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HomeMy WebLinkAboutInsurance Certificate: Ashland Independent Film Festival (2) l ® DATE (MMIDD/YYYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 601 10/08/2014 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 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). NAME: PRODUCER CONTACT Rebecca DeVall Reinholdt & O' Harra Insurance PHONE FAX 'C No Ext : (541)482-1921 AIC No : (541)488-4458 - 518 Washington St E-MAIL ADDRESS, rdevall@reinholdtins.com Ashland, OR 97520 License 800442 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Philadelphia Insurance Companies INSURED INSURER B Southern Oregon Film Society DBA Ashland Independent Film Festival INSURER C: INSURER D P O Box 218 Ashland, OR 97520 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 00001419-476531 REVISION NUMBER: 7 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. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LTR N ID L A GENERAL LIABILITY Y PHPK1194053 07/14/2014 07/14/2015 EACH OCCURRENCE $ 1,000,000 DAMAGE TO REN I REMISES (Ea occurrence) $ 100,000 X COMMERCIAL GENERAL LIABILITY P _ j CLAIMS-MADE _ OCCUR '.i MED EXP (Any one person) _ $ 5,000 _ PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 ~G~EN'L AGGREGATE LIMIT APPLIES PERPRODUCTS-COMP/OP AGG $ 2 000 000 RO LOC Liquor LIa $ 1.000.000 POLICY P JFCT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO ! BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y/ N li T ORY LM, ER M ANY 0 nd2torry in N R EXCLUDED? N I A (Ma CER/ E HR/ EXCLUDED? EL E SACH EASECEDAEEMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E1 . DISEASE -POLICY LIMIT $ I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Ashland is listed as additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Its Officers & Employees ACCORDANCE WITH THE POLICY PROVISIONS. 20 E. Main Street Ashland, OR 97520 AUTHORIZED REPRESENTATIVE e~ /I v `~L REB ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Printed by REB on October 08, 2014 at 01:15PM