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Home My WebLink AboutInsurance Certificate: Ashland Springs Hotel-Larks Restaurant (2) i NEUM03C OP ID: TMR (MMIDDIYf CERTIFICATE OF LIABILITY INSURANCE ' 1 0113012014 D W) 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 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 Phone: 541-245-1111 CONTACT Therese Rayburn United Risk Solutions, Inc., PRONE FA% PO Box 936 Fax: 541-245-1112 .541-245-1111 , No): 541-245-1112 Medford, OR 97501-0067 AoDnESS: thse.raybum@unitedrisk.com INSURER(S) AFFORDING COVERAGE NMC S INSURER A: Zurich North America INSURED Neuman Hotel Group, LLC INSURERS : Ashland Springs Hotel Larks Restaurant INSURER C : 212 E Main Street INSURER D Ashland, OR 97520.1829 INSUU RERER R E INS F COVERAGES CERTIFICATE NUMBER: 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. Want POLICY UP POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM D (MNUDDNYYY) LIMnS IMSR GENERALLIABILm' EACH OCCURRENCE E 1,000,06 A X COMMERCIALGENERALLUUSLITY CP0553794300 12/1712013 1010112014 PREMISES Esoca" $ 1,000,00 CLAIMSJAADE Fx] DCCUR MEDEXP(Anyonepewn) $ 5,06 X Profeaslonal Uab PERSONAL$ACVIWURY $ 1,000,600 X Liquor GENERAL AGGREGATE E 3,000,06 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 3,000,000 POLICY PRO- X LOG S -jFCT AUTOMOBILE UASILDY COMBINED SINGLE UMR 1,006,600 Ea accident $ A X ANY ADrO CP0553794300 1211712013 10/0112014 BODILY IWURY(Per person) $ AL-OWNED SCHEDULED AUTOS AUTOS 80DILYIWURY (Pa acaOenU $ NON-OWNED PROPERTY DAMAGE E HIRED AUTOS AUTOS Per accident E X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS UAa CLAIMS-MADE UMB553794400 12/1712013 1010112014 AGGREGATE $ 5,000,00 DED RETENRONE $ WORKERS COMPENSATION WC STATU- OTH. AND EMPLOYERS' LIABILITY YIN TOY UM TS E ANY PROPRIETORIPARTHERIEXECUTIVE E.L. EACH ACGDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L. DISEASE-EA EMPLOYE $ H yes, describe un,1w DESCRIPTION OF OPERATIONS W. E.L. DISEASE-POLICY LIMIT $ A - Employsa 9aneats - CP0553794300 1211712013 1010112014 EBL 1,000,000 Ded 1,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AHaeh ACORD 101, AddlUonal lu marks Schedule, If more space Is relulred) City of Ashland, it's officers s employees are named Additional Insured per form CC2026 (07/04) This supercedes certificate issued on 12/31/13 CERTIFICATE HOLDER CANCELLATION CITAS03 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main Street Ashland, OR 97520-1814 AUTHORRED REPRESENTAT .;71.d4tsr. AV & , 'A-- 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 POLICY NUMBER: CP0653794300 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED 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) City of Ashland information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section 11 - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", 'property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. ® ISO Properties, Inc„ 2004 GG 20 26 07 04 EP