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Home My WebLink AboutInsurance Certificate: Rogue Valley Growers & Crafters Market 9RVGROW OP ID: MW CERTIFICATE OF LIABILITY INSURANCE o02/1812014 o211sno1a 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 thiscertificate doesnot confer rights to the certificate holder in lieu of such endorsements . I PRODUCER Phone: _541-479_-55_21 CONTACT Hartlnsurance I _--',-0--T--- P. - Fax: 541-474-1890 PHONE FA% O. BOX 1240 I : 1 I ` I E A Lo Eat : - A/C-NO - - Grants Pass,.OR 97528 - f oll ,.",EH ADDRESS: - - Hart Insurance Agency - - 1 INSURER $ AFFORDING COVERAGE NAIC 0 INSURERA,MutualofEnumclaw - 14761 INSURED Rogue Valley Growers and INSURER B: Crafters Market NSURERC: P.O. Box 4041 Medford, OR 97501 INSURER D: INSURER E NSURERF: 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. ILTR TYPE OF INSURANCE IV POLICY NUMBER MM/DDY/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X CPP000391703 04106/2014 0410612015 PREMISES Eaoccu ante $ 300,00 CLAIMS-MADE OCCUR MED UP (Anyone person) $ 10,00 PERSONAL S ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ - 2,000,00 GEMLAGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG 4 - 2,000,00 X]'POLIC PRO- IFCT Y LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _ jr it> ANYAUTO.' I I I ' J BODILY INJURY (Per person) , E r, r ALLOWNED SCHEDULED, - - - AGPer accident) AUTOS AUTOS BODILY INJURY HIREDAUTOS NON-OWNED PROPERTY DAMAGE - AUTOS Peraccidenl $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION VJC STATU- OTH- ANDEMPLOYERS'LIABILITY YIN R ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMSER EXCLUDEDP NIA (Mandatory In NH) E.L. DISEASE-EA EMPLOYEE $ If yes, tlespibe under DESCRIPTION OF OPERATIONS 1,0109 E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Addidonal Remarks Schedule, If more space Is required) City of Ashland is named as a. additional insured per attached CG2026 CERTIFICATE HOLDER CANCELLATION 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. I 20 E Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ~ Hart I surance Age cy I 1988-2010 ACORD CORPORAT . All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CPP 0003917 03 COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 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 Personle) Or Organization(s) CITY OF ASHLAND ATTN: BRIAN ALMQUIST CITY HALL ASHLAND OR 97520 Information r uired to complete this Schedule if not shown above will be shown in the Declarations. Section B - Who Is An Insured is amended to in- sions or the acts or omissions of those acting on clude as an additional insured the parson(s) or or- your behalf: ganization(s) shown in the Schedule, but only with A. In the performance of your ongoing operations; respect to liability for "bodily injury", 'property or damage' or "personal and advertising injury " caused, in whole or in part, by your acts or omis- B. In connection with your premises owned by or ' rented to you. CG 20 26 07 04 Copyright, ISO Properties, Inc., 2004 Page 1 of 1 UNIFORM