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HomeMy WebLinkAboutInsurance Certificate: Oregon Shakespeare Festival (2) DATE (YYAID/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1/8/2014 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 poncy(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 BreaZeele NAPE: Brown & Brown Northwest R..9,Ptreazeale@bbnw.com FAX 3256 8illcrest Park Drive H1All . (541)494-2755 reazealeebbaw.com Medford riINNSSURER SURERS AFFORDING COVERAGE NAIC9 OR 97504 American Insur ance Co INSUREp 16691 American Alliance Ina CO 6832 Oregon Shakespeare Festival PO BOX 158 Aahland OR 97520 'COVERAGES - CERTIFICATE NUMBER:14-15 GL BA UM 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. PoLICY EFF POLICY EXP LIMITS GENERAL LIABILITY NSR A D T('1'O TYPE OF INSURANCE LICY NUMBER EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PR I E O $ 300,000 AMA A CLAIMS-MADEO OCCUR X 305 /1/2014 /1/2015 MED EXPI one S 10,000 PERSONAL a ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIESPER: AUTOMOBILE POLICY $ X PRO LOC PRODUCTS-COMP/OP AGO E 2,000,000 COMBINED SIN LE LIMIT JAZUTOS Y AUTO " 1 000 000 L OWNED SCHEDULED BODILY INJURY (Per person) f AUTOS X 05 /1/2014 /1/ 2035 BODILY INJURY(Per aWdent) $ ED AUTOS X NON-0WNED AUTOS PROPERTY MAGE $ BRELLA LAB X OCCUR EACH OCCURRENCE E 10,000,000 CESS LIAR CWMS-MADE AGGREGATE E 10,000,000 D X RETENTIONS 10,00 304955505 /1/2014 /1/2015 WORKERS COMPENSATION E AND EMPLOYERTUABILTTY YIN WC STATU- DTN- ANY rROPRIETORIPARTNErECUTIVE OFFICERU 6, NHEXCLUDED,--- .a. NIA E.L. EACH ACCIDENT $ If yes. describe under E.L. DISEASE - EA EMPLOYE S DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMB $ DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (AN ACORD 101, Admeontl Ramwft Schedu*. N mom space Certificate holder included as additional insured as respects general lareyull noncontributory basis where required by written contract per form# CG2010i (07/04).a Thisa form is subject to policy terms conditions ar exclusions. CERTIFICATE HOLDER CANCELLATION campostfashland. 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 agents, directors, officers, employees and volunteers AUTHORIZED REPRESENTATIVE 20 s Main Ashland, OR 97520 nn , Pam Brea..le/PAMBRB II2.d. RurA ACORD 25 (2010/05) ©1968-2010 ACORD CORPORATION. All rights reserved. INS025 poloos).01 The Arc)pn POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional Insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to 'bodily injury" or damage" or "personal and advertising injury" "property damage" occurring after. caused, in whole or in part, by: 1. All work, inducting materials, parts or 1. Your ads or omissions; or equipment furnished in connection with such 2._The.acts _orotpissions=of_those,acting onyouur__^ work, .on_the -project_ -(other- than .service.. behalf maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional Insured(s) at the location(s) location of the covered operations has been designated above. completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organicalion other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 0 130 Properties, Inc., 2004 Page 1 of 1