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HomeMy WebLinkAboutInsurance Certificate: Oregon Shakespeare Festival °RO® CERTIFICATE OF LIABILITY INSURANCE 1/14/ °/14/"D°2013 'Y3 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(les) must be endorsed. If SUBROGATION IS WANED, 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 Ilou of such endorsement(s). - PRODUCER CO ACT Pam Breazeale Beecher Carlson Insurance Agency LLC PNCNE (541) 494-2655 FAX . (5411594-2]55 707 Murphy Rd 'MAIL .pam. breazeale@beachercarlson.com INSURER(S) AFFORDING COVERAGE NAmA Medford OR 97504 INSURERAGreat American Insurance Co 6691 INSURED - INSURERBGreat American Alliance Ins Co 6832 Oregon Shakespeare Festival INSURER C: PO Box 156 INSURER D: INSURER E : Ashland OR 97520 INSURER F: COVERAGES CERTIFICATE NUMBER:13-14 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 NTH 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 ADM SUBR POLICY EFF POLICY EXP 113. POLICY NUMBER IMWDQnNM IMMIDDADOM LIMITS GENERAL LABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES f 100,000 A CLAIMSLIADE OCCUR X AC8049553 /1/2013 /1/2015 MED UP (My ale pw~) S 5,000 PERSONAL d ADV INJURY $ 1,000,000 GENERAL AGGREGATE f 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP)OP AGG S 2,000,000 X POLICY PRO- LOC S Jrr.T AUTOMOBILE LIABILITY COMBINED t SINGLE LIMIT 1,000,000 (Ea A X ANY AUTO BODILY INJURY (Per p ) S ALL OMEO SCHEDULED X :AP804955404 /1/2013 /1/2014 BODILY INJURY (Par ecddent) S AUTOS AUTOS NONO UTOSWNED PPROPERTY DAMAG S X HIRED AUTOS X A PIPAeNc S 15.000 UMBRELLA LAB X OCCUR EACH OCCURRENCE S 10,000,000 B EXCESS UAB CLAIMSAADE AGGREGATE f 10,000,000 DED X R TENTH N 10,00 804955504 /1/2013 /1/2014 - S WORRERSCOMPENSATION VJCSTATU DTH- ANDEMPLOYERS'WIBILITY YIN ANY PROPRIETORIPARTNERIFXECUTIVEQ NIA E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED"! (Wn"ft,W M NH) E L. DISEASE - EA EMPLOYE f 11 Yee. de VIIdY DESCRIPTION OF OPERATIONS OelDx E.L. DISEASE Pol1GY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Anach ACORD 101, AddlUdnM Remarks ScAaOUle, 0 mom Fpece I. ,paired) Certificate holder included as additional insured as respects general liability on a primary 6 noncontributory basis where required by written contract per form If CG2010 (07/04). This form is subject to policy terms conditions 6 exclusions. CERTIFICATE HOLDER CANCELLATION campost@ashland.or.us 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. Its agents, directors, officers, AUTHORIZED REPRESENTATIVE employees and volunteers 20 E Main Ashland, OR 97520 Pam Breazeale/PAMBRE , ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 PJn1m9 n1 Thp aCf1Rf1 mmp and Innn pro rpniclprpa mock. of ACnRn