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HomeMy WebLinkAboutInsurance Certificate: Oregon Shakespeare Festival (3) A CERTIFICATE OF LIABILITY INSURANCE 6iii2o 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 Pam Breazeale NAME: 7 -F Beecher Carlson Insurance Agency LLC PNONE (541) 494-2655 UM. No k (5411494-2755 707 Murphy RdL .pam.breazeale@beechercarlson.com INSURE S AFFORDING COVERAGE NAICU Medford OR 97504 INSURERAGreat American Insurance Cc 16691 INSURED INSURERB:Great American Alliance Ins Co 6832 Oregon Shakespeare Festival INSURERC: PO BOX 158 INSURER D: INSURER E:' Ashland OR 97520 INSURERF: COVERAGES CERTIFICATE NUMBER-J3-14 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 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 A~ a POLICY NUMBER YEFF M PuUCYEXP DDrfYY LIMITS INSR LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY OAMMI D caarence $ 100,000 A CWMS-MADE OCCUR X AC8049553 /1/2013 /1/21114 MED UP An one rwn) s 5,000 PERSONALSADVIMURV S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER. PRODUCTS-OOMP/OPAGG $ 2,000,000 X POLICY PRO- LOC S AUTOMOBILELIABILITY EOMMBIINNED SINGLE LIMIT 1,000,000 A X ANY AUTO BODILY INJURY (Pe Person) $ ALL OWNED SCHEDULED 804955404 /1/2013 /1/2014 BODILYIWURY(P.AVA4enI) $ AUTOS AUTOS X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS rama., PIP- Slc S 15,000 UMBRELLA LUIS X OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10, 000, 000 DELI X RETENTIONS 10,00 804955504 /1/2013 /1/2014 $ WORKERS COMPENSATION NCSTATU- OTFL AND EMPLOYERS LIABILITY YIN ANY PROPRIETORIPARTNERIEI(ECUTIVE❑ NIA EL EACH ACCIDENT S OFDCERAMEMBER E%CLUDEDT (MU tary In NH) EL DISEASE - EA EMPLOYE $ U, d nalEA Ialaer SCRIPTION OF OPERATIONS UeImv EL. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AOach ACORD 101, AWI ional RemarMa Sche4ale, it mort apace la reg01re4) Be- Daedalus 5K Run August 18, 2013 - Certificate Holder is an Additional Insured as respects to the General Liability Coverage per the written contract S form # CG8224 (12/01). This form is subject to policy terms, conditions, and exclusions. CERTIFICATE HOLDER - CANCELLATION vizzinij@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 Officers, Employees S Agents Jodi Vizzini - Public Works Dept AUTHORIZED REPRESENTATIVE 20 E Main Street Ashland, OR 97520 , Pam Breazeale/PANBRE ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. fNS026mi. i n1 Th. Ar:nNn namn and Innn „e ,nnicrornH nn.,Ms ..f arnan