior to the 'bodily injury', "property sured, whether the work is performed damage", or `personal and advertising by you or for you; injury". b. The person or organization added as an in- C�) The f equip maintenance, operation or use by sur Pe this endorsement is an insured only You of equipment pment leased to you by such Y Y person or organization, subject to the to the extent you are held liable due to: following additional provisions: (1) The ownership, maintenance or use of (a) This insurance does not apply to that part of premises you own, rent, any "occurrence"which lakes place after the equipment lease expires; Includes Copyrighted Material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services, 2001 CG 76 35 02 07 Page 1 or♦ EP G�GOi�xlxlmll}ymlal (b) This insurance does not apply to This exclusion apples even lf the claims 'bodily injury" or 'property dam- against arty insured allege negligence of age' arising out of the sole negli- other wrongdoing in the supervision, hiring, gene of such person or employment, training or montoring of others organization; by that insured, lf the 'occurrence' which caused the 'bodily injury" or 'property (4) Permits issued by any state or political damage" involved the ownership, mairte- subdivision with respell to operations nonce, use or entrustment to others of any performed by you or on your behalf, aircraft, "auto• or watercraft that is owned subject to the following additional pro- or operated by or rerded or loaned to arty in- vision: sured. This insurance does not apply to `bodily This exclusion does not apply to: irjury', 'property damage", or (1) A watercraft while ashore on premises -personal and advertising injury"arising you own or rent; out of operations performed for the stale or municipality. (2) A watercraft you do not own that is: c. The insurance with respect to any architect, (a) Less than 52 feet long;and engineer, or surveyor added as an insured (b) Not being used to carry persons or by this endorsement does not apply to properly for a charge; bodily injury", 'property damage', or "per- sonal and advertising injury" arising out of (3) Parldng an -auto" on, or on the ways the rendering of or the failure to render any next lo, premises you own or rent, Pro- professional services by or for you, includ- vided the auto' Is not owned by or Ing: rented or loaned to you or the insured; (1) The preparing, approving, or failing to (4) Liability assumed under any Insured prepare w approve maps, drawings,to contract" for the ownership, mainte- opinions, reports, surveys, change nonce w use of aircraft or watercraft;w or- ders, designs or specifications;and (5) 'Bodily irjury" or 'property damage" (2) Supervisory, Inspection or engineering arising out d: services. (a) the operation of machinery or equipment d. This insurance does not apply to 'bodily attached to, Or part ofd,, a a land that nd vehicle that would injury" or •property damage" included within quality under the definition of the broducts-completed operations haz- 'mobile egtipmeni" lf it were rat ard". subject to a compulsory w financial responsibility law w other motor ve- A person's or organization's status as an insured un- hlcle insurance law in the state der this endorsement ends when your operations for where it is licensed or principally i that insured are completed. garaged; w No covers will be ovided it,in the absence of this (b) the operation n arty of the medium endwsemert, n liabil' would be im sed b law on ery w r 1.(3)eo listed in Paregaph dY po Y f.(� w f.(3) ot tfe definition ot you. Coverage shall be limited to the extent of your ornoble equipment'. negligence or fault according to the applicable princi- ples of comparative fault. (5) An aircraft you do not own provided t is not operated by any insured. = NON-OWNED WATERCRAFT AND NON-OWNED AIRCRAFT LIABILITY TENANT$' PROPERTY DAMAGE LIABILITY Exclusion g. of COVERAGE A (Seddon I) is replaced When a Damage To Premises Rented To You Limit is shown in the Declarations. Exclusion ). ot Coverage m by the folow ng: A,Section I is replaced by the following: 9. 13odily injury' or property damage' arlsing �s out of the ownership, maintenance, use w I• Damage To Property entrustment to others of arty aircraft, "auto" Property damage"to: or watercraft owned or operated by or rented 1 Pro rt ou own, rent, or occur w loaned to any Insured. Use includes oper- ( ) Pe Y Y PY. including arty costs w ation and loading or unloading expenses insured by you w Pape 2014 c-rrar-Penn-aersmis+ any other person, organization or entity, for WHO IS AN INSURED — MANAGERS repair, replacement, ertancement, restora- tion or maintenance of such property for any The following is added to Paragraph 2a. of WHO IS reason, including prevention of iryury to a AN INSURED (Section II): person or damage to anther's property; (2) Premises you sell, give away or abandon, if Paragraph(1) does not apply to executive officers,or the "property damage"arises out of any part to managers at the supervisory level or above. of those premises; SUPPLEMENTARY PAYMENTS — COVERAGES A (3) Property loaned to you; AND B — BAIL BONDS — TIME OFF FROM (4) Personal property in the care, custody or WORK control of the insured; Paragraph 1.b. of SUPPLEMENTARY PAYMENTS — (6) That particular part of real property on which COVERAGES A AND B is replaced by the following: you or any contractors cc subcontractors working directly or indirectly on your behalf b. Up to $3,000 for cost of bail bonds required are performing operations, lf the "property because of accidents or traffic law violations damage" arises out of those operations, or arising out of the use of any vehicle to which the Bodily Inqury Liability Coverage applies. (6) That particular part of any property that must We do riot have to furnish Vase fonds. be restored, repaired or replaced because your work" was incorrectly performed on it. Paragraph 1.d. of SUPPLEMENTARY PAYMENTS — Paragraphs (1), (3) and (4) of this exclusion do COVERAGES A AND B is replaced by the following: not apply to property damage" (other than d. All reasonable expenses incurred by the in- damage by fire) to premises, including the con- sured at our request to assist us in the in- fords of such premises,rented to you.A separate vestigation or defense of the claim or 'suit', limit of Insurance applies to Damage To Prem- including actual loss of earnings up to $500 ises Rented To You as described in Section III a day because of time off from work. —Limits Of Insurance. Paragraph (2) of this exclusion does not apply if EMPLOYEES AS INSUREDS — HEALTH CARE the premises are •your work' and were never SERVICES occupied, rented or held for rental by you. Provision 2e.(1)(d) of WHO IS AN INSURED(Section Paragraphs (3), (4), (5) and (b') of this exclusion II) is deleted, unless excluded by separate erxiorse- do not apply to liability assumed under a side- ment. track agreement. Paragraph(6)of this exclusion does not apply to EXTENDED COVERAGE FOR NEWLY ACOUIRED property damage' included in the 'products- ORGANIZATIONS completed operations hazard'. Provision 3.a. of WHO IS AN INSURED (Section II)is $ Paragraph 6. of LIMITS OF INSURANCE (Section III) replaced by the following: is replaced by the following: a. Coverage under this provision is afforded 6. Subject to 5. above, the Damage To Premises only until the end of the policy period. Rented To You Limit is the most we will pay un- EXTENDED"PROPERTY DAMAGE" der Coverage A for damages because Of property damage' to any one premises, while rented to you, or in the case of damage by fire, Exclusion a. of COVERAGE A (Section I) is replaced while rented to you or temporarily occupied by by the following: you with permission of the owner. a. `Bodily injury" or property damage" expecte6 or intended from the standpoint of the insured. The Damage To Premises Rented To You limit is the This exclusion does not apply to 'bodily injury" higher of the Each Occurrence Limit shown in the or property damage- resulting from the use of Declarations or the amount shown in the Declarations reasonable force to protect persons or property. as Damage To Premises Rented To You Limit. CG 75 35 02 07 Page 3 014 EP I;.AaarM IATO 15%=&y EXTENDED DEFINITION OF BODILY INJURY interrupted only by a street, roadway, waterway, or Paragraph 3. of DEFINITIONS (Section V)is replaced right-of-way of a railroad. by the following: INCREASED MEDICAL EXPENSE LIMIT 3. "Bodily injury" means bodily injury, sickness or The Medical Expense Limit is amended to$10,000. disease sustained by a person, including mental anguish or death resulting from any of these at KNOWLEDGE OF OCCURRENCE any time. TRANSFER OF RIGHTS OF RECOVERY The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of The following is added to Paragraph 8. Transfer 01 COMMERCIAL GENERAL LIABILITY CONDITIONS Rights 01 Recovery Against Others To Us of COM- MERCIAL GENERAL.LIABILITY CONDITIONS,(Sec. Knowledge of an 'occurrence', claim or -suit- by your agent, servant or employee shall not in itself We waive an ri Ms of re constitute knowledge of the named insured unless an Y 9 recovery we may have against effigy of the named insured has received such notice any person or organization because of payments we from the agent, servant or employee. make for injury or damage arising out of your ongoing operations or your work' done under a contract with UNINTENTIONAL FAILURE TO DISCLOSE ALL that person or organization and included in the HAZARDS 'products-completed operations hazard-. This waiver applies only 10 a person or organization for whom you The following is added to Paragraph 6. Represents- are required by written contract,agreement or permit lions of COMMERCIAL GENERAL LIABILITY CONDI- to waive these rights of recovery. TIONS (Section IV): AGGREGATE LIMITS OF INSURANCE — PER lf you unintentionally fad to disclose any hazards ex- LOCATION isting at the inception date of your policy, we will not Fa ad sums wh ch the insured becomes legally Doti- deny coverage under this Coverage Form because of to such failure. However, this provision does not affect gated pay as damages caused by -ooccurrences our right to collect additional premium or exercise our under COVERAGE A (Section 1), and for all medical right of cancellation or non-renewal. expenses caused by accidents under COVERAGE C (Section 1), which can be attributed only to operations LIBERALIZATION CLAUSE at a single "location*: Paragraphs 2a. and 2b. of Limits of Insurance (Sec- The following paragraph is added to COMMERCIAL lion III) apply separately to each of your "locations • GENERAL LIABILITY CONDITIONS(Section N): owned by or rented to you. 10. lf a revision to this Coverage Part, which would Provide more coverage with no additional pre- "Location" means premises involving the same or miurn, ddi becomes effective during the policy period connecting lots, or Premises whose connection is in the state shown in the Declarations, your pol- icy will automatically provide this additional cov erage on the effective date of the revision. a C m Page 4 d C�f.-01Al11MxeLIpC6ml�.r