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Home My WebLink AboutInsurance Certificate: Creative Tent International (2) 66651 A� o CERTIFICATE OF LIABILITY INSURANCE DATE 3 M/ 2 D o1 D4YTn 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 N Charles Dorsey Commercial Lines (702) 386 -6797 PHONE 702 -946 -1602 1 FAX 702386 -5729 INC. No FT): INC, Nob Wails Fargo Insurance Services USA, Inc. E-MAIL chariie.dorsey @weilsfargo.com 6325 S. Rainbow Blvd., Suite 200 INSURER(S) AFFORDING COVERAGE NAIC a Las Vegas, NV 89118 INSURER A: Great Northern Insurance Company 20303 INSURED INSURER B: Federal Insurance Company 20281 Creative Tent International, Inc. INSURER D: 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. NOTNATHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO NMICH 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 ADOL SUBR POLICY LICY EFF POLICY EXP LIMITS LTR WVn POLICY NUMBER IMMIPOA'YYYI IMMIDDIYYYYI X COMMERCIAL GENERAL LIABILITY 1.0000 EACH O S 00 A 35937073 5/11/2013 5/11/2014 CLAIMS-MADE X I OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) S 100,000 MED EXP (Any are person) E 10.000 PERSONAL ADV INJURY S 1,000,000 GENII_ AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE S 2 POLICY 1 X I JECT LOC PRODUCTS COMP/OP AGG S 2000,000 OTHER: Employee Benefits Aggreg. S 1,000,000 B AUTOMOBILE LIABILITY 73579350 3/10/2013 3/10/2014 COMBINED SINGLE LIMIT 1.000.000 IEe accident) X ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED BODILY INJURY (Per actideM) S AUTOS AUTOS NON -OWNED PROPERTY DAMAGE X HIRED AUTOS %AUTOS (Per accident) S S C x UMBRELLALIAB X OCCUR ZUP-10R24117-13-NF 5/11/2013 5/11/2014 EACH OCCURRENCE s 10,000,000 EXCESS UAB CLAIMS -MADE AGGREGATE S 10,000.000 DED X RETENTIONS 0 S WORKERS COMPENSATION PER OTH- AND EMPLOYERS' UABIUTY Y I N STATUTE ER ANY PROPRIETOR/PARTNER /EXECUTIVE I NIA E.L. EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE POLICY OMIT A Rented/Leased Equipment 35937073 05/11/2013 05/11/2014 $200,000 Deductible: $1,000 DESCRIPTOR OF OPERATIONS 1 LOCATIONS I VEHICLES (AGGRO 101, Additional Remarks Schedule, may be MacNeil if more apace Is required/ City of Ashand 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 POUCIES 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 9 40 44.-- The ACORD name and logo are registered marks of ACORD 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) CHUBS 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 p g equipment on a public road 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 agreement; representation or warranty unauthorized by you; physical or chemical change in your products 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 part of any other thing or substance by or for the vendor. Liability Insurance Form 80-02.2000 (Rev. 4 -01) Contract Who Is An Insured Vendors Funher, 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 usc 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 part 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 cornmitted, 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 Newly 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 Formed 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. B. No person or organization is an insured with respect to the: I. ownership, maintenance or use of any assets; or 2. conduct of any person or organization whose assets, business or organization; Liability Insurance Rona 80-02-2000 (Rev. 4-01) Contract