Loading...
HomeMy WebLinkAboutInsurance Certificate: Southern Oregon Pride Y) °9 CERTIFICATE OF LIABILITY INSURANCE 088/1/188 DAT//22014 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: Brlgltt WhlteScarver For Service Call: PHONE p/C No : 503-977-5848 _ N-. EMY 503-977-516148 Gales Creek Insurance Services a division of JD Fulwiler E-MAIL ADDRESS: eyentsagalescfeek com_ 5727 SW Macadam Ave INSURER(S) AFFORDING COVERAGE _ NAIC # Portland, OR , 97239 INSURERA : United States Fire Insurance Company INSURED Southern Oregon Pride INSURER-B - 451 Lindsay Lane. INSURER C'. 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. ADDL SUBRIPOLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY , MMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1 OOO OOO.OO FIRE DAMAGE $ 300 000.00 X COMMERCIAL GENERAL LIABI LITY any one fire) CLAIMS-MADE _ME? EXP (Any one person) $ _ 5,000.00 A 1XI OCCUR ^ F_~ I _ 10/12/2014 PERSONAL & ADV INJURY $ 1 000 000.00 TBD-SOP-10102014 10/10/2014 GENERAL AGGREGATE $ 2,000,000.00 EN'L AGGREGATE LIMIT APPLIES PER: r- PRODUCTS -COMP/OP AGG $ 2,000,000.00 GE X POLICY PRO- LOC COMP/OP JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ ANY AUTO BODILY INJURY (Per person ALL OWNED SCHEDULED BODILY INJURY (Per accident) ! I~ AUTOS AUTOS NON-OWNED (PROPERTY DAMAGE ! Per accident HIRED AUTOS _ AUTOS $ ! EACH OCCURRENCE _ $ I EXCESS LIABAB'. CLAIMS-MADE AGGREGATE II1 $ DED RETENTION $ $ 1OTH- WORKERS COMPENSATION WCY STATU- LIMITS I ER . AND EMPLOYERS' LIABILITY Y / N TOR I N / A II ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ IF E.L. EACH ACCIDENT _ $ OFFICE/MEMBER EXCLUDED? (Mandatory in NH) EL. DISEASE - EA EMPLOYE $ If yes, describe under E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF ()PPPATInNq h,l,. F F- DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) THE CERTIFICATE HOLDER IS ADDED AS AN ADDITIONAL INSURED BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF OPERATIONS OF THE NAMED INSURED DURING THE POLICY PERIOD. CERTIFICATE HOLDER CANCELLATION City of Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E. Main St. ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE Brigitt Whitescarver ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD