HomeMy WebLinkAboutInsurance Certificate: Scienceworks Hands-On Museum
® GATE (Ml2oomYTT
LCORO CERTIFICATE OF LIABILITY INSURANCE
kw 6/26/2013
% I - .
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 poncles may require an endorsement A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
RODUCER N~ANGcr Julie Asher
Ashland Insurance Inc PHONE (541)4B2-0831 FAC a: (541)429-5051
iB5 A Street Suite 1 A'I .jasher@aehlandinsurence. cam
I. O. BOX 880 - INSI a AFFORDING COVERAGE NAIC0
Ashland OR 97520 INSURERANon XO£it Ins Alliance of CA
4SURED INSURER a :
3cienceworks Hands-On Museum INSURER C:
.500 E Main St INSURER o:
INSURER E:
yshland OR 97520 INSURER F:
;OVERAGES CERTIFICATE NUMBER:CL1362604256 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.
TYPEOFINSURANCE POLICY NUMBER WDD EFF MWOD EXP LIMITS
TIT
GENERAL LIABILITY EACH OCCURRENCE 5' 1,000,000 DAMAGE TO KENTED
X COMMERCIAL GENERAL LIABILITY PREMISES Ego ® 5 500,000
A CLA9A8-MADE OOCCUR X 013-24747 118/2013 /18/2014 MED EXP(AM ana persm) $ 20,000
PERSONAL S ADV INJURY 5 1,000,000
GENERAL AGGREGATE 5 2,000,000
GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGE S 2,000,000
X POLICY PRO LOC S
IFUT -1
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
His 0=1015m) 5
ANY AUTO BODILY INJURY (Par Par&aa) S
ALL OWNED SCHEDULED BODILY INJURY (Par addenl) $
AUTOS NOAUTOSNA
HIRED AUTOS WNEO PROPE Pv RTY DAMAGE S
ers4leM
5
UMSRELLALIAB OCCUR EACH OCCURRENCE S
EXCESS LIAR CLAIMS44AOE AGGREGATE S
DELI RETENTIONS S
WORKERS COMPENSATION WC STATU- OTH-
ANDEMPLOYERS'LUIBILITY
ANY PROPRIETORIPARTNERIEXECUTIVE ~ NIA EL EACH ACCIDENT S
OFFICERIMEMBER EXCLUOE07
(Mandatory In NH) EL DISEASE-EA EMPLOYE S
Ifyyaaa,deedbe wder
DESCRIPTION OF OPERAMCUS blow EL DISEASE -P000Y LIMIT 5
365CFUPTION OF OPERATIONS I LOCATIONS I VEHICLES (AUach ACORD tot, AddillanN Ranarks 5chaduln, Itnmm sp-, is required)
=ity of Ashland, their officers, employees and agents are listed as an additional insured.
CERTIFICATE HOLDER CANCELLATION
(541)488-5320 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS.
Finance Department
Attn: BURL AUTHORIZED REPRESENTATIVE
20 E. Main St.
Ashland, OR 97520
Julie Asher
ACORD 25 (2010105) 01 @ 010 ACORD CORPORATION. All rights reserved.
INS02512oim).oi The ACORD name and logo are registered marks Of ACORD