HomeMy WebLinkAboutInsurance Certificate: HOPE Equestrian Center
DATE I MM/DDIYYYY)
ACORD TM CERTIFICATE OF LIABILITY INSURANCE 07-11-2014
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 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 CONTACT
NAME:
00007 / Debi DeTurk Peloso PHONE FAX
7765 West Highway 90 (A/C No, Ext): (A/C No):
Greenville, FL 32331 E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURED INSURER A: MARKEL INSURANCE COMPANY
H.O.P.E. Equestrian Center INSURER B:
Atten: Angie Ballard INSURER C:
PO Box 396 INSURER D:
Eagle Point, OR 97524
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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.
NSR ADDL SUER POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR MD POLICY NUMBER MM/DO/YYYY IMMIDDIYYYY) LIMITS
A GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
® COMMERCIAL GENERAL LIABILITY ❑ ❑ DAMAGE TO RENTED $ 100,000
PREMISES IEa occurrence)
❑ ❑ CLAIMS-MADE ®OCCUR MED EXP (Any one person) $ 5,000
El 3602AG277058-9 06-23-2014 06-23-2015
❑ PERSONAL & ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO 6 1,000,000
El POLICY ❑ PROJECT ❑ LOC
$
AUTOMOBILE LIABILITY ❑ ❑ COMBINED SINGLE LIMIT
(Ea accident) a
❑ ANY AUTO BODILY INJURY (Per person) 5
❑ ALL OWNED ❑ SCHEDULED BODILY INJURY (Per accident) 6
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE 5
❑ HIRED AUTOS ❑ AUTOS (Per accident)
❑ ❑ 5
UMBRELLA LIAR 8 OCCUR ❑ ❑ EACH OCCURRENCE $
EXCESS LIAR CLAIMS-MADE AGGREGATE $
❑ DIED ❑ RETENTION 5 $
WORKERS COMPENSATION ❑ WC STATU- ❑ OTH
AND EMPLOYERS' LIABILITY YIN TORY LIMITS ER
ANY PROPRIETORTARTNERIEXECUTIVE ❑ NIA ❑
OFFICER/MEMBER EXCLUDED] E.L. EACH ACCIDENT 5
I Mandatory In IRU E.L. DISEASE - EA EMPLOYEE 6
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
❑o
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES (Attach ACORD 101. Additional Remarks Schedule, If more space is required)
Certificate holder only.
Confirmed event: 3/7/09 Denim & Diamond Dinner Dance and Auction
CERTIFICATE HOLDER CANCELLATION
H.O.P.E. Equestrian Center
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
After: Angie Ballard DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY
PO Box 396 PROVISIONS.
Eagle Point, OR 97524 AUTHORIZED REPRESENTATIVE RME
Bruce A. Kay AGPCQ
(c) 1988-2010 A CO ORATION. ights reserved.
ACORD 25 12010/05) The ACORD name and logo are registered marks of ACORD