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HomeMy WebLinkAboutInsurance Certificate: ScienceWorks Hands-On Museum ® DATE (MMlDDIYYYY) 4~ ° CERTIFICATE OF LIABILITY INSURANCE 6/22/2015 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(les) 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). NAMEA T Julie Asher PRODUCER NAME: Ashland Insurance Inc PHONE (541) 482-0831 FA1C No: 1541)460-5851 585 A Street Suite 1 E"MAL .jasher@ashlandinsurance.com P. 0. BOX 880 INSURERS AFFORDING COVERAGE NAIC # Ashland OR 97520 INSURER A:Non rofit Iris Alliance of CA INSURED INSURER B : ScienceWorks Hands-On Museum INSURER C: 1500 E Main St INSURER D: INSURER E Ashland OR 97520 INSURER F : COVERAGES CERTIFICATE NUMBER:CL1521805300 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 SUBR POLICY EFF POLICY EXP INTRR TYPE OF INSURANCE POLICY NUMBER MMIDD'YYYY MMIDDfYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 -DAMAGE TO RENTED 500,000 X COMMERCIAL GENERAL LIABILITY PREMISES En occurrence) S A CLAIMS-MADE 5Z OCCUR X 615-24797 /18/2015 /1B/2016 MED EXP (Any one person) S 20,000 PERSONAL SADVINJURY S 1,000,000 GENERAL AGGREGATE $ 2 , 000 , O DO GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 X POLICY PRO LOO S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident S ANY AUTO BODILY INJURY (Per person) s ALL OWNED SCHEDULED BODILY INJURY (Par accident) $ AUTOS NAUTOS ON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH. I ER AND EMPLOYERS' LIABILITY N ! A E.L EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE~ YIN OFFICERIMMEER EXCLUDED? {Mandatory in NH) E.L DISEASE - EA EMPLOYE $ If yes, describe under E.L DISEASE -POLICY LIMIT 5 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Sehodulo, If more spaco Is required) City of Ashland, their officers, employees and agents are listed as an additional insured. CERTIFICATE HOLDER CANCELLATION (541) 552-2059 kristy.blackman@ashland. or SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ashland Atn: Kristy Blackman AUTHORVED REPRESENTATIVE 20 E. Main St. Ashland, OR 97520 Julie Asher ACORD 25 (2010/05) ©1968-20~dACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered mar `Sim)"ACORD