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HomeMy WebLinkAboutInsurance Certificate: Ashland Independent Film Festival acoRO® CERTIFICATE OF LIABILITY INSURANCE OATE(MMMMUYYYY) 06/26/2013 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 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 NAME: Reinholdt & O' Harra Insurance PHONE Rebecca DeVall FAX 518 Washington St N. ~eu (541)482-1921 arc Np: 541)488-0458 Ashland, OR 97520 ADDRESS: rdevail@reinholdtins.com INSURERS AFFORDING COVERAGE NAIC4 License 800442 INSURER A: Philadelphia Insurance Companies INSURED INSURER B Southern Oregon Film Society DBA Ashland Independent Film Festival INSURER L' P O BOX 218 INSURER D: Ashland, OR 97520 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 00001419448945 REVISION NUMBER: 4 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. INSft TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY UP LTR POLICY NUMBER MFVDDI MMIODIYYYY LIMITS A GENERAL LIABeJTY Y PHPKI036070 0711412013 07114/2014 EALHOCCURRENCE S 1 000,000 X COMMERCIAL GENERAL LIABILITYOREN1Eo PREMISES IRENzr arce E 160 ODD T LW MSJAADE 1XI OCCUR MED EXP (AM we perwr,) $ 5,000 PERSONAL &ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO 5 2000000 X POLICY PRO- LOC Liquor Lia E 1.000.000 AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT EXacader ANY AUTO BODILY INJURY (Per persrn) S ALLY ED SOHO ULED BODILY INJURY (Per acade,n) $ NON-0MED PROPERTY DAMAGE HIREDAUTOS H I 1 1 AUTOS Per accident) S E UMORELLALIAB OCCUR EACH OCCURRENCE 5 EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEO RETENTIONS $ WORKERS COMPENSATION WL STATLL OTH ns] AND EMPLOYERS' IN6ILRY YIN ANY PROPRIETORIPARTNERJEXECUTIVE E.L. EACH ACCIDENT S °FFICEAIMEMBER EXCLUDED? O NIA (M ite,M. y in NH) E.L. DISEASE- EA EMPLOYE $ w aeernee uMar Sf]RIPTION OF OPERATIONS eea EU DISEASE-POLICY LIMIT $ °ESCRIPTON OF OPERATONB I LOCATIONS I VEXICLES (Merl, ACORD 101, Atltlitional Remarkz SceeEUla, B mon apue is reyui,W) City of Ashland is listed as additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Its Officers & Employees ACCORDANCE WITH THE POLICY PROVISIONS. 20 E. Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE REB ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD I Printed by REB on June 26, 2013 at 09:1 SAM