HomeMy WebLinkAboutInsurance Certificate: Ashland Historic Railroad Museum
28/2013 (MMODfYYYY)
CERTIFICATE OF LIABILITY INSURANCE 3/DATE
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 terns and conditions of the policy, certain pollcles may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER - NCONTACT AME: Cathy Damstra-Lepley, CIC
Beecher Carlson Insurance Agency LLC pI1CINO Eu. (541)772-1111 AID 1541)772~7e5
3256 Hillerest Park Drive {AIL cathy.da tralepley@beechercarlson.com
INSURER(S) AFFORDING COVERAGE NAIL i
Medford OR 97504 INSURERA :First National Ins Co of AM 4724
INSURED - INSURERB:
URERC:
ASHLAI'TD HISTORIC RAILROAD MUSEUM [IMEU~RER
406 IOM ST D:
E !
ASHLAND OR 97
520 URER F:
COVERAGES CERTIFICATE NUMBER:2012 GL coverage 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 VffH 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.
1L TYPE OF INSURANCE A DEL SUB POLICY NUMBER MM ODIYYYY MMIDDr EXP LIMITS fYM L R
GENERAL UABILRY EACH OCCURR.EIJCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY PREM6ES Faom~nnnce• $ 1. D00, 000
A CLAIMS+hAOE aOCCUR X 5CC27785960 /21/2012 /21/2013 VIED EXP(Aw ora person) $ 10,000
PERSONAL S ADO INJURY $ 1,000,000
CENEF.AL AGGFEGATE $ 2,000,000
GEN'L ACGP.EGATE LIMIT APPLIES PER. PRODUCTS-CON•P/OPACC $ 2,000,000
X POLICY PPD- LOC S
AUTOMOBILE UABILnY M~l~ IN LEdU
!Ea-sdarc) S
kNY AUTO BODILY INJURY (Per person) $
A'1. OV.74ED SCHEDULED
AUTOS .AJT05 BODILY IWd RY(Pa'aaicw-) $
t1VN-0NW%^ PROPEFTY DA1.IAGE
AIRED /WTOS AUTOS ~PE•acadenl $
`d
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLf MS-:d<DE AGC9.EGATE $
DED FE all'ION $ $
Y/ORHERS COMPENSATION V:' STPT!'- OTH-
R
ANDEMPLOYERS'LIABILI7Y YIN 1%,Y IF
AI:Y FBCFRIETCF..?pRTNER,ENECOi1VE E.L. EACH ACCIDENT $
OFFICEWMEMBER EXLLUDECiI E] NIA
(Mandator, In NH) EL, DtiE:SE-EA EMPLO YE $
II ws. dasaibe vd-1 -
DESCFIFTK'NOFOFERAT1ONSbe EL DISE4F-POLICY LIMIT $
DESCPoPnON OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
Liability Plus Endorsement, CG7635, 02/05 includes additional insured coverage when required by a signed
written contract.
This form is subject to policy terms, conditions, and exclusions.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
The City of Ashland, its officers ACCORDANCE WITH THE POLICY PROVISIONS.
and employees
20 E Main St AUnq RIZEDREPRESENTATIV-e
Ashland, OR 97520
C Damstra-Lepley, CIC
ACORD 25 (2010105) 9 1988-2010 ACORD CORPORATION. All rights reserved.
INS025 (20107,101 The ACORD name and logo are registered marks of ACORD