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HomeMy WebLinkAboutInsurance Certificate: Klamath Bird Observatory CERTIFICATE OF LIABILITY INSURANCE 5/15/2013 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 COWACT NAME: Julie Asher Ashland Insurance Inc PHONE - (541)982-0831 we o.15arl ae B-5851 585 A Street Suite 1 E'M ne ,jasher@ ashlar dinaurance. corn _ P. 0. BOX 880 INSURERS AFFORDING COVERAGE NAIC# Ashland OR 97520 INSURER A:ANIRRG INSURED INSURER B:' Klamath Bird Observatory INSURER C: P.O. Box 758 INSURER O: INSURER E : Ashland OR 97520 INSURER P: COVERAGES CERTIFICATE NUMBER:CL33219D3997 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. POUCY EFF POUCYEXP ILTR TYPE OF INSURANCE ABC POLICY NUMBER oMIDD/YYYY MMIDOiYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES HLNT rzeOfA 5 500,000 JE. A GLAIMSIMDEOCCUR X 012-25840 /1/2012 /1/2013 MED EXP IA arse Person) 5 20,000 PERSONAL Z AOV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG 5 2,000,000 X POLICY PRO- LOG 5 .IFCT AUTOMOBILE UABILItt COMBINED SIN LE LIMIT e oo e I S ANY AUTO - BODILY INJURY (Per penes) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY IPeroaldcnq S PROERTY DAMAGE HIRED AUTOS AUTO6WNE0 PeroccidaN$ S 5 UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LM! CWMS-MAOE AGGREGATE S OED RETENTIDN Ii is WORKERS COMPENSATION WC $TATU- OTH- ANDEMPLOYERTLIABILITY YIN ANY PROPRIErORIPARTNERIEXECUTIVE E.L EACH ACCIDENT 5 OFFICERJMEMBER E%CLUOE07 ❑ NIA (Mandatory In NHl - E.L DISEASE - EA EMPLOYE 5 II yyes. desrnLe urMer - DESCRIPTION OF OPERATIONS belm E.L DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Almon ACORD 101, Addltlanal Re narks Schedule, if more apace is mqulmE) Ducks Unlimited Inc, its officers, directors, employees, and agents are listed as additional insureds, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THEA20VE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ducks Unlimited Inc ACCORDANCE WITH THE POLICY PROVISIONS. Ka-ala Netter 17800 SE Mill Plain, Suite 120 AUTHORIZED REPRESENTATIVE Vancouver, WA 98683 Julie Asher ACORD 25 (2010/05) ©"19 8-2010 ACORD CORPORATION. All rights reserved. INS025 (2011305).01 The ACORD name and logo are registered marks of ACORD