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HomeMy WebLinkAboutInsurance Certificate: Rogue Valley Symphony ROGUE27 OP ID: TF ACORO° CERTIFICATE OF LIABILITY INSURANCE 1010912014 D1) 10!09!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 pollcy(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 endorsements . PRODUCER NCONTA AME: Terry Friend Protectors Insurance, LLC PHONE FAX Pilot Rock Ins Agency LLC (CA) Afc No Ext : 541-773-5358 AIC, No): 541-772-1906 PO Box 4669 AoDOREss: terryf@protectorsins.com Medford, OR 97501 Terry Friend INSURER(S) AFFORDING COVERAGE NAIC • INSURERA:American States Ins Company 19704 INSURED Rogue Valley Symphony Assoc INSURER B: SOU Music Bldg INSURER C: 1250 Siskiyou Blvd Ashland, OR 97520 INSURER D: 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. N TYPE OF INSURANCE III WVID POLICY NUMBER (MMfDDNYYY) (MMIDDNYYY) XP LIMITS LTR A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE F3(1 OCCUR X 01 C1252849 09101/2014 0910112015 PRRAGE TO RENTED 1,000,00( REMISES (Ea occurrence) $ MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 1,000,00 X POLICY I PRO El LOC PRODUCTS - COMP/OP AGG $ 1,000,00 JECT OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ee accident) BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DID RETENTION $ $ WORKERS COMPENSATION PER OTI+ AND EMPLOYERS' LIABILITY STATUTE E0 ANY PROPRIETORIPARTNERIEXECUTIVE Y f N EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N /A (Mandatory in NH) FE .L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Ashland, its officers and employees are listed as additional insured per attached endorsement CG7635 0207. CERTIFICATE HOLDER CANCELLATION CITYAS2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 E Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE Terry Friend ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD