Loading...
HomeMy WebLinkAboutInsurance Certificate: Ashland Chamber of Commerce (2) AcoR°® CERTIFICATE OF LIABILITY INSURANCE 005/08/20 21 III.I THIS CERTIFICATE IS ISSUED ASA 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 endorsements . PRODUCER CONTACT 1~ Allison Ward Reinholdt & O' Harra Insurance P AX (541)482-1921 AIC NP: (541)488-4458 I= IN 516 Washington St EJIAa award reinholdtins.com Ashland, OR 97520 ADDRESS. _ INSURER(S) AFFORDING COVERAGE NAICa License 600442 _ INsu-A: Zurich Insurance Services, Inc. 19356 INSIIH® INSURER B Ashland Chamber of Commerce INSURER C: P O Box 1360 INSIIRERD: Ashland, OR 97520 INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: 00000660-0 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 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 SUER POLICY NUMBER MMIDDfYYYY MM/00/`f`IYI UNITS A GENERAL W BILITY Y N PPS039636353 0210312012 02103/2013 EACH OCCURRENCE $ 1 000 000 hC~ERGISJ GENERAL LIABILITY PREMIESEa J,ft9enca _ S1000 DDD M-MADE F OCCUR MED EXP(AAn san E 10,000 PERSONAL&ADV INJURY $ 1,000000 GENERAL AGGREGATE $ 21000,000 GENT AGGREGATE LIMB APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000000 X POLICY " LCC S -IMT AUTOMOBILE LIABILITY CONRINED SINGLE UNIT- (Eg BOOLY IWURY(Pw p.) IS ANY AUTO HALL O SCHEDULED BODILY INJURY(Poraaident)IS - AUTOS S AUTOS NUrrOS D PROPERTY DANNGE is HIRED AUTOS AUTOS Pw acaden9 $ 4"EDF-1 OCCUR EACHOCCURRENCE S C IMS-MADE AGGREGATE S RETENTIONS t WORKERSCOMPENSATION 1YC STAR} OTK ANDEMPLOYERTU BIL-nY YIN ANY PROPRIETORIPARTNEREXECUTIVE ❑ NIA E.L.EACHACCIDENT S OFFICERIMEMBER EXCLUDED'! 1Mw,dalerYN NH) E. L. DISEASE - EA EMPLOYE S Ilyyats d dbewder DESCRIPTION OF OPERATIOtJSb E.L DISEASE - POLICY LIMIT S T-- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ANech ACORD 101, Addda R.n Schedule, If cwra epau N reulrw) The City of Ashland, its officers, employees and agents shall be named as additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 201E Main Ashland, OR 97520 AllTF1ORIZED REPRESEMrAlIVE SL-/ r T WQ ✓ 1/r ALI © ISW2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Printed by ALI on May 08, 2012 at 04:19PM ACORO ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM WYYYY) 0 510 8/201 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 NAME Allison Ward Reinholdt & 0' Harra Insurance PHONE FAX 518 Washington St HuNL (541)482-1921 c No: 541)488-4458 Ashland, OR 97520 Aom avrvrd~$einholdtlns.com INSUrs IAFFORDING COVERAGE acs License BOD442 INSURER A: Zurich Insurance Services, 19356 WSURED INSURER B: Ashland Chamber of Commerce INSURERc: P O Box 1360 INSURERD: . Ashland, OR 97520 WSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 00000660-0 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 MAYBE 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. R TYPE OF INSURANCE AI N eR P CY NUMBER MWDCYEFF MWOO EXP LTR LNEs LT A GENERAL LIABILITY Y N PPSD39636353 021031201210210312013 EACH OCCURRENCE s 1000000 COMMERCIAL GENERAL LIABILITY PREMISESIEeacwnerael 's 1 000.000 CLAIMS-MADE F-XIOCCUR MED EXP Any ore person) .1-- 10,000 PERSONAL &ADV INJURY $ 1 000,000 GENERALAGGREGATE § 2.000.000 GENL AGGREGATE LIMIT APPLIESEER: PRO011CTS-COMPIOPAGG $ 2,000,000 E'T POLICY PRO LOC § AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea _ ANY AUTO BODILY INJ URY(Per person) S ALL OWMED SCHEDULED AUTOS AUTOS BODILY INJURY (Per OCtltlenO S HIREDAUTOS NONOWNED PROPERTY DAMAGE Per acdtlent AUTOS $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ E%CESSUA6 CLI,IMS-MPDE AGGREGATE $ DED RETENTION$ It WORKERS COMPENSATION WC STATU OM AND EMPLOYERS' UABIUTY YIN ANY PROPRIETORIPARTNERIEXEQfTINE NIA ELFACHACCJDENT $ OFFICERIMEMBER EXCLUDED? VM MOry in NR) E.L. DISEASE - EA EMPLOYE $ IfE s Cabu DSRIPTION OF OPERATIONS Mwv EL DISEASE - POLICY LIMIT S DESORPTIONOFOP TIONS/LOCATIONSIVEHICLES(Attach ACORD101,A UwMRemarkss ul%ifnavespasbregwe) The City of Ashland, its officers, employees and agents shall be named as additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POUCY PROVISIONS. 20 E Main Ashland, OR 97520 AUTHORIZED REPRESS AT~NE~t~1 SCf ALI ©1988-2010 ACORD CORPORATION.' All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Printed by ALI on May 08, 2012 at 0419PM