The URL can be used to link to this page

Home My WebLink AboutInsurance Certificate: Dancing People Co YY) A°RO® CERTIFICATE OF LIABILITY INSURANCE D 10/19/2015 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(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 CONTACTJDn Snowden _ Jon Snowden PHONE FAX 420 Bridge St JA/C No. Extl: (541) 482-2461 (A/c, No): (541) 482-4957_ StateFarm Ashland, OR 97520 ADDRESS: JOn Qonsnowden.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : State Farm Fire and Casual Company 25143 INSURED Stiehm, Robin INSURER B__ dba Dancing People Co -INSURER C.' 310 Oak St Ste 5 INSURER D : INSURER E Ashland, OR 97520 INSURER F : COVERAGES CERTIFICATE NUMBER: 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. INSR ADDL SUBR POLICY EFF T POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY III 09/25/2016 EACH OCCURRENCE $ 1,000,000 GENERAL LIABILITY A J 97-BB-W571-2 09/2512015 r ]~F DAMAGERENTED 300,000 X CO MERCIAL GENERAL LIABILITY Y I,I LPREMISES (Ea occurrence) $ _ CLAIMS-MADE I OCCUR MED EXP (Any one person) $ 5,000 !I PERSONAL & ADV INJURY $ 'I GENERAL AGGREGATE $ _ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER.' PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY JPEO LOC $ 1 CM AUTOMOBILE LIABILITY EaaocdeDtSINGLELIMIT $ ANY AUTO BODILY INJURY (Per person) $ _ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) 1 $ _ NON-OWNED PROPERTY DAMAGE - HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAB OCCUR i❑ ❑i EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- 0TH AND EMPLOYERS' LIABILITY Y / N : TORY LIMITS;. ER ANY PROPRIETOR/PARTNER/EXECUTIVE E1 EACH ACCIDENT $ OFFICE/MEMBER EXCLUDED? N/A - (Mandatory in NH) ❑ E.L. DISEASE _EA EMPLOYES $ If yes, describe under DESCRIPTION OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Business - Misc 310 Oak St. Ashland, OR 97520 CERTIFICATE HOLDER CANCELLATION City of Ashland Its Officers and Employees SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 E Main St ACCORDANCE WITH THE POLICY PROVISIONS. Ashland, OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.8 01-23-2013