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HomeMy WebLinkAboutInsurance Certificate: Klamath Bird Observatory (2) a DATE iMWDDIYYYY) AICOOR° CERTIFICATE OF LIABILITY INSURANCE 7/18/2014 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). c,,. Julie Asher PRODUCER NAME: Ashland Insurance Inc PHONE (541)482-0831 FAX Ns 1541) 688-5851 585 A Street Suite 1 AE-MAIL :jasher@ashlandinsurance.com 'P. 0. BOX 880 INSURER(S) AFFORDING COVERAGE NAIC N Ashland OR 97520 INSURER A'Alliance of Nonprofits for INSURED INSURER B:Libert Mutual Insurance Klamath Bird Observatory INSURER C: P.O. BOX 758 INSURER D: INSURER E : Ashland OR 97520 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1471804931 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 TYPE OF INSURANCE DL SU POLICY NUMBER MM DIWYYY MMID r FOP LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DA TOR TED 500 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence 5 A CLAIMS-MADE OCCUR X 014-25840 /1/2014 7/1/2015 MED EXP (Any one person) S 20,000 PERSONAL 6 ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 RGEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG 5 2 , 000 , 000 POLICY PRO LOG S AUTOMOBILELIABIUTY Ee BINE lSINGLELIMIT 5 ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED 80OILY INJURY (Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS P accident UMBRELLA LIAR HOCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION $ S B WORKERS COMPENSATION WC STA7U- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIE70RIPARTNERIEXECUTIVED NIA E.L EACH ACCIDENT $ 5()0,000 OFFICERIMEMBEREXCLUDE D7 539S311786024 /1/2014 /1/2015 (Mandatory In NH) E.L DISEASE - EA EMPLOYE S 500 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT S 50(),000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD ID1, Addlllonal Remarks Schedule, If mom specs Is requirod) The City of Ashland, its officers, employees, 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) 488-5320 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland 20 E. Main St. AUTHORIZED REPRESENTATIVE Ashland, OR 97520 -6//_ Julie Asher ACORD 25 (2010105) ©1988- 010 ORD CORPORATION. All rights reserved. INS025 (sosoom).ot The ACORD name and logo are registered marks o ORD