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HomeMy WebLinkAboutInsurance Certificate: Youth Symphony of SO YOUTH-3 OP ID: JABE CERTIFICATE OF LIABILITY INSURANCE 71MWDDYYY) 1/27/13 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: N 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 CONTACT _ Liberty Mutual Insurance NAME: PHONE FAX PO Box 188065 INC. No E,rt' WC , N.), Fairfield, OH 45018 EMAIL BEECHER CARLSON INS AGY LLC ADDRESS: INSUR S AFFORDING COVERAGE NAltk INSURER A: American States Insurance 19704 INSURED YOUTH SYMPHONY OF INSURERB: SOUTHERN OREGON PO BOX 4291 INSURER C : MEDFORD, OR 97501 INSURER D: ' WBURER E INSURER 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. INSR kDOL 5UBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER 1fMM/DDrYYYYI MM/DD RELWOL GENERAL LUUMUTY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY 01CH65230470 11124113 11124114 PREMISES Eao rvenm $ 1,000,00 CLAIMS-MAOE F-xl OCCUR MEDEXP(Myooe N.r) $ 10,00 PERSONAL B AOV INJURY S 1,000,00 GENERALAGGREGATE S 1,000,00 GENLAGGREWTE U MIT APPLIES PER PRODUCTS - COMP/OP AGG $ 1,000,00 X POLICY PRO- LOC $ AUTOMOBILE UABILITY EO ewaeet SINGLE LIMIT S 1,000,00 A ANY AUTO OICH65230470 11/24113 11124114 BODILY INJURY (Per person) S ALL OWNED SCHEDULED BODILY INJURY (Per ancidam) S AIT AUTOS NON-OWNED PROPERTY DAMAGE S X HIRED AUTOS X AUTOS Perac den) $ UMBRELLA UkB OCCUR EACHOCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION WC STATU- TF} AND EMPLOYERS' LIABIUftt IMI ANY PROPRIETOR/PARTNER/EXECUTNEY NIA E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDEDI (Mandatary in NH) E.L. DISEASE - EA EMPLOYE $ If yea deeaibe uMer DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT E DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES (Attach ACORD 101, AddiUOnal Ramarke SNedule, B mon apace is mwimdl RE: as required for the 2013-2014 fiscal year/season grant award CERTIFICATE HOLDER CANCELLATION PUBFUNI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Funding ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland Finance Department AUTHORIZED REPRESENTATIVE 20 E Main St - Ashland, OR 97520 ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD