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HomeMy WebLinkAboutInsurance Certificate: Ashland Gallery Association ~.r•, ASHLA-5 OP ID: DR ,a►coRO CERTIFICATE OF LIABILITY INSURANCE 04// DATEMM/02/22015Y) 015 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 endorsements . PRODUCER Phone: 541-779-0177 NAME: NTACT Insurance Marketplace, Inc. Fax: FAX 772-8235 PHONE FAX 1998 Skypark Dr Suite 100 ac No EXc : A/c No : Medford, OR 97504 EMAIL R. Scott Weaver, CIC ADDRESS: _ INSURERS AFFORDING COVERAGE NAIC # INSURER A : Capitol Insurance Co INSURED Ashland Gallery Association INSURER B : Kim INSURER C : P0Box241 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. LICY INSR TYPE OF INSURANCE I DL UBR; POLICY NUMBER MM/LDD~Y MM/ D/YYYY LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X CP02215132-02 03/31/2015::03/31/2016 DAM-- AA TED $ 100,00 PREMISES Ea occurrence CLAIMS-MADE OCCUR MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000100 GENERAL AGGREGATE $ 2,000,00 F~ _ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER. ! PRODUCTS COMP/OP AGG $ POLICY PRO- LOC ! $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I ! (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) I $ AUTOS AUTOS NON-OWNED P OPRTntDAMAGE $ HIRED AUTOS AUTOS is UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- 0TH-; AND EMPLOYERS' LIABILITY YIN TORY LIMITS R ANY PROPRIETOR/PARTNER/EXECUTIVE ! E L EACH ACCIDENT $ ! OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ _ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Ashland and its officers, employees and agents are additional insureds. Opp CERTIFICATE HOLDER CANCELLATION DIRECTO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ATE THEREOF, City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS NOTICE WILL BE DELIVERED IN Director of Finance 20 E. Main St. AUTHORIZED REPRESENTATIVE Ashland, OR 97520 R. Scott Weaver, CIC ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD