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HomeMy WebLinkAboutInsurance Certificate: Ashland New Plays Festival 9ASHLNE OP ID: KD 2 ACORO CERTIFICATE OF LIABILITY INSURANCE 0 o8/255/2014l 08/12014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CE-:TIFICATE 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 . CONTACT PRODUCER Phone: 541-779-4232 NAME: Hart Insurance Fax: 541-772-3963 PHONE o, E■t): {aC, No): FAX 1123 Royal Ave. t Medford, OR 97504 F.MAIL - Hart Insurance I Medford ADDRESS INSURER(S) AFFORDING COVERAGE NAIC M INSURERA: First National Ins Co INSURED Ashland New Plays Festival INSURER B: P.O. Box 3314 - Ashland, OR 97520 INSURER C: INSURER D : INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT TLIL POLICIES OF iNSUkANCE :_iSTED 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. POLICY EFF-RiOLICYO(P INSR TYPE OF INSURANCE = SUBR LIMITS POLICY NUMBER MM10DVVYY MMOD/rYYV LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 -DAMACEYO__RTN`t O - A X COMMERCIAL GENERAL LIABILITY X 25CC312172 1010112014 1010112015 PREMISES ;Ea occprrence) $ 1+000,00 CLAIMS MADE X OCCUR MED EXP iA,iy one person $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 Liquor Liab GENERAL AGGREGATE S 2100000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG S 2,000,00 X POLICY - PRO- LOG 5 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT [Ea accident; ANY AUTO BODILY INJURY (Per person! S ALL OWNED ~ - SCHEDULED BODILY INJURY ( INJURY ( -Per accident) S AUTOS AUTOS i NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS _L Per acugsnt) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE 5 DIED RETENTIONS 5 WORKERS COMPENSATION WC STATU• OTH. AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTI`J F- E L EACH ACCIDENT S OFF I CERlMEMBER EXCI-UDED'r NIA (Mandatory in NH) E L DISEASE - EA EMPLOYEE $ I(yes desc.•I,^,e unde• DESCRIPTION OF OPERATIONS beow L UIStASE 10L•CY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: The City of Ashland, its officers, employees, and agents - Policy includes blanket additional insured form CG7635 as attached CERTIFICATE HOLDER CANCELLATION CITYASH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 E. Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE Hart Insurance! Medford ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD