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HomeMy WebLinkAboutInsurance Certificate: Oregon Shakespeare Festival (2) CERTIFICATE OF LIABILITY INSURANCE ~/8 ` 014 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: Pam Breazeale Brown & Brown Northwest PHONE (541) 494-2655 FAX A/C No; (541)494-2755 3256 Hillcrest Park Drive EDURL .pbreazealeCbbnw.com INSURER(S) AFFORDING COVERAGE NAIC # Medford OR 97504 INSURERA:Great American Insurance Co 16691 INSURED INSURERB:Great American Alliance Ins Co 6832 Oregon Shakespeare Festival INSURER C: PO BOX 158 INSURER D : INSURER E: Ashland OR 97520 INSURER F: COVERAGES CERTIFICATE NUMBER:14-15 GL BA UM 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 DDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER (MMIDDMrM MIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300,000 A CLAIMS-MADE OCCUR X ACS04955305 /1/2014 1/1/2015 MEDEXP An one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY P JECT RO LOC $ AUTOMOBILE LIABILITY EOMBIVIESINGLE LIMIT $ 11000,000 A X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED CAPS04955405 /1/2014 1/1/2015 AUTOS AUTOS BODILY INJURY (Per accident) $ X X NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per arxi . $ X UMBRELLA LIAB [IX OCCUR EACH OCCURRENCE $ 10,000,000 B EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED X RETENTIONS 10,00 804955505 /1/2014 /1/2015 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' UABILTTY Y / N TORY I ILAfT4-q FR ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L. EACH ACCIDENT $ OFFICERtMEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ if yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101,Additional Remarks Schedule, ff more space Is required) Certificate holder is an additional insured as respects General Liability when required by written agreement per form # CG2010 (07/04). This form is subject to policy terms, conditions and exclusions. CERTIFICATE HOLDER CANCELLATION 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 Its Officers, Employees and Agents Attn: Bryn Morrison AUTHORIZED REPRESENTATIVE 20 E Main Ashland, OR 97520 n e Pam Breazeale/PAMBRE (~uN ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. rt.icnoc -r1.w Ar -1- s Arnnn