HomeMy WebLinkAboutInsurance Certificate: Klamath Bird Observatory
CERTIFICATE OF LIABILITY INSURANCE 2/11/ 0144n
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(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 CONE Julie Asher
Ashland Insurance Inc PHONE (541)462-0931 - F~ ,.(541)486-sell
585 A Street Suite 1 E•wuL . jashe'i shlandinsura~nce. came
P. 0. Box SBO INSURERS AFFORDING COVERAGE NAIC4
Ashland OR 97520 INSURERAANIRRG
INSURED - INsuRERa:Liber Mutual Insurance
Klamath Bird Observatory INSURER C:
P.O. HOX 758 INSURER O:
INSURER E:
E
Ashland OR 97520 INSURERF:
COVERAGES CERTIFICATE NUMBER:CL13101404473 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
LTR TYPE OF INSURANCE POUCYNUMBER MNN~YEW POIICYE%P LIMITS
GENERAL UABIUTY EACH OCCURRENCE S 1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES Ea emra ) 6 500,000
A CLANS444DE Ex-JOCCUR X 013-25840 /1/2013 /1/2014 MED EXP(Any and person) S 20,000
PERSONAL SADV INJURY S 1,000,000
GENERAL AGGREGATE S 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPAIP AGO 6 2,000,000
X POLICY jPPC`j F-1 LOC S
AUTOMOBILE UABILITY COMBINED SIN
Ee a
ANY AUTO BODILY INJURY (Par person) S
ALL OWNED SCHEDULED BODILY INJURY (Per neckwa) 5
AUTOS NON-OWNED PROPERTY CAMAGEE
S
HIRED AUTOS AUTOS PeremJdeN
5
UM13RELLAUAS OCCUR EACH OCCURRENCE S
EXCESS LIAR CUVMS-MADE AGGREGATE 5
DEB RETENTIONS 5
B WORKERS MMPEINSATION WC STATU- 07H-
AND EMPLOYERR' UASIUTY
YIN
ANY PROPRIETORIPARTNERIEXECUTIVE NIA EL EACH ACCIDENT 5 1 000 000
OFTICERMEMBER ExCLUDEOi 5399311786023 /1/2013 /1/2014
0
(Mandatory In NH) E.L DISEASE - EA EMPLOYE~ 5 1,000,00
Byyeas, deeebe Imder
OESCRIPTION OF OPERATIONS belew EL DISEASE-POLICY LIMIT S 1 000 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AUaah ACOPOT AddlUana! Remarks Schedule, if mom space Is mqulmd) -
The City of Ashland, its officers, emploeea, and agents are listed as additional insureds
30 Day notice of cancellation applies except in the case of non payment which is 10 days.
CERTIFICATE HOLDER - CANCELLATION
(541) 48 B-5320 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 E. Main St.
Ashland, OR 97520 AUTHORIZED REPRESENTATIVE f '
Julie Asher
ACORD 26 (2010106) B•9010 ACORD CORPORATION. All rights reserved.
INS025 (mroosini The ACORD name and logo are registered marks of ACORD