HomeMy WebLinkAboutInsurance Certificate: Creative Tent International
A`~ O® CERTIFICATE OF LIABILITY INSURANCE DA 31312014 WWMYM
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(tes) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endomemerlt- A statement on this certificate does not confer rights to the
certificate holder in lieu of such endomeme s .
PRODUCER COCONTACT NE. Charles Dorsey
Commercial Lines - (702) 386.6797 PNNONE ,,,702-946-1602 FAIL No: 702-3665729
Wells Fargo Insurance Services USA, Inc. AD~ss: chadie.dorsey®wellslargo.com
6325 S. Rainbow Blvd., Suite 200
INSURE S AFFORDING COVERAGE NAICp
Las Vegas, NV 89118 u7Stfil Great Northern Insurance Company 20303
INSURED INSURER B: Federal Insurance Company 20281
Creative Tent International, Inc. INSURER C: St. Paul Fire and Marine Insurance Company 24767
2245 Kiowa Blvd. No. INSURER D:
INSURER E :
Lake Havasu City, AZ 86403 INSURER F :
COVERAGES CERTIFICATE NUMBER: 7401621 REVISION NUMBER: See below
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWATHSTANDING 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 TYPE OF INSURANCE ADDL sum POLICY POLICY NUMBER MWD EFF m POLICY %P
LTR nxyy LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1.000.000
A 35937073 5/11/2013 5/11/2014
100.000
DAMAGE CVMSMDE OOCCUR PREMISES aoaalrGme $
MED EXP (My aro prison $ 10,000
PERSGNALSADVINJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2.000.000
POLICY [K] JECTT F LOC PRODUCTS-COMP/OP ASS $ 21000.000
OTHER' Employee BeneNS Affil $ 1,000,000
B AUTOMOBILE LIABILITY 73579350 3/10/2013 3/10/2014 COMBINED SINGLE LIMIT $ 1000000
Ea a idenl
X ANY AUTO BODILY INJURY(FW person) $
ALL OWNED SCHEDULED BODILY INJURY (Per sodden) $
AUTOS AUTOS
NON-0W1,1ED PROPERTY DAMAGE
X MIRED AUTOS X AUTOS Per w:ddenl $
S
C X UMBRELLA LUG X OCCUR ZUP-IOR24117.13-NF 5111/2013 5/11/2014 EACH OCCURRENCE $ 10.000.000
EXCESS UAB CLAIMS-MADE AGGREGATE S 10.000."
DELI X RETENTIONS 0 $
WORKERS COMPENSATION PER OTH-
ANDEMPLOYERTLIABILITY YIN STATUTE ER
ANY PROPMETOR,PARTNER/EXECUTIVE ❑ NIA EL EACH ACCIDENT $
OFFICERRAEMBER EXCLUDED?
(Mandatory M NNI E.L DISEASE - EA EMPLOYE $
Ir yes, desaae under
DESCRIPTION OFOPERATIONS btlox E.L. DISEASE - POLICY UNIT S
A Rented/Leased Equipment 35937073 05/112013 0911/2014 5200.000
oeauamle: sl,ooo
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD ill AddlUmal Remelt Schedule, may Ee aaadred N more space Is required)
City of Ashanti is named as Additional Insured as respects General Liability and as per Form 80-02-2000 4/01 attached, insurance Coverage is Primary,
Non-Contributory and includes a Waiver of Subrogation
CERTIFICATE HOLDER CANCELLATION .
Ashland Parks and Recreation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
340 S. Pioneer Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Ashland, Oregon 97520
AUTHORIZED REPRESENTATIVE
The ACORD name and logo are registered marks of ACORD ®1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101)
~C
crtuas General Liability
Who Is An Insured
(continued)
Volunteers Persons who are volunteer workers for you are insureds; but they are insureds only for acts within
the scope of their activities for you and at your direction.
Real Estate Managers Persons (other than your employees) or organizations acting as your real estate managers are
insureds; but they are insureds only with respect to their duties as your real estate managers.
Permissive Users Of With respect to mobile equipment registered in your name under a motor vehicle registration law:
Mobile Equipment A. persons driving such g equipment on a public mad with your permission are insureds; and
B. persons or organizations responsible for the conduct of such persons described in
subparagraph A. above are insureds; but they are insureds only with respect to the operation
of the equipment and only if no other insurance of any kind is available to them.
However, no person or organization is an insured with respect to:
• bodily injury to any co-employee of the person driving the equipment; or
• property damage to any property owned or occupied by or loaned or rented to you, or in
your charge or the charge of the employer of any person who is an insured under this
provision.
Vendors Persons or organizations who are vendors of your products are insureds; but they are insureds
only with respect to their liability for damages for bodily injury or property damage resulting
from the distribution or sale of your products in the regular course of their business and only if this
insurance applies to the products-completed operations hazard.
However, no such person or organization is an insured with respect to any:
• assumption of liability by them in a contract or agreement. This limitation does not apply to
the liability for damages for bodily injury or property damage that such vendor would
have in the absence of such contract or agreernent;
• representation or warranty unauthorized by you;
• physical or chemical change in your pniducts made intentionally by the vendor;
• repackaging, unless unpacked solely for the purpose of inspection, demonstration or testing,
or the substitution of parts under instruction from the manufacturer and then repacked in the
original container;
• failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to
make or normally undertakes to make in the usual course of business in connection with the
distribution or sale of your products;
• demonstration, installation, servicing or repair operations, except such operations performed
at the vendor's premises in connection with the sale of your products; or
• of your products which, after distribution or sale by you, have been labeled or relabeled or
used as a container, ingredient or pan of any other thing or substance by or for the vendor.
Liability Insurance
Form 8002-2000 (Rev. 4-01) Contract
Who Is An Insured
Vendors further, no person or organization from whom you have acquired your products, or any container,
(continued) ingredient or part entering into, accompanying or containing your products, is an insured under
this provision.
Lessors Of Equipment Persons or organizations from whom you lease equipment arc insureds; but they are insureds only
with respect to the maintenance or use by you of such equipment and only if you are contractually
obligated to provide them with such insurance as is afforded by this contract.
However, no such person or organization is an insured with respect to any:
• damages arising out of their sole negligence; or
• occurrence that occurs, or offense that is committed, after the equipment lease ends.
Lessors Of Premises Persons or organizations from whom you lease premises are insureds; but they are insureds only
with respect to the ownership, maintenance or use of that particular pan of such premises leased to
you and only if you are contractually obligated to provide them with such insurance as is afforded
by this contract.
However, no such person or organization is an insured with respect to any:
• damages arising out of their sole negligence;
• occurrence that occurs, or offense that is committed, after you cease to be a tenant in the
premises; or
• structural alteration, new construction or demolition operations performed by or on behalf of
them.
Subsidiary Or Newry If there is no other insurance available, the following organizations will qualify as named insureds:
Acquired Or Formed a subsidiary organization of the first named insured shown in the Declarations of which, at
Organizations the beginning of the policy period and at the time of loss, such first named insured controls,
either directly or indirectly, more than fifty (50) percent of the interests entitled to vote
generally in the election of the governing body of such organization; or
• a subsidiary organization of the first named insured shown in the Declarations that such first
named insured acquires or forms during the policy period, if at the time of loss such first
named insured controls, either directly or indirectly, more than fifty (50) percent of the
interests entitled to vote generally in the election of the governing body of such organization.
Limitations On Who Is An A. Except to the extent provided under the Subsidiary Or Newly Acquired Or Pormed
Insured Organizations provision above, no person or organization is an insured with respect to the
conduct of any person or organization that is not shown as a named insured in the
Declarations.
R. No person or organization is an insured with respect to the:
1. ownership, maintenance or use of any assets; or
2. conduct of any person or organization whose assets, business or organization;
Liability Insurance
Faro 80-02-2000 (Rev. 4-01) Contract