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HomeMy WebLinkAboutInsurance Certificate: St Clair Productions A`CO?R" CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 04/11/2014 PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION East Main Street Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE fill Maddux HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR .'O Box 1298 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Grass Valley, CA 95945 Phone: (530) 477-6521 Email: info@theeventhelper.com INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Essex Insurance Company 39020 St. Clair Productions INSURER B: Ariella St. Clair INSURER C: 314 Meadow Slope Dr Talent, OR 97540 INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD' POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSR TYPE OF INSURANCE DATE MWDDIYY DATE MWDDIYY GE $ 1,000,000 GENERAL LIABILITY EACH OCCURRENCE INCLUDES BODILY INJURY 6 PROPERTY UM4tOE MED EXP (Any one person) $ 5,000 A Y X COMMERCIAL GENERAL LIABILITY 31DS5402-M64 i 2i) I G)(3/01/2014 06101; 201F CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ 1,000,000 X Host Liquor Liability 3DS5402-M641201 06/01 /2014 06/01/2015 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 X POLICY ~ PRO- ❑ LOC DEDUCTIBLE $ 1,000 JECT PRO- Retail Liquor Liability $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE _ $ OCCUR u CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ TT-H_ WC STATU- H- WORKERS COMPENSATION AND _ TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Certificate holder listed below is named as additional insured per attached CG 20 26 07 04. CERTIFICATE HOLDER CANCELLATION City of Ashland its officers, employees and agents SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION F20 E. Main St. DATE THEREOF, THE ISSUING INSURER WIM: EIiBC-14VOR T6 MAIL 30 DAYS WRITTEN Ashland, OR 97520 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, AUTHORIZED REPRESENTATIVE ACORD 25 (2001108) © ACORD CORPORATION 1988