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Home My WebLink AboutInsurance Certificate: Noel Lesley Event Services FEB-14-2014 09:29 Ward Insurance 541 342 82BO P.002/005 CERTIFICATE OF LIABILITY INSURANCE 2/14/2014 ' 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 pollcy(les) must be endorsed. If SUBROGATION 13 WANED, 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 Ileu of such endorsement(s). PRODUCER Aye. Kim Schnetzky Ward Insurance Agency PND~, 1541.)687-1117 FAC No; x5/1)342-8280 PO BOX 10167 c iwardinsurance.net INSUR (S AFFORDINGCOVERAGE "CS Eugene OR 97440 INSUERA.Scottsdale Insurance Company INSURED INwAsR9D sitors Ins C a 2587 Noel Lesley Event Services Inc Irs>aarc:Underwriters at Lloyd's London 2630 Siskiyou Blvd INSURERO: INSIRER E Ashland OR 97520 INSURerP: COVERAGES CERTIFICATE NUMBER:13/14 GL/AL/PROF LIAB 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. NOTWITHSTANDWG 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. LTR TYPE OF NSURANCE POU POLICY ENP UUM INSIR MID POLICY NU1B9i (IM DEn" 1 GENERAL L A9RRY EACH OCCURRENCE $ 1,000,000 My- X CJMIAERCt GENERALL"ILITY PREMISES aov.Vnence 6 100,000 A CIAPd .E OX OCCUR X Y CS0030208 /15/2013 /15/2014 MEDE (Any au rwn) $ Excluded PERSONAL a ADV IN%URY E 1,000,000 GEENERAL AGGREGATE T 2,000,000 GIDLAGGREGAT'e LMRAPPLIESPER: PRODUOTS.COMPNPAOG $ 2,000,000 POLICY X " L0C ; _FCT AVrOMOB1E LABILITY COMBINED r0 yL LIMIT 1,000,000 B X ANYAUTO BODILY 14XRY(Px person) f ALL OVMEO SCHEOIILED CP 7515619769 /15/2013 /15/2014 BODILY NJURY(Pm a¢U.M) i A Os ON-OV.NED PROPERTY DMIAG S HIREDAU105 AUTOS Paxdd N PIP_Bec S UMBRELLA LIAB OCCUR EACH OCCURRENCE S "CESS LIAB CLAIMS#NAOE AGGREGATE S Dm RETENTIONS E WOPoSERS COMPEFNSATION V.CSTATU- 0Tt4 ANDHAPLOYERS'LIABLJTY T 1 Tc ANY PROFRIFORFARTnERRIEYECUITIVE YIN NIA E.L. EACH ACCIDENT $ OFFICEWRIEMSER EXCLUDED? (rMMmery in NH) E.L. D6EA5E-EA EIAP.DY r s. desmM uMer I. DESCR 'T'O' OF OFFRATIONS b k. ELDBEASE-POLICYLMIT S C PROFESSIONAL LIABILITY 7 0101540012 2/19/2012 2/18/2013 LlMn $10,000,000 DEDUCTIBLE $10,000 DESCRIPTIONOFOPE nONSILOCATIONSIVEHICLES IAUOACORO10x,AddNdrul Rem Schelde,Irmore Space Isre imd) City of Ashland, Oregon, and its elected officials, officers and employees are named as additional insured on a primary and non-contributory basis including waiver of subrogation per the attached CG2033, GLS294s 6 CG2404. All when required by written contract. Subject to policy limits, terms, conditions and exclusions. CERTIFICATE HOLDER CANCELLATION (541)488-5311 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. 20 Fast Main Street Ashland, OR 91520 AUTHDRIMI) REPRESENTATNE 1=- tf-7~---~ Darrin God£ray/TRACPE ACORD 25(2010105) ®1988-2010 ACORD CORPORATION. All rights reserved. INS025 (20Im5Lln The ACORD name and logo are registered marks of ACORD FEB-14-2014 09:29 Ward Insurance 541 342 8280 P.003i005 COMMERCIAL GENERAL LIABILITY CO 20331001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS -AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENTWITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II - Who Is An Insured is amended to b. "Bodily injury" or "property damage" oc- include as an insured any person or organization curring after: for whom you are performing operations when you (1) All work, including materials, parts or and such person or organization have agreed in equipment furnished in connection writing in a contract or agreement that such person with such work, on the project (other or organization be added as an additional insured than service, maintenance or repairs) on your policy. Such person or organization is an to be performed by or on behalf of the additional insured only with respect to liability additional insured(s) at the site of the arising out of your ongoing operations performed covered operations has been com- for that insured. A person's or organization's status pleted: or as an insured under this endorsement ends when your operations for that insured are completed. (2) That portion of "your work" out of whic B. With respect to the insurance afforded to these h the injury or damage arises has additional insureds, the following additional exclu- been put to its intended use by any person or organization other than an sions apply: other contractor or subcontractor en- s. Exclusions gaged in performing operations for a This insurance does not apply to: principal as a part of the same project. a. "Bodily injury", "property damage" or "per- sonal and advertising injury" arising out of Additional Coverage Provision the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: Unless the named insured has (1) The preparing, approving, or failing to aafeed otherwise in a written prepare or approve, maps, shop draw- contract. the insurance provided by ings, opinions. reports, surveys, field order<_, change orders or drawings this endorsement shall be primary and specifications; and and nun-contributor', but oniv in (2) Supervisory. inspection, architectural the event of the named insured's or engineering activities. a sole new lige11ce. C020331001 Copyright, 150 Properties, Inc., 2000 Page 1 of 1 _:a_ u: _u FEB-14-2014 09:29 Ward Insurance 541 342 8280 P.004/005 ENDORSEMENT SCOMDALE INSURANCE COMPANY" NO. •nAVeb TONIo ew[RQ lYT a1lEC~NF yrs fMMw A>Amv nioi A.K fTArmVO DaF7 w1wDramm AotM rva Poi AIAAgR 8CS0030208 05/15/2013 Noel Lesley Event Services, Inc THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS SPECIAL CONDITION For Coverage provided in the following endorsements as Indicated by an "x' In the box below: o Additional Insured-Owners, Lessees Or Contractors-Scheduled Person Or Organizabon (CG 2D 10). o Additional Insured-Owners. Lessees Or Contractors-Automatic Status Whcn Required In Construction Agreement With You (CG 20 33). u Adddional Insured-Owners, Lessees Or Contractors-Completed Operations (CG 20 37), The insurance provided is amended to be (indicated by an'x" in one box below): o Primary and noncontributory. o Primary. a Noncontributory AUTHORIZED REPRESENTATIVE DATE GLS-294s 0-0e; Page I oft FEB-14-2014 09:29 Ward Insurance 541 342 8280 P.005/005 POLICY NUMBER: BCS003M COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modffles insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: As required by Written Contract Information required to complete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV-Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or 'your worlf' done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ® Insurance Services Office, Inc., 2008 Page 1 of 1 O Total P.005 SAIF Corporation 2/14/2014 10:41:03 AM PAGE 1/001 Fax Server www.saif.mm OREGON WORKERS COMPENSATION P ~+a, f CERTIFICATE OF INSURANCE Jcorporation CERTIFICATE HOLDER: CITY OF ASHLAND 20 EAST MAIN STREET ASHLAND, OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated. The insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of such policy. POLICY NO. POLICY PERIOD ISSUE DATE 744026 07/01/2013 to 07/01/2014 02/14/2014 INSURED: BROKER OF RECORD: NOEL LESLEY EVENT SERVICES INC WARD INSURANCE AGENCY INC 2630 SISKIYOU BLVD PO BOX 10167 ASHLAND, OR 97520-9514 EUGENE, OR 97440 LIMITS OF LIABILITY: Bodily Injury by Accident $1,000,000 each accident Bodily Injury by Disease $1,000,000 each employee Body Injury by Disease $1,000,000 policy limit DESCRIPTION OF OPERATIONS/LOCATIONS/SPECIAL ITEMS: Re: All Operations IMPORTANT: The coverage described above is in effect as of the issue date of this certificate. It is subject to change at any time in the future. This certificate is issued as a matter of information only and confers no rights to the certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies above. This certificate does not constitute a contract between the issuing insurer, authorized representative or producer and the certificate holder. CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED TO THE POLICYHOLDER AND CERTIFICATE HOLDER IN ACCORDANCE WITH THE POLICY PROVISIONS AND OREGON LAW. SAIF WILL ENDEAVOR TO PROVIDE WRITTEN NOTICE WITHIN 30 DAYS WHENEVER POSSIBLE. AUTHORIZED REPRESENTATIVE 6-1~1-- John C. Plotkin President and CEO 400 High Street SE Salem, DR 97312 P: 800.285.8525 F: 503.373.8020 Policy_Ba lch_CertlFlateorlmu ance I EM FEB-14-2014 09:29 Ward Insurance 541 342 8280 P.00i/005 Insulll D RL 02/14/2014 To: Company: City of Ashland FaxM 1-541-488-5311 From: Traces Hoban Tel M 541-687-1117 Fax M 541-342-8280 email: tracee@wardinsurance.net Subject: Certificate of Insurance Certificate of Insurance for our insured Noel Lesley Event Services, Inc. Please let me know if you have any questions. Thankyou Traces