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Home My WebLink AboutInsurance Certificate: Rogue Valley Growers & Crafters Market ~w !1~ 9RVGROW OP ID: MW r1C~/ROB DATE (MM/DDM/Y)n CERTIFICATE OF LIABILITY INSURANCE 02/13/13 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. - - CONTACT Hart Insurance 541-479-5521 NAME: i 541-474-1890 PHONE FAX P. O. Box 1240 Arc No Eat : - ac No Grants Pass, OR 97528 - - ` EMAIL Hart Insurance Agency ADDRESS: I INSURERS AFFORDING COVERAGE' NAIC 0 - - - INSURERA:Mutual of Enumclaw - 14761 INSURED Rogue Valley Growers and INSURER B: Crafters Market INSURERC: P.O. Box 4041 Medford, OR 97501 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 ADDL SUBS POLICYNUMBER MM/D YEFF MMIDO EXP J= mn LTR LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X CPP000391702 04/06/13 04/06/14 PREMISES is occurrence $ 300,00 CLAIMS-MADE FV7 OCCUR MED UP (My one person) $ 10,00 PERSONAL S ADV INJURY $ 1,080,08 GENERAL AGGREGATE $ 2,000,0011 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 2,000,00 X POLICY 7. PRO- LOC $ JECT F7 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ - $ HIRED AUTOS NON-OWNED PROP RTYDAMAGE AUTOS Per emidenl UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CWM&MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OR-ITS I AND EMPLOYERS'LIABILITY YIN PROPRIETOR/PARTNER/EXECUTIVE NIA E.L. EACH ACCIDENT $ OFFICEANY RIMEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE -EA EMPLOYE $ U es, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S 7 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Ramarks Schedule, B more space is required) City of Ashland is named as an additional insured per attached CG2026 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland 20 E Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE Hart n r_ance A cy 01988 010 ACORD CORPORATI I rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CPP 0003917 02 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization(s) CITY OF ASHLAND ATTN: BRIAN ALMQUIST CITY HALL ASHLAND OR 97520 Information required to complete this Schedule if not shown above will be shown in the Declarations. Section II - Who Is An Insured is amended to in- sions or the acts or omissions of those acting on clude as an additional insured the person(s) or or- your behalf: ganization(s) shown in the Schedule, but only with A. In the performance of your ongoing operations; respect to liability for "bodily injury", "property or damage" or "personal and advertising injury' caused, in whole or in part, by your acts or omis- B. In connection with your premises owned by or rented to you. CG 20 26 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 UNIFORM