HomeMy WebLinkAboutInsurance Certificate: Ashland Gallery Association (2) „~Ie~L I~~p mlely bat 4882741 p.1
'etC~R CERTIFICATE OF LIABILITY INSURANCE OP ID DR 1 DATE(YwoD1YYYY)
03/27/14
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AN END, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE GOES NOT CONSTITUTEA CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT t e ee care holder 19 an AD the p0 es must endorsed. S ED, SUh to
the terms and conditions of the policy, Certain pollcles may M*dfG an endorsamant. Astalwnem on this GBAIICate does not confer Of" to the
CertMicate holder In lieu of such endorsement(s).
PRODUCER
NAVE:
Insurance Marketplace, Inc. - a N Fz1 AIC. NP:
1998 Skypark Dr, Suite 100 D
Medford OR 97504 cueraN>ERIDa: ASffi.A-5
Phoae:541-779-0177 Fax:FAR 772-8235 77M
INSURED
Ashland Gallery Association INSwreR A: C Jef£ Jones INSURER B:
Ashland OR 197520 INSURER C'
INSURER D :
- INSURERE:
INSVRBRF:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
E FON TIEPoLICY PLiEOO
THIS IS TO CERTIFY THAT THE POLATIES OF rNSURAN[E L13I7~ BELOW rIAVE pEEN'SSUEO TD THE !5w
INDCXTED. "UMMSTM101NG ANY REQUIR
EMENT. TERM OR CONDITION OFANY OR OTRES2ECTTO WRICH THIS
CERTIFICATE MAY SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED eY THE POUCIES DESCRCT M ALL THE TERMS,
EXCLUSIONS AID DO NOITIONS OF SUCH POL ICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID LTRI TYPE OF WSVRANCE MR PODGY NVYBER 12075
CEId4W_ LIAR WTY
EACH OCCURRENCE 31, 000, 00D
A X I CDNMERCIALGENERAL LIASILMY CPD2215132-02 /1s PREAlSE$ Eeaannnro s 100, ODD
CTAWSLIADE X OCCUR MEOEXP(AnyM0We ) sl0,00D
X hoot liquor X PERSONAL 6 ADV INJURY 31,000,000
GENERAL AGGREGATE 32,000,000
OENLAODREGATE LIMB APPLIES P9R: - PRODUCrs-COMPfOF AGO 32,000,000
POLICY JE-CT Loc 3
AUTOMOBILE LIAaNfrY
COMBINED 311101E LIMIT
ANY AUTO (EA a-sdwj $
ALLOWNEDAUTOS EODBYINJUtY(Fe,R 3
SCHEDULED AUTOS 5OCaY1NJR:RY(Pe,aCwQnn
HIREDAUTOS PROPERTY OANAGE 3
lPe, rshhn0
NON-OWNED tyros 3
s
UMBRELIALIAli OCCUR EACH OCCURRENCE S
~~D'~ CLAIMS-MAZE AGGREGATE 3
DEDIIGTIKE
3
RETENTION S 3
VA]RKERS COMPENSATIO
ANDEMPUNERS•LIABIUTY YIN TORY LI S ER
ANY PimPR1ETORIPARTNERLDmC
OFFICERIIFA®ER FXLLUOEM 1i11V~ IA El. EAC15 ACCFpEM 3
(NNtlNOry In NN) `J
Ifye5aeerslbe wee, EI. OISFPSE- FA EMPLO 3
OES'tR~npNOFOPERATIONSMm El. 0 I3FA~-PoLICYUMT 3
CE§CRIPTIONOFOPERATONS/LDCATgNSfVEHICLEB(AIhtlIACORD t01 ADEDNNHI RemaM
I 9y,eduN,Dmxe epeee L,n uw9
L ofsAshland sad its officers, emPtoyeea and agents are additional
a.ns red.
CERTIFICATE HOLDER CANCELLATION
BEFORE
DIRECTO THE E 2VIRA BXPIRAHYOFTION DAM TH THERVeEDa3CR®®OF. NOTICE POL WILL BE BB D DEEWCANDERm IN IN
T
City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS.
Director of Finance AurHOR~aEPResENrAYIYE
20 H. Main St.
Ashland OR 97520 R. Scott Weaver, CIC
0188&2009 ACORD CORPORATION. Ail rlghta reserved.
ACORD 25 (2009)09) The ACORD name and logo are registered marks of ACORD