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HomeMy WebLinkAboutInsurance Certificate: Ashland Chamber of Commerce ® DATE (MMIDDIYYYY) AC n CERTIFICATE OF LIABILITY INSURANCE 02/2512015 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 Rebecca DeVall Reinholdt & O' Harra Insurance NAME: PHONE FAX- AIC No Eat : (541)482-1921 p,IC No : (541)488-4458 518 Washington St nDORIE Ashland, OR 97520 SS: rdevall@reinholdtins.com License 800442 - INSURER(S) AFFORDING COVERAGE NAIC p INSURER A: Philadelphia Insurance Companies INSURED INSURER B : Ashland Chamber of Commerce INSURER C P O Box 1360 INSURER D : Ashland, OR 97520 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 00000000-0 REVISION NUMBER: 1 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~ LTR I M12 POLICY NUMBER MMIDD/YYYY MMIDDIYYYY LIMITS A~ COMMERCIAL GENERAL LIABILITY Y III PHPK1289603 02/0312015 0210312016 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY D PRO LOC PRODUCTS - COMPIOPAGGy $ 2,000,000- OTHER: - $ 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 $ HIREDAUTOS AUTOS Per accident $ A X UMBRELLA LAB OCCUR PHUB488843 02/0312015 02/0312016 EACH OCCURRENCE $ 3,000,000 EXCESS LAB X CLAIMS-MADE ICI AGGREGATE $ 3,000,000 DED X RETENTION $ 10000 $ PER 0TH- STATUTE ER WORKERS I OPR NHEP ARTNOERIEXECUTIVE ❑ E1 EACH CI EA EMPLOYEE, $ OFFICERIMEMBER EXCLUDED? YIN NIA' T------ ( Mandatory ) E L DISEASE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Ashland is listed as additional insured with respect to general liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. 20 East Main St Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ✓ REB ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Printed by REB on February 25, 2015 at 03:45PM