HomeMy WebLinkAboutInsurance Certificate: Ashland Gallery Association
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CERTIFICATE OF LIABILITY INSURANCE OPID DR DATE(AnVDDrr M
03 27 14
THIS CERTIFICATE IS ISSUED AS A MATTER OF U FORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND ORALTER 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 ce cate holder Is an AD N e po e9 must endorsed. 10 , subject to
the terms and conditions of the policy, certaln policies may require an andorsament. Astetemerd on this certificate does not confer rights to the
certificate holder in lieu of suoh endorsement(s).
PRODUCER NAME:
Insurance Marketplace, Inc. A, AnIVO:
1998 Skypark Dr_8uits 100 ADO
Medford OR 97504 crKODUGbK
ueralcams. A.o7fiLA-S
Phone:541-779-0177 Fax:FAg 772-6235 MSURER49) AFFORDING COVERAGE NMO
DSURED INSURER A: Capitol Insurance Cc
Ashland Gallery Association INSURERS:
Jeff Jones
P O Box 241 INSURER C:
Ashland OR 97520 INSURER D:
INSURBLE:
IN91AtPR F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THISMTOCERTIFYTHATTHEPOLICIESDFNSUPW US BELOW!LAVEOEFN'SSU®TOTHEINSUREDNAVEDABOVEFORTNEPOLICYPER'AO
INDICATED. NUMITHISTANDLNG ANY REOIIIREt1ENr. TERM ORCONDn10N OFANY CONTRACT OROTHER DOCLWENTVirrH RESPECTTC WHICH THS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSLIMVCEAFFORDEO BY THE POLICES DESCRIBED HEREIN S SUBe:CTTO ALL THE TERMS,
EXCLUSIONS AND CONORIONS OF SUCH POLICES. LIMITS SHOWN MAY FAVE AFFr REDUCED BY PAD CLAIMS.
LTR TYPE OF INSURANCE INSR Wvc POLCYNUMBER M D Long
'GEIgFAL UABaIiV EACH OCCURRENCE $1,000,000
A x `COM\ERCII GENERAL LIAB&rrY CPD2 21513 2-0 2 mnr/u Iaantns PREMISES Ea axumnce $100,060
CLAIMS-MADE FA] OCCUR NEDEXP(AnymDmnal) S10,00D
x host liquor x PERSONIAL S ADY IWURY $1,000,000
GENERAL AGGREGATE s2,000,000
GENLAGOREGATE LIMB APPLIES P6L• - PRODUCTS -OOMPYOP AGG $2,606,000
POLICY J> LOC $
AUTO/a)9ILE UABILNY COMBINED SINGLE LIMrr $
ANY AUTO (Fr AxddMIJ
ALL OYMED AUTOS BODIYIWLRY(PerP S
BODaY INJURY(ParactldenN i'
SCHEDULED AUTCS PROPERTY DAMAGE
HIREDAUTOS (Per naNem) $
NON-OWNED AUTOS $
S
UMSRElL1 LIAR = -MADE OCCURRENCE $
EXCESS UA13 CUIMS-MADE AGGREGATE S.
DEDUCTIBLE
i
I REMNrON i 3
WOR1ffA5 COMPEN T l
ATU
ANDSMPLOYERS-LIABIUI YLN TORYLINTS H2
ANY PROPRIETORIPARTNERM(ECUIrV~ E.L. EACH ACCIDENT S
CFIRCEWVIEaBER D(CLUCPIIJ (uJ IA Fa.. DISEASc. EA EUPLOWEE i
ltlememry In NM)
Ypy, arcHbe untlar
OESCAD'TION OF OPERATIONSlhUpY El.OISFA.'a-POLICY L/AR S
DEBCRIPTIONOFOPERATION9/LOCATCNSIVEHICLES (AIIea1.A=AD101 AWaantl RvmaRn9MeUUn,Imam pace fs npuwd~
~itv of Aahlaad. and its officers, employees and agents are additional
insureds. -
CERTIFICATE HOLDER CANCELLATION
SHOULDANYOF
DSRECTO THE N DAM THEREOF, NOTICE P WILL ILL BE EB aEW IM
De WERED IN
ACCORDANCE ERED BEFORE
ACCORDANCE WITH H THE POLICY POLIOY PROVISIONS.
City of Ashland
Director of Finance ALITHO RL SENTATIVB
20 It. Main St.
Ashland OR 97520 R. Scott Weaver, =C
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